SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.slade360.co.ke/fhir/StructureMap/ExtractAdmissionForm | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractAdmissionForm | |||
The measurements and vitals on arrival as their own Observations under their real LOINC codes; the head-to-toe nursing assessment as one panel, because it is read as a picture of the patient on arrival and no single line means much alone; the chronic illness tick list as one Condition per illness with the reported onset; and one ServiceRequest per investigation and treatment ordered. The chronic illnesses carry verificationStatus 'unconfirmed' – a tick against a printed word on an admission sheet is a reported history, not a diagnosis.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractAdmissionForm' /// name = 'ExtractAdmissionForm' /// title = 'Admission Form Extraction' /// status = 'active' /// description = 'The measurements and vitals on arrival as their own Observations under their real LOINC codes; the head-to-toe nursing assessment as one panel, because it is read as a picture of the patient on arrival and no single line means much alone; the chronic illness tick list as one Condition per illness with the reported onset; and one ServiceRequest per investigation and treatment ordered. The chronic illnesses carry verificationStatus \'unconfirmed\' -- a tick against a printed word on an admission sheet is a reported history, not a diagnosis.' uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target uses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as target uses "http://hl7.org/fhir/StructureDefinition/ServiceRequest" alias ServiceRequest as target group ExtractAdmissionForm(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // ── On arrival ────────────────────────────────────────────────────────── qr.item as g where (linkId = 'on-arrival') then { g.item as it where ((linkId = 'on-arrival/height') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8302-2' "cd"; it -> cg.display = 'Body height' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8302_2"; g.item as it where ((linkId = 'on-arrival/weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29463-7' "cd"; it -> cg.display = 'Body weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_29463_7"; g.item as it where ((linkId = 'on-arrival/vitals/temperature') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8310-5' "cd"; it -> cg.display = 'Body temperature' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8310_5"; g.item as it where ((linkId = 'on-arrival/vitals/pulse') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8867-4' "cd"; it -> cg.display = 'Heart rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8867_4"; g.item as it where ((linkId = 'on-arrival/vitals/respiratory-rate') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '9279-1' "cd"; it -> cg.display = 'Respiratory rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_9279_1"; g.item as it where ((linkId = 'on-arrival/vitals/blood-pressure') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '85354-9' "cd"; it -> cg.display = 'Blood pressure panel with all children optional' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "bpText"; }; } "arrivalBloodPressure"; } "onArrivalGroup"; // ── How the patient got here ──────────────────────────────────────────── qr.item as g where ((linkId = 'admission') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'admission-route-how-the-patient-arrived' "cd"; g -> cg.display = 'How the patient arrived' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'admission/admitted-from') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'admission-route-admitted-from' "cd"; it -> cg.display = 'Admitted from' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_admission_route_admitted_from"; g.item as it where ((linkId = 'admission/arrival-mode') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'admission-route-mode-of-arrival' "cd"; it -> cg.display = 'Mode of arrival' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_admission_route_mode_of_arrival"; g.item as it where ((linkId = 'admission/accompanied-by') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'admission-route-accompanied-by' "cd"; it -> cg.display = 'Accompanied by' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_admission_route_accompanied_by"; g.item as it where ((linkId = 'admission/unit') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'admission-route-unit-admitted-to' "cd"; it -> cg.display = 'Unit admitted to' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_admission_route_unit_admitted_to"; g.item as it where ((linkId = 'admission/room') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'admission-route-room' "cd"; it -> cg.display = 'Room' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_admission_route_room"; g.item as it where ((linkId = 'admission/bed') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'admission-route-bed' "cd"; it -> cg.display = 'Bed' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_admission_route_bed"; } "admissionRoute"; qr.item as it where ((linkId = 'presenting-symptoms') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '10154-3' "cd"; it -> cg.display = 'Chief complaint Narrative - Reported' "dsp"; } "coding"; it -> cc.text = 'Presenting symptoms on admission' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_10154_3"; // ── The head-to-toe nursing assessment ────────────────────────────────── // One panel. The sheet gives one ruled line per system and it is read whole: // "cool, clammy extremities" beside "confused" is the finding, and neither // line alone says it. qr.item as g where ((linkId = 'assessment') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetExamCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'http://loinc.org' "sys"; g -> cg.code = '29545-1' "cd"; g -> cg.display = 'Physical findings note' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'assessment/orientation') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-orientation-on-admission' "cd"; it -> cg.display = 'Orientation on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_orientation_on_admission"; g.item as it where ((linkId = 'assessment/pain-and-location') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-pain-and-its-location' "cd"; it -> cg.display = 'Pain and its location' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_pain_and_its_location"; g.item as it where ((linkId = 'assessment/skin') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-skin-on-admission' "cd"; it -> cg.display = 'Skin on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_skin_on_admission"; g.item as it where ((linkId = 'assessment/extremities') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-extremities-on-admission' "cd"; it -> cg.display = 'Extremities on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_extremities_on_admission"; g.item as it where ((linkId = 'assessment/eyes') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-eyes-on-admission' "cd"; it -> cg.display = 'Eyes on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_eyes_on_admission"; g.item as it where ((linkId = 'assessment/hearing') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-hearing-on-admission' "cd"; it -> cg.display = 'Hearing on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_hearing_on_admission"; g.item as it where ((linkId = 'assessment/mouth-and-teeth') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-mouth-and-teeth-on-admission' "cd"; it -> cg.display = 'Mouth and teeth on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_mouth_and_teeth_on_admission"; g.item as it where ((linkId = 'assessment/lungs') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-lungs-on-admission' "cd"; it -> cg.display = 'Lungs on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_lungs_on_admission"; g.item as it where ((linkId = 'assessment/cardiovascular') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-cardiovascular-examination-on-admission' "cd"; it -> cg.display = 'Cardiovascular examination on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_cardiovascular_examination_on_admission"; g.item as it where ((linkId = 'assessment/gastrointestinal') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-gastrointestinal-examination-on-admission' "cd"; it -> cg.display = 'Gastrointestinal examination on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_gastrointestinal_examination_on_admission"; g.item as it where ((linkId = 'assessment/genitourinary') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-genitourinary-examination-on-admission' "cd"; it -> cg.display = 'Genitourinary examination on admission' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_genitourinary_examination_on_admission"; g.item as it where (linkId = 'assessment/nurse-summary') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note"; } "nursingAssessment"; qr.item as it where ((linkId = 'assessment/patient-description') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '10164-2' "cd"; it -> cg.display = 'History of Present illness Narrative' "dsp"; } "coding"; it -> cc.text = 'The patient\'s own description of the illness' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_10164_2"; qr.item as it where ((linkId = 'assessment/present-medications') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '10160-0' "cd"; it -> cg.display = 'History of Medication use Narrative' "dsp"; } "coding"; it -> cc.text = 'Medications the patient was taking on admission' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_10160_0"; // ── Chronic illness history ───────────────────────────────────────────── // One Condition per ticked illness, verificationStatus 'unconfirmed'. A tick // against a printed word on a nursing admission sheet is a reported history. // Recording it as confirmed would put twelve unverified diagnoses on the // problem list of every patient admitted. qr.item as pg where (linkId = 'past-history') then { pg.item as row where ((linkId = 'past-history/chronic') and item.where(linkId = 'past-history/chronic/illness').answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Condition') as cond then { qr -> cond, entry then BuildConditionBase(qr, cond, entry) "base"; row -> cond.clinicalStatus as cs then { row -> cs.coding as cg then { row -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "sys"; row -> cg.code = 'active' "cd"; row -> cg.display = 'Active' "dsp"; } "coding"; } "clinicalStatus"; row -> cond.verificationStatus as vs then { row -> vs.coding as cg then { row -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "sys"; row -> cg.code = 'unconfirmed' "cd"; row -> cg.display = 'Unconfirmed' "dsp"; } "coding"; } "verificationStatus"; row -> cond.category as cat then { row -> cat.coding as cg then { row -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "sys"; row -> cg.code = 'problem-list-item' "cd"; row -> cg.display = 'Problem List Item' "dsp"; } "coding"; } "category"; row.item as it where (linkId = 'past-history/chronic/illness') then { it.answer first as a then { a.value as cv -> cond.code as cc then { cv -> cc.coding = cv "coding"; cv.display as d -> cc.text = d "text"; } "codeFromAnswer"; }; } "illnessRule"; row.item as it where ((linkId = 'past-history/chronic/since') and answer.value.exists()) then { it.answer first as a then { a.value as txt -> cond.onset = txt "onsetString"; }; } "sinceRule"; qr.authored as t -> cond.recordedDate = t "recordedDate"; qr.encounter as e -> cond.encounter = e; } "chronicIllness"; } "pastHistoryGroup"; qr.item as g where (linkId = 'past-history') then { g.item as it where ((linkId = 'past-history/surgeries') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '11348-0' "cd"; it -> cg.display = 'History of Past illness note' "dsp"; } "coding"; it -> cc.text = 'Surgeries and their dates, as reported on admission' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_11348_0"; g.item as it where ((linkId = 'past-history/previous-admissions') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-previous-admissions-reported-on-admission' "cd"; it -> cg.display = 'Previous admissions reported on admission' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_nursing_assessment_previous_admissions_reported_on_admission"; } "pastHistoryNarratives"; // ── Family and social history ─────────────────────────────────────────── qr.item as g where ((linkId = 'family-and-social') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'http://loinc.org' "sys"; g -> cg.code = '10157-6' "cd"; g -> cg.display = 'History of family member diseases note' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'family-and-social/alcohol') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-takes-alcohol' "cd"; it -> cg.display = 'Takes alcohol' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_nursing_assessment_takes_alcohol"; g.item as it where ((linkId = 'family-and-social/cigarettes') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-smokes-cigarettes' "cd"; it -> cg.display = 'Smokes cigarettes' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_nursing_assessment_smokes_cigarettes"; g.item as it where ((linkId = 'family-and-social/family') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-family-circumstances' "cd"; it -> cg.display = 'Family circumstances' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_family_circumstances"; g.item as it where ((linkId = 'family-and-social/education') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-education' "cd"; it -> cg.display = 'Education' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_education"; g.item as it where ((linkId = 'family-and-social/occupation') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'nursing-assessment-occupation' "cd"; it -> cg.display = 'Occupation' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nursing_assessment_occupation"; g.item as it where (linkId = 'family-and-social/family-medical-history') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note2"; } "familyAndSocial"; // ── Ordered on arrival ────────────────────────────────────────────────── qr.item as row where ((linkId = 'investigation') and item.where(linkId = 'investigation/name').answer.value.exists()) -> bundle.entry as entry, entry.resource = create('ServiceRequest') as sr then { qr -> sr, entry then BuildServiceRequestBase(qr, sr, entry) "base"; row -> sr.status = 'active' "status"; row -> sr.intent = 'order' "intent"; qr.encounter as e -> sr.encounter = e; qr.authored as t -> sr.authoredOn = t "authoredOn"; row -> sr.category as cat then { row -> cat.coding as cg then { row -> cg.system = 'http://snomed.info/sct' "sys"; row -> cg.code = '108252007' "cd"; row -> cg.display = 'Laboratory procedure' "dsp"; } "coding"; } "category"; row.item as it where (linkId = 'investigation/name') then { it.answer first as a then { a.value as txt -> sr.code as cr, cr.concept as cc, cc.text = txt "codeText"; }; } "nameRule"; qr -> sr then SetAdmissionOrderer(qr, sr) "orderer"; } "investigationOrdered"; qr.item as row where ((linkId = 'treatment') and item.where(linkId = 'treatment/name').answer.value.exists()) -> bundle.entry as entry, entry.resource = create('ServiceRequest') as sr then { qr -> sr, entry then BuildServiceRequestBase(qr, sr, entry) "base"; row -> sr.status = 'active' "status"; row -> sr.intent = 'order' "intent"; qr.encounter as e -> sr.encounter = e; qr.authored as t -> sr.authoredOn = t "authoredOn"; row.item as it where (linkId = 'treatment/name') then { it.answer first as a then { a.value as txt -> sr.code as cr, cr.concept as cc, cc.text = txt "codeText"; }; } "nameRule"; qr -> sr then SetAdmissionOrderer(qr, sr) "orderer"; } "treatmentOrdered"; } group SetAdmissionOrderer(source qr : QR, target sr : ServiceRequest) { qr.item as g where (linkId = 'sign-off') then { g.item as it where ((linkId = 'sign-off/physician') and answer.value.exists()) then { it.answer first as a then { a.value as ref -> sr.requester = ref "requester"; }; } "physicianRule"; } "signOffGroup"; } // ───────────────────────────────────────────────────────────────────────────── // Shared scaffolding. Repeated in each map rather than imported: the transform // engine resolves `imports` against whatever StructureMaps happen to be on the // server, and a form that stops extracting because a shared map was not // uploaded is a worse failure than a duplicated group. // Two notes on what the publisher's StructureMap validator says about this file. // Source parameters below are left untyped on purpose. Writing `: Element` makes // the validator compare QuestionnaireResponse.item against the literal 'Element' // and report them as incompatible with each other, which is noise, not a finding. // `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were // found". Leave it. The FML parser in the same jar refuses the one-argument form // outright -- it wants a parameter, a comma, then the FHIRPath -- so the // publisher is objecting to what its own compiler emits. Two arguments is the // only form that compiles, and it is what the R5 transform engine executes. // ───────────────────────────────────────────────────────────────────────────── group BuildObsBase(source qr : QR, target obs : Observation, target entry) { qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance"; qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Observation' "requestUrl"; } "entryRequest"; qr -> obs.status = 'final' "status"; qr.subject as s -> obs.subject = s; qr.encounter as e -> obs.encounter = e; qr.authored as t -> obs.effective = t "effective"; qr.source as src -> obs.performer = src "performerFromSource"; qr where (source.exists().not()) then { qr.author as a -> obs.performer = a "performerFromAuthor"; } "performerFallback"; // A stored response's id already reads "QuestionnaireResponse/<id>", so it is // a relative reference as it stands. The hasValue() guard is what stops an // unsaved response -- one posted straight to $extract rather than saved first // -- from writing "QuestionnaireResponse/null" into the record. qr.id as qid where ($this.hasValue()) -> obs.derivedFrom = create('Reference') as ref, ref.reference = qid "linkQuestionnaireResponse"; } group SetObservationFullUrl(source obs : Observation, target entry) { obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl"; } // The two answer shapes a component can carry. Both read the answer through the // untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its // typed property name fails at transform time on HAPI R5 with "Attempt to read // invalid property ... on QuestionnaireResponse.item.answer". group SetComponentCodedValue(source it, target comp) { it.answer first as a then { a.value as cv -> comp.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; } "componentAnswer"; } group SetComponentValue(source it, target comp) { it.answer first as a then { a.value as v -> comp.value = v "plainValue"; } "componentAnswer"; } group SetSurveyCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'survey' "categoryCode"; qr -> coding.display = 'Survey' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetVitalSignsCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'vital-signs' "categoryCode"; qr -> coding.display = 'Vital Signs' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetExamCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'exam' "categoryCode"; qr -> coding.display = 'Exam' "categoryDisplay"; } "categoryCoding"; } "category"; } group BuildConditionBase(source qr : QR, target r : Condition, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetConditionFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Condition' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetConditionFullUrl(source r : Condition, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Condition/', id) "assignFullUrl"; } group BuildServiceRequestBase(source qr : QR, target r : ServiceRequest, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetServiceRequestFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'ServiceRequest' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetServiceRequestFullUrl(source r : ServiceRequest, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/ServiceRequest/', id) "assignFullUrl"; } // ── Provenance and tenancy ─────────────────────────────────────────────────── // Two tags on everything this map creates. The first says which questionnaire // produced it, so a form that reopens mid-admission recalls its own earlier // entries and not another form's. The second copies the tenant tags off the // response, because nothing else on the path puts them there. // The code is the form's document type, not the questionnaire's id: every // environment mints its own ids, and there is only one set of maps, so an id // here would tie the tag to whichever environment stamped it. // ── Provenance and tenancy ─────────────────────────────────────────────────── group SetResponseProvenance(source qr : QR, target r) { qr -> r.meta as m then { qr -> m.tag as t then { qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem"; qr -> t.code = 'admission-form' "provenanceCode"; qr -> t.display = 'Admission form' "provenanceDisplay"; } "provenanceTag"; } "provenanceMeta"; // Every tag the response carries, onto the resource. `meta` is 0..1, so this // lands on the same meta the rule above created rather than a second one. qr.meta as qm then { qm.tag as qt -> r.meta as m, m.tag = qt "copyTag"; } "tenantTags"; }