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

Generated Narrative: StructureMap ExtractVitalSigns

\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractVitalSigns'\r\n/// name = 'ExtractVitalSigns'\r\n/// status = 'draft'\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target\r\n\r\ngroup ExtractVitalSigns(source qr : QR, target bundle : Bundle) {\r\n  qr -> bundle.type = 'transaction' "setBundleType";\r\n  qr.item as itH where (linkId = '8302-2') then {\r\n    itH.answer first as aH then {\r\n      aH ->  bundle.entry as eH,  eH.resource = create('Observation') as oH then {\r\n        qr ->  oH,  eH then BuildBaseObs(qr, oH, eH) "heightBase";\r\n        qr -> oH.category as catH then {\r\n          qr -> catH.coding as catHCoding then {\r\n            qr -> catHCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catHSys";\r\n            qr -> catHCoding.code = 'vital-signs' "catHCode";\r\n            qr -> catHCoding.display = 'Vital Signs' "catHDisplay";\r\n          } "catHCodingRule";\r\n        } "categoryH";\r\n        qr -> oH.code as codeH then {\r\n          qr -> codeH.coding as codeHCoding then {\r\n            qr -> codeHCoding.system = 'http://loinc.org' "codeHSys";\r\n            qr -> codeHCoding.code = '8302-2' "codeHCode";\r\n            qr -> codeHCoding.display = 'Body Height' "codeHDisplay";\r\n          } "codeHCodingRule";\r\n        } "codeH";\r\n        aH.value as hv -> oH.valueQuantity as vH then {\r\n          hv -> vH.value = hv "setVal";\r\n          qr -> vH.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vH.code = 'cm' "setCode";\r\n          qr -> vH.unit = 'centimeter' "setUnit";\r\n        } "valH";\r\n      } "heightObs";\r\n    } "heightAns";\r\n  } "heightRule"; // Height\r\n  qr.item as itW where (linkId = '29463-7') then {\r\n    itW.answer first as aW then {\r\n      aW ->  bundle.entry as eW,  eW.resource = create('Observation') as oW then {\r\n        qr ->  oW,  eW then BuildBaseObs(qr, oW, eW) "weightBase";\r\n        qr -> oW.category as catW then {\r\n          qr -> catW.coding as catWCoding then {\r\n            qr -> catWCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catWSys";\r\n            qr -> catWCoding.code = 'vital-signs' "catWCode";\r\n            qr -> catWCoding.display = 'Vital Signs' "catWDisplay";\r\n          } "catWCodingRule";\r\n        } "categoryW";\r\n        qr -> oW.code as codeW then {\r\n          qr -> codeW.coding as codeWCoding then {\r\n            qr -> codeWCoding.system = 'http://loinc.org' "codeWSys";\r\n            qr -> codeWCoding.code = '29463-7' "codeWCode";\r\n            qr -> codeWCoding.display = 'Body Weight' "codeWDisplay";\r\n          } "codeWCodingRule";\r\n        } "codeW";\r\n        aW.value as hv -> oW.valueQuantity as vW then {\r\n          hv -> vW.value = hv "setVal";\r\n          qr -> vW.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vW.code = 'kg' "setCode";\r\n          qr -> vW.unit = 'kilogram' "setUnit";\r\n        } "valW";\r\n      } "weightObs";\r\n    } "weightAns";\r\n  } "weightRule"; // Weight\r\n  qr.item as itBmi where (linkId = '39156-5') then {\r\n    itBmi.answer first as aBmi then {\r\n      aBmi ->  bundle.entry as eBmi,  eBmi.resource = create('Observation') as oBmi then {\r\n        qr ->  oBmi,  eBmi then BuildBaseObs(qr, oBmi, eBmi) "bmiBase";\r\n        qr -> oBmi.category as catBmi then {\r\n          qr -> catBmi.coding as catBmiCoding then {\r\n            qr -> catBmiCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catBmiSys";\r\n            qr -> catBmiCoding.code = 'vital-signs' "catBmiCode";\r\n            qr -> catBmiCoding.display = 'Vital Signs' "catBmiDisplay";\r\n          } "catBmiCodingRule";\r\n        } "categoryBmi";\r\n        qr -> oBmi.code as codeBmi then {\r\n          qr -> codeBmi.coding as codeBmiCoding then {\r\n            qr -> codeBmiCoding.system = 'http://loinc.org' "codeBmiSys";\r\n            qr -> codeBmiCoding.code = '39156-5' "codeBmiCode";\r\n            qr -> codeBmiCoding.display = 'Body mass index (BMI) [Ratio]' "codeBmiDisplay";\r\n          } "codeBmiCodingRule";\r\n        } "codeBmi";\r\n        aBmi.value as hv -> oBmi.valueQuantity as vBmi then {\r\n          hv -> vBmi.value = hv "setVal";\r\n          qr -> vBmi.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vBmi.code = 'kg/m2' "setCode";\r\n          qr -> vBmi.unit = 'kilogram per square meter' "setUnit";\r\n        } "valBmi";\r\n        itBmi.item as bmiStatusItem where (linkId = '39156-5_status') then {\r\n          bmiStatusItem.answer first as bmiStatusAns -> oBmi.interpretation as iBmi then {\r\n            bmiStatusAns.value as statusText -> iBmi.text = statusText "interpBmi";\r\n          } "setInterpBmi";\r\n        } "findBmiStatus"; // Interpretation 39156-5_status\r\n      } "bmiObs";\r\n    } "bmiAns";\r\n  } "bmiRule"; // BMI\r\n  qr.item as itP where (linkId = '8889-8') then {\r\n    itP.answer first as aP then {\r\n      aP ->  bundle.entry as eP,  eP.resource = create('Observation') as oP then {\r\n        qr ->  oP,  eP then BuildBaseObs(qr, oP, eP) "pulseBase";\r\n        qr -> oP.category as catP then {\r\n          qr -> catP.coding as catPCoding then {\r\n            qr -> catPCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catPSys";\r\n            qr -> catPCoding.code = 'vital-signs' "catPCode";\r\n            qr -> catPCoding.display = 'Vital Signs' "catPDisplay";\r\n          } "catPCodingRule";\r\n        } "categoryP";\r\n        qr -> oP.code as codeP then {\r\n          qr -> codeP.coding as codePCoding then {\r\n            qr -> codePCoding.system = 'http://loinc.org' "codePSys";\r\n            qr -> codePCoding.code = '8889-8' "codePCode";\r\n            qr -> codePCoding.display = 'Heart rate by Pulse oximetry' "codePDisplay";\r\n          } "codePCodingRule";\r\n        } "codeP";\r\n        aP.value as hv -> oP.valueQuantity as vP then {\r\n          hv -> vP.value = hv "setVal";\r\n          qr -> vP.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vP.code = '/min' "setCode";\r\n          qr -> vP.unit = 'per minute' "setUnit";\r\n        } "valP";\r\n      } "pulseObs";\r\n    } "pulseAns";\r\n  } "pulseRule"; // Pulse\r\n  qr.item as itBP where (linkId = '55284-4') then {\r\n    qr ->  bundle.entry as eBP,  eBP.resource = create('Observation') as oBP then {\r\n      qr ->  oBP,  eBP then BuildBaseObs(qr, oBP, eBP) "bpBase";\r\n      qr -> oBP.category as catBP then {\r\n        qr -> catBP.coding as catBPCoding then {\r\n          qr -> catBPCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catBPSys";\r\n          qr -> catBPCoding.code = 'vital-signs' "catBPCode";\r\n          qr -> catBPCoding.display = 'Vital Signs' "catBPDisplay";\r\n        } "catBPCodingRule";\r\n      } "categoryBP";\r\n      qr -> oBP.code as codeBP then {\r\n        qr -> codeBP.coding as codeBPCoding then {\r\n          qr -> codeBPCoding.system = 'http://loinc.org' "codeBPSys";\r\n          qr -> codeBPCoding.code = '55284-4' "codeBPCode";\r\n          qr -> codeBPCoding.display = 'Blood pressure systolic and diastolic' "codeBPDisplay";\r\n        } "codeBPCodingRule";\r\n      } "codeBP";\r\n      itBP.item as itSys where (linkId = '8480-6') then {\r\n        itSys.answer first as aSys -> oBP.component as cSys then {\r\n          aSys -> cSys.code as bpSysCC then {\r\n            aSys -> bpSysCC.coding as bpSysCoding then {\r\n              aSys -> bpSysCoding.system = 'http://loinc.org' "bpSysCodingSystem";\r\n              aSys -> bpSysCoding.code = '8480-6' "bpSysCodingCode";\r\n              aSys -> bpSysCoding.display = 'Systolic blood pressure' "bpSysCodingDisplay";\r\n            } "bpSysCodingRule";\r\n          } "bpSysCode";\r\n          aSys.value as hv -> cSys.valueQuantity as vSys then {\r\n            hv -> vSys.value = hv "setVal";\r\n            qr -> vSys.system = 'http://unitsofmeasure.org' "setSys";\r\n            qr -> vSys.code = 'mm[Hg]' "setCode";\r\n            qr -> vSys.unit = 'millimeter of mercury' "setUnit";\r\n          } "bpSysVal";\r\n        } "bpSysComponent";\r\n      } "bpSysRule"; // Systolic 8480-6\r\n      itBP.item as itDia where (linkId = '8462-4') then {\r\n        itDia.answer first as aDia -> oBP.component as cDia then {\r\n          aDia -> cDia.code as bpDiaCC then {\r\n            aDia -> bpDiaCC.coding as bpDiaCoding then {\r\n              aDia -> bpDiaCoding.system = 'http://loinc.org' "bpDiaCodingSystem";\r\n              aDia -> bpDiaCoding.code = '8462-4' "bpDiaCodingCode";\r\n              aDia -> bpDiaCoding.display = 'Diastolic blood pressure' "bpDiaCodingDisplay";\r\n            } "bpDiaCodingRule";\r\n          } "bpDiaCode";\r\n          aDia.value as hv -> cDia.valueQuantity as vDia then {\r\n            hv -> vDia.value = hv "setVal";\r\n            qr -> vDia.system = 'http://unitsofmeasure.org' "setSys";\r\n            qr -> vDia.code = 'mm[Hg]' "setCode";\r\n            qr -> vDia.unit = 'millimeter of mercury' "setUnit";\r\n          } "bpDiaVal";\r\n        } "bpDiaComponent";\r\n      } "bpDiaRule"; // Diastolic 8462-4\r\n    } "bpObs";\r\n  } "bpRule"; // Blood Pressure\r\n  qr.item as itT where (linkId = '8310-5') then {\r\n    itT.answer first as aT then {\r\n      aT ->  bundle.entry as eT,  eT.resource = create('Observation') as oT then {\r\n        qr ->  oT,  eT then BuildBaseObs(qr, oT, eT) "tempBase";\r\n        qr -> oT.category as catT then {\r\n          qr -> catT.coding as catTCoding then {\r\n            qr -> catTCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catTSys";\r\n            qr -> catTCoding.code = 'vital-signs' "catTCode";\r\n            qr -> catTCoding.display = 'Vital Signs' "catTDisplay";\r\n          } "catTCodingRule";\r\n        } "categoryT";\r\n        qr -> oT.code as codeT then {\r\n          qr -> codeT.coding as codeTCoding then {\r\n            qr -> codeTCoding.system = 'http://loinc.org' "codeTSys";\r\n            qr -> codeTCoding.code = '8310-5' "codeTCode";\r\n            qr -> codeTCoding.display = 'Body Temperature' "codeTDisplay";\r\n          } "codeTCodingRule";\r\n        } "codeT";\r\n        aT.value as hv -> oT.valueQuantity as vT then {\r\n          hv -> vT.value = hv "setVal";\r\n          qr -> vT.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vT.code = 'Cel' "setCode";\r\n          qr -> vT.unit = 'degree Celsius' "setUnit";\r\n        } "valT";\r\n        itT.item as tStatusItem where (linkId = '8310-5_status') then {\r\n          tStatusItem.answer first as tStatusAns -> oT.interpretation as iT then {\r\n            tStatusAns.value as statusText -> iT.text = statusText "interpT";\r\n          } "setInterpT";\r\n        } "findTStatus"; // Interpretation 8310-5_status\r\n      } "tempObs";\r\n    } "tempAns";\r\n  } "tempRule"; // Temperature\r\n  qr.item as itO2 where (linkId = '20564-1') then {\r\n    itO2.answer first as aO2 then {\r\n      aO2 ->  bundle.entry as eO2,  eO2.resource = create('Observation') as oO2 then {\r\n        qr ->  oO2,  eO2 then BuildBaseObs(qr, oO2, eO2) "spo2Base";\r\n        qr -> oO2.category as catO2 then {\r\n          qr -> catO2.coding as catO2Coding then {\r\n            qr -> catO2Coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catO2Sys";\r\n            qr -> catO2Coding.code = 'vital-signs' "catO2Code";\r\n            qr -> catO2Coding.display = 'Vital Signs' "catO2Display";\r\n          } "catO2CodingRule";\r\n        } "categoryO2";\r\n        qr -> oO2.code as codeO2 then {\r\n          qr -> codeO2.coding as codeO2Coding then {\r\n            qr -> codeO2Coding.system = 'http://loinc.org' "codeO2Sys";\r\n            qr -> codeO2Coding.code = '20564-1' "codeO2Code";\r\n            qr -> codeO2Coding.display = 'Oxygen saturation in Blood' "codeO2Display";\r\n          } "codeO2CodingRule";\r\n        } "codeO2";\r\n        aO2.value as hv -> oO2.valueQuantity as vO2 then {\r\n          hv -> vO2.value = hv "setVal";\r\n          qr -> vO2.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vO2.code = '%' "setCode";\r\n          qr -> vO2.unit = '%' "setUnit";\r\n        } "valO2";\r\n        itO2.item as o2StatusItem where (linkId = '20564-1_status') then {\r\n          o2StatusItem.answer first as o2StatusAns -> oO2.interpretation as iO2 then {\r\n            o2StatusAns.value as statusText -> iO2.text = statusText "interpO2";\r\n          } "setInterpO2";\r\n        } "findO2Status"; // Interpretation of SpO2 20564-1_status\r\n      } "spo2Obs";\r\n    } "spo2Ans";\r\n  } "spo2Rule"; // SpO2\r\n  qr.item as itRR where (linkId = '9279-1') then {\r\n    itRR.answer first as aRR then {\r\n      aRR ->  bundle.entry as eRR,  eRR.resource = create('Observation') as oRR then {\r\n        qr ->  oRR,  eRR then BuildBaseObs(qr, oRR, eRR) "rrBase";\r\n        qr -> oRR.category as catRR then {\r\n          qr -> catRR.coding as catRRCoding then {\r\n            qr -> catRRCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catRRSys";\r\n            qr -> catRRCoding.code = 'vital-signs' "catRRCode";\r\n            qr -> catRRCoding.display = 'Vital Signs' "catRRDisplay";\r\n          } "catRRCodingRule";\r\n        } "categoryRR";\r\n        qr -> oRR.code as codeRR then {\r\n          qr -> codeRR.coding as codeRRCoding then {\r\n            qr -> codeRRCoding.system = 'http://loinc.org' "codeRRSys";\r\n            qr -> codeRRCoding.code = '9279-1' "codeRRCode";\r\n            qr -> codeRRCoding.display = 'Respiratory rate' "codeRRDisplay";\r\n          } "codeRRCodingRule";\r\n        } "codeRR";\r\n        aRR.value as hv -> oRR.valueQuantity as vRR then {\r\n          hv -> vRR.value = hv "setVal";\r\n          qr -> vRR.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vRR.code = '/min' "setCode";\r\n          qr -> vRR.unit = 'per minute' "setUnit";\r\n        } "valRR";\r\n      } "rrObs";\r\n    } "rrAns";\r\n  } "rrRule"; // Respiratory rate\r\n  qr.item as itMuac where (linkId = '9847-5') then {\r\n    itMuac.answer first as aMuac then {\r\n      aMuac ->  bundle.entry as eMuac,  eMuac.resource = create('Observation') as oMuac then {\r\n        qr ->  oMuac,  eMuac then BuildBaseObs(qr, oMuac, eMuac) "muacBase";\r\n        qr -> oMuac.category as catMuac then {\r\n          qr -> catMuac.coding as catMuacCoding then {\r\n            qr -> catMuacCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catMuacSys";\r\n            qr -> catMuacCoding.code = 'vital-signs' "catMuacCode";\r\n            qr -> catMuacCoding.display = 'Vital Signs' "catMuacDisplay";\r\n          } "catMuacCodingRule";\r\n        } "categoryMuac";\r\n        qr -> oMuac.code as codeMuac then {\r\n          qr -> codeMuac.coding as codeMuacCoding then {\r\n            qr -> codeMuacCoding.system = 'http://loinc.org' "codeMuacSys";\r\n            qr -> codeMuacCoding.code = '9847-5' "codeMuacCode";\r\n            qr -> codeMuacCoding.display = 'Circumference' "codeMuacDisplay";\r\n          } "codeMuacCodingRule";\r\n        } "codeMuac";\r\n        aMuac.value as hv -> oMuac.valueQuantity as vMuac then {\r\n          hv -> vMuac.value = hv "setVal";\r\n          qr -> vMuac.system = 'http://unitsofmeasure.org' "setSys";\r\n          qr -> vMuac.code = 'mm' "setCode";\r\n          qr -> vMuac.unit = 'millimeter' "setUnit";\r\n        } "valMuac";\r\n      } "muacObs";\r\n    } "muacAns";\r\n  } "muacRule"; // MUAC\r\n  qr.item as itCC where (linkId = '10154-3') then {\r\n    itCC.answer first as aCC then {\r\n      aCC ->  bundle.entry as eCC,  eCC.resource = create('Observation') as oCC then {\r\n        qr ->  oCC,  eCC then BuildBaseObs(qr, oCC, eCC) "chiefComplaintBase";\r\n        qr -> oCC.category as catCC then {\r\n          qr -> catCC.coding as catCCCoding then {\r\n            qr -> catCCCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catCCSys";\r\n            qr -> catCCCoding.code = 'social-history' "catCCCode";\r\n            qr -> catCCCoding.display = 'Social History' "catCCDisplay";\r\n          } "catCCCodingRule";\r\n        } "chiefComplaintCategory";\r\n        qr -> oCC.code as codeCC then {\r\n          qr -> codeCC.coding as codeCCCoding then {\r\n            qr -> codeCCCoding.system = 'http://loinc.org' "codeCCSys";\r\n            qr -> codeCCCoding.code = '10154-3' "codeCCCode";\r\n            qr -> codeCCCoding.display = 'Chief complaint Narrative - Reported' "codeCCDisplay";\r\n          } "codeCCCodingRule";\r\n        } "chiefComplaintCode";\r\n        aCC.value as textVal -> oCC.valueString = textVal "chiefComplaintValue";\r\n      } "chiefComplaintObs";\r\n    } "chiefComplaintAns";\r\n  } "chiefComplaintRule"; // Chief Complaint\r\n  qr.item as hpiCC where (linkId = '8684-3') then {\r\n    hpiCC.answer first as aCC then {\r\n      aCC ->  bundle.entry as eCC,  eCC.resource = create('Observation') as oCC then {\r\n        qr ->  oCC,  eCC then BuildBaseObs(qr, oCC, eCC) "historyOfPIBase";\r\n        qr -> oCC.category as catHPI then {\r\n          qr -> catHPI.coding as catHPICoding then {\r\n            qr -> catHPICoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catHPISys";\r\n            qr -> catHPICoding.code = 'social-history' "catHPICode";\r\n            qr -> catHPICoding.display = 'Social History' "catHPIDisplay";\r\n          } "catHPICodingRule";\r\n        } "historyOfPICategory";\r\n        qr -> oCC.code as codeHPI then {\r\n          qr -> codeHPI.coding as codeHPICoding then {\r\n            qr -> codeHPICoding.system = 'http://loinc.org' "codeHPISys";\r\n            qr -> codeHPICoding.code = '8684-3' "codeHPICode";\r\n            qr -> codeHPICoding.display = 'History of Present illness' "codeHPIDisplay";\r\n          } "codeHPICodingRule";\r\n        } "historyOfPICode";\r\n        aCC.value as textVal -> oCC.valueString = textVal "historyOfPIValue";\r\n      } "historyOfPIObs";\r\n    } "historyOfPIAns";\r\n  } "historyOfPIRule"; // History of Presenting Illness\r\n  qr.item as hPastCC where (linkId = '11349-8') then {\r\n    hPastCC.answer first as aCC then {\r\n      aCC ->  bundle.entry as eCC,  eCC.resource = create('Observation') as oCC then {\r\n        qr ->  oCC,  eCC then BuildBaseObs(qr, oCC, eCC) "historyOfPastIBase";\r\n        qr -> oCC.category as catPastI then {\r\n          qr -> catPastI.coding as catPastICoding then {\r\n            qr -> catPastICoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catPastISys";\r\n            qr -> catPastICoding.code = 'social-history' "catPastICode";\r\n            qr -> catPastICoding.display = 'Social History' "catPastIDisplay";\r\n          } "catPastICodingRule";\r\n        } "historyOfPastICategory";\r\n        qr -> oCC.code as codePastI then {\r\n          qr -> codePastI.coding as codePastICoding then {\r\n            qr -> codePastICoding.system = 'http://loinc.org' "codePastISys";\r\n            qr -> codePastICoding.code = '11349-8' "codePastICode";\r\n            qr -> codePastICoding.display = 'History of Past illness' "codePastIDisplay";\r\n          } "codePastICodingRule";\r\n        } "historyOfPastICode";\r\n        aCC.value as textVal -> oCC.valueString = textVal "historyOfPastIValue";\r\n      } "historyOfPastIObs";\r\n    } "historyOfPastIAns";\r\n  } "historyOfPastIRule"; // History of Past Illness / Past Medical History\r\n  qr.item as hFH where (linkId = '8670-2') then {\r\n    hFH.answer first as aCC then {\r\n      aCC ->  bundle.entry as eCC,  eCC.resource = create('Observation') as oCC then {\r\n        qr ->  oCC,  eCC then BuildBaseObs(qr, oCC, eCC) "familyFHIBase";\r\n        qr -> oCC.category as catFH then {\r\n          qr -> catFH.coding as catFHCoding then {\r\n            qr -> catFHCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catFHSys";\r\n            qr -> catFHCoding.code = 'social-history' "catFHCode";\r\n            qr -> catFHCoding.display = 'Social History' "catFHDisplay";\r\n          } "catFHCodingRule";\r\n        } "familyHICategory";\r\n        qr -> oCC.code as codeFH then {\r\n          qr -> codeFH.coding as codeFHCoding then {\r\n            qr -> codeFHCoding.system = 'http://loinc.org' "codeFHSys";\r\n            qr -> codeFHCoding.code = '8670-2' "codeFHCode";\r\n            qr -> codeFHCoding.display = 'History of family member diseases' "codeFHDisplay";\r\n          } "codeFHCodingRule";\r\n        } "familyHICode";\r\n        aCC.value as textVal -> oCC.valueString = textVal "familyHIValue";\r\n      } "familyHIObs";\r\n    } "familyHIAns";\r\n  } "familyHIRule"; // Family History\r\n  qr.item as hSH where (linkId = '29762-2') then {\r\n    hSH.answer first as aCC then {\r\n      aCC ->  bundle.entry as eCC,  eCC.resource = create('Observation') as oCC then {\r\n        qr ->  oCC,  eCC then BuildBaseObs(qr, oCC, eCC) "socialHistoryIBase";\r\n        qr -> oCC.category as catSH then {\r\n          qr -> catSH.coding as catSHCoding then {\r\n            qr -> catSHCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catSHSys";\r\n            qr -> catSHCoding.code = 'social-history' "catSHCode";\r\n            qr -> catSHCoding.display = 'Social History' "catSHDisplay";\r\n          } "catSHCodingRule";\r\n        } "socialHistoryCategory";\r\n        qr -> oCC.code as codeSH then {\r\n          qr -> codeSH.coding as codeSHCoding then {\r\n            qr -> codeSHCoding.system = 'http://loinc.org' "codeSHSys";\r\n            qr -> codeSHCoding.code = '29762-2' "codeSHCode";\r\n            qr -> codeSHCoding.display = 'Social history note' "codeSHDisplay";\r\n          } "codeSHCodingRule";\r\n        } "socialHistoryCode";\r\n        aCC.value as textVal -> oCC.valueString = textVal "socialHistoryIValue";\r\n      } "socialHistoryIObs";\r\n    } "socialHistoryIAns";\r\n  } "socialHistoryIRule"; // Social History\r\n  qr.item as medicationH where (linkId = '10160-0') then {\r\n    medicationH.answer first as aCC then {\r\n      aCC ->  bundle.entry as eCC,  eCC.resource = create('Observation') as oCC then {\r\n        qr ->  oCC,  eCC then BuildBaseObs(qr, oCC, eCC) "medicationHIBase";\r\n        qr -> oCC.category as catMedH then {\r\n          qr -> catMedH.coding as catMedHCoding then {\r\n            qr -> catMedHCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catMedHSys";\r\n            qr -> catMedHCoding.code = 'therapy' "catMedHCode";\r\n            qr -> catMedHCoding.display = 'Therapy' "catMedHDisplay";\r\n          } "catMedHCodingRule";\r\n        } "medicationHCategory";\r\n        qr -> oCC.code as codeMedH then {\r\n          qr -> codeMedH.coding as codeMedHCoding then {\r\n            qr -> codeMedHCoding.system = 'http://loinc.org' "codeMedHSys";\r\n            qr -> codeMedHCoding.code = '10160-0' "codeMedHCode";\r\n            qr -> codeMedHCoding.display = 'History of Medication use Narrative' "codeMedHDisplay";\r\n          } "codeMedHCodingRule";\r\n        } "medicationHistoryCode";\r\n        aCC.value as textVal -> oCC.valueString = textVal "medicationHistoryIValue";\r\n      } "medicationHistoryIObs";\r\n    } "medicationHistoryIAns";\r\n  } "medicationHistoryIRule"; // Medication History\r\n}\r\n\r\ngroup BuildBaseObs(source qr : QR, target obs : Observation, target entry) {\r\n  qr -> obs.status = 'final' "status";\r\n  qr.subject as s -> obs.subject = s;\r\n  qr.encounter as e -> obs.encounter = e;\r\n  qr.authored as t -> obs.effectiveDateTime = t "effective";\r\n  qr.source as src -> obs.performer = create('Reference') as perf then {\r\n    src.reference as ref -> perf.reference = ref "perfRef";\r\n    src.display as disp -> perf.display = disp "perfDisplay";\r\n  } "performer"; // Performer from QuestionnaireResponse.source\r\n  qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "setObsIdAndFullUrl"; // Observation id and fullUrl\r\n  qr -> entry.request as request then {\r\n    qr -> request.method = 'POST' "reqMethod";\r\n    qr -> request.url = 'Observation' "reqUrl";\r\n  } "entryRequest"; // Bundle.entry.request (transaction POST Observation)\r\n  qr -> obs.derivedFrom = create('Reference') as newRef then {\r\n    qr.id as qid -> newRef.reference = append('QuestionnaireResponse/', qid) "setQRRef";\r\n  } "linkQR"; // Link Observation -> QuestionnaireResponse\r\n}\r\n\r\ngroup SetObservationFullUrl(source obs : Observation, target entry) {\r\n  obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl";\r\n}\r\n\r\n
" }, "url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractVitalSigns", "version" : "0.1.0", "name" : "ExtractVitalSigns", "status" : "draft", "date" : "2026-05-21T09:38:13+00:00", "publisher" : "Kathurima Kimathi", "contact" : [{ "name" : "Kathurima Kimathi", "telecom" : [{ "system" : "url", "value" : "https://www.linkedin.com/in/kathurima-kimathi/" }, { "system" : "email", "value" : "kathurimakimathi415@gmail.com" }] }, { "name" : "Oscar John", "telecom" : [{ "system" : "email", "value" : "oscarjohnotieno@gmail.com", "use" : "work" }] }, { "name" : "Kennedy Omondi", "telecom" : [{ "system" : "email", "value" : "kennankole@gmail.com", "use" : "work" }] }], "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "mode" : "source", "alias" : "QR" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "target", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "target", "alias" : "Observation" }], "group" : [{ "name" : "ExtractVitalSigns", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "bundle", "type" : "Bundle", "mode" : "target" }], "rule" : [{ "name" : "setBundleType", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "bundle", "element" : "type", "transform" : "copy", "parameter" : [{ "valueString" : "transaction" }] }] }, { "name" : "heightRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itH", "condition" : "(linkId = '8302-2')" }], "rule" : [{ "name" : "heightAns", "source" : [{ "context" : "itH", "element" : "answer", "listMode" : "first", "variable" : "aH" }], "rule" : [{ "name" : "heightObs", "source" : [{ "context" : "aH" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "eH" }, { "context" : "eH", "element" : "resource", "variable" : "oH", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "heightBase", "source" : [{ "context" : "qr" }], "target" : [{ "transform" : "copy", "parameter" : [{ "valueId" : "oH" }] }, { "transform" : "copy", "parameter" : [{ "valueId" : "eH" }] }], "dependent" : [{ "name" : "BuildBaseObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "oH" }, { "valueId" : "eH" }] }] }, { "name" : "categoryH", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oH", "element" : "category", "variable" : "catH" }], "rule" : [{ "name" : "catHCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catH", "element" : "coding", "variable" : "catHCoding" }], "rule" : [{ "name" : "catHSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catHCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category" }] }] }, { "name" : "catHCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catHCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "vital-signs" }] }] }, { "name" : "catHDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catHCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Vital Signs" }] }] }] }] }, { "name" : "codeH", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oH", "element" : "code", "variable" : "codeH" }], "rule" : [{ "name" : "codeHCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeH", "element" : "coding", "variable" : "codeHCoding" }], "rule" : [{ "name" : "codeHSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeHCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeHCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeHCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "8302-2" }] }] }, { "name" : "codeHDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeHCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Body Height" }] }] }] }] }, { "name" : "valH", "source" : [{ "context" : "aH", "element" : "value", "variable" : "hv" }], "target" : [{ "context" : "oH", "element" : "valueQuantity", "variable" : "vH" }], "rule" : [{ "name" : "setVal", "source" : [{ "context" : "hv" }], "target" : [{ "context" : "vH", "element" : "value", "transform" : "copy", "parameter" : [{ "valueId" : "hv" }] }] }, { "name" : "setSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vH", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://unitsofmeasure.org" }] }] }, { "name" : "setCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vH", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "cm" }] }] }, { "name" : "setUnit", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vH", "element" : "unit", "transform" : "copy", "parameter" : [{ "valueString" : "centimeter" }] }] }] }] }] }], "documentation" : "Height" }, { "name" : "weightRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itW", "condition" : "(linkId = '29463-7')" }], "rule" : [{ "name" : "weightAns", "source" : [{ "context" : "itW", "element" : "answer", "listMode" : "first", "variable" : "aW" }], "rule" : [{ "name" : "weightObs", "source" : [{ "context" : "aW" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "eW" }, { "context" : "eW", "element" : "resource", "variable" : "oW", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "weightBase", "source" : [{ "context" : "qr" }], "target" : [{ "transform" : "copy", "parameter" : [{ "valueId" : "oW" }] }, { "transform" : "copy", "parameter" : [{ "valueId" : "eW" }] }], "dependent" : [{ "name" : "BuildBaseObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "oW" }, { "valueId" : "eW" }] }] }, { "name" : "categoryW", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oW", "element" : "category", "variable" : "catW" }], "rule" : [{ "name" : "catWCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catW", "element" : "coding", "variable" : "catWCoding" }], "rule" : [{ "name" : "catWSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catWCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category" }] }] }, { "name" : "catWCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catWCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "vital-signs" }] }] }, { "name" : "catWDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catWCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Vital Signs" }] }] }] }] }, { "name" : "codeW", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oW", "element" : "code", "variable" : "codeW" }], "rule" : [{ "name" : "codeWCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeW", "element" : "coding", "variable" : "codeWCoding" }], "rule" : [{ "name" : "codeWSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeWCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeWCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeWCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "29463-7" }] }] }, { "name" : "codeWDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeWCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Body Weight" }] }] }] }] }, { "name" : "valW", "source" : [{ "context" : "aW", "element" : "value", "variable" : "hv" }], "target" : [{ "context" : "oW", "element" : "valueQuantity", "variable" : "vW" }], "rule" : [{ "name" : "setVal", "source" : [{ "context" : "hv" }], "target" : [{ "context" : "vW", "element" : "value", "transform" : "copy", "parameter" : [{ "valueId" : "hv" }] }] }, { "name" : "setSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vW", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://unitsofmeasure.org" }] }] }, { "name" : "setCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vW", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "kg" }] }] }, { "name" : "setUnit", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vW", "element" : "unit", "transform" : "copy", "parameter" : [{ "valueString" : "kilogram" }] }] }] }] }] }], "documentation" : "Weight" }, { "name" : "bmiRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itBmi", "condition" : "(linkId = '39156-5')" }], "rule" : [{ "name" : "bmiAns", "source" : [{ "context" : "itBmi", "element" : "answer", "listMode" : "first", "variable" : "aBmi" }], "rule" : [{ "name" : "bmiObs", "source" : [{ "context" : "aBmi" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "eBmi" }, { "context" : "eBmi", "element" : "resource", "variable" : "oBmi", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "bmiBase", "source" : [{ "context" : "qr" }], "target" : [{ "transform" : "copy", "parameter" : [{ "valueId" : "oBmi" }] }, { "transform" : "copy", "parameter" : [{ "valueId" : "eBmi" }] }], "dependent" : [{ "name" : "BuildBaseObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "oBmi" }, { "valueId" : "eBmi" }] }] }, { "name" : "categoryBmi", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oBmi", "element" : "category", "variable" : "catBmi" }], "rule" : [{ "name" : "catBmiCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catBmi", "element" : "coding", "variable" : "catBmiCoding" }], "rule" : [{ "name" : "catBmiSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catBmiCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category" }] }] }, { "name" : "catBmiCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catBmiCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "vital-signs" }] }] }, { "name" : "catBmiDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "catBmiCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Vital Signs" }] }] }] }] }, { "name" : "codeBmi", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oBmi", "element" : "code", "variable" : "codeBmi" }], "rule" : [{ "name" : "codeBmiCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeBmi", "element" : "coding", "variable" : "codeBmiCoding" }], "rule" : [{ "name" : "codeBmiSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeBmiCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeBmiCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeBmiCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "39156-5" }] }] }, { "name" : "codeBmiDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "codeBmiCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Body mass index (BMI) [Ratio]" }] }] }] }] }, { "name" : "valBmi", "source" : [{ "context" : "aBmi", "element" : "value", "variable" : "hv" }], "target" : [{ "context" : "oBmi", "element" : "valueQuantity", "variable" : "vBmi" }], "rule" : [{ "name" : "setVal", "source" : [{ "context" : "hv" }], "target" : [{ "context" : "vBmi", "element" : "value", "transform" : "copy", "parameter" : [{ "valueId" : "hv" }] }] }, { "name" : "setSys", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vBmi", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://unitsofmeasure.org" }] }] }, { "name" : "setCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vBmi", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "kg/m2" }] }] }, { "name" : "setUnit", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "vBmi", "element" : "unit", "transform" : "copy", "parameter" : [{ "valueString" : "kilogram per square meter" }] }] }] }, { "name" : "findBmiStatus", "source" : [{ "context" : "itBmi", "element" : "item", "variable" : "bmiStatusItem", "condition" : "(linkId = '39156-5_status')" }], "rule" : [{ "name" : "setInterpBmi", "source" : [{ "context" : "bmiStatusItem", "element" : "answer", "listMode" : "first", "variable" : 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