\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractAdmissionForm'\r\n/// name = 'ExtractAdmissionForm'\r\n/// title = 'Admission Form Extraction'\r\n/// status = 'active'\r\n/// 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.'\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\nuses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as target\r\nuses "http://hl7.org/fhir/StructureDefinition/ServiceRequest" alias ServiceRequest as target\r\n\r\ngroup ExtractAdmissionForm(source qr : QR, target bundle : Bundle) {\r\n qr -> bundle.type = 'transaction' "setBundleType";\r\n // ── On arrival ──────────────────────────────────────────────────────────\r\n qr.item as g where (linkId = 'on-arrival') then {\r\n g.item as it where ((linkId = 'on-arrival/height') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '8302-2' "cd";\r\n it -> cg.display = 'Body height' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_8302_2";\r\n g.item as it where ((linkId = 'on-arrival/weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '29463-7' "cd";\r\n it -> cg.display = 'Body weight' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_29463_7";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '8310-5' "cd";\r\n it -> cg.display = 'Body temperature' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_8310_5";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '8867-4' "cd";\r\n it -> cg.display = 'Heart rate' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_8867_4";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '9279-1' "cd";\r\n it -> cg.display = 'Respiratory rate' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_9279_1";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '85354-9' "cd";\r\n it -> cg.display = 'Blood pressure panel with all children optional' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "bpText";\r\n };\r\n } "arrivalBloodPressure";\r\n } "onArrivalGroup";\r\n // ── How the patient got here ────────────────────────────────────────────\r\n qr.item as g where ((linkId = 'admission') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n g -> obs.code as cc then {\r\n g -> cc.coding as cg then {\r\n g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n g -> cg.code = 'admission-route-how-the-patient-arrived' "cd";\r\n g -> cg.display = 'How the patient arrived' "dsp";\r\n } "coding";\r\n } "code";\r\n g.item as it where ((linkId = 'admission/admitted-from') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'admission-route-admitted-from' "cd";\r\n it -> cg.display = 'Admitted from' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentCodedValue(it, comp) "value";\r\n } "comp_admission_route_admitted_from";\r\n g.item as it where ((linkId = 'admission/arrival-mode') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'admission-route-mode-of-arrival' "cd";\r\n it -> cg.display = 'Mode of arrival' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentCodedValue(it, comp) "value";\r\n } "comp_admission_route_mode_of_arrival";\r\n g.item as it where ((linkId = 'admission/accompanied-by') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'admission-route-accompanied-by' "cd";\r\n it -> cg.display = 'Accompanied by' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_admission_route_accompanied_by";\r\n g.item as it where ((linkId = 'admission/unit') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'admission-route-unit-admitted-to' "cd";\r\n it -> cg.display = 'Unit admitted to' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_admission_route_unit_admitted_to";\r\n g.item as it where ((linkId = 'admission/room') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'admission-route-room' "cd";\r\n it -> cg.display = 'Room' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_admission_route_room";\r\n g.item as it where ((linkId = 'admission/bed') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'admission-route-bed' "cd";\r\n it -> cg.display = 'Bed' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_admission_route_bed";\r\n } "admissionRoute";\r\n qr.item as it where ((linkId = 'presenting-symptoms') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '10154-3' "cd";\r\n it -> cg.display = 'Chief complaint Narrative - Reported' "dsp";\r\n } "coding";\r\n it -> cc.text = 'Presenting symptoms on admission' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_10154_3";\r\n // ── The head-to-toe nursing assessment ──────────────────────────────────\r\n // One panel. The sheet gives one ruled line per system and it is read whole:\r\n // "cool, clammy extremities" beside "confused" is the finding, and neither\r\n // line alone says it.\r\n qr.item as g where ((linkId = 'assessment') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetExamCategory(qr, obs) "category";\r\n g -> obs.code as cc then {\r\n g -> cc.coding as cg then {\r\n g -> cg.system = 'http://loinc.org' "sys";\r\n g -> cg.code = '29545-1' "cd";\r\n g -> cg.display = 'Physical findings note' "dsp";\r\n } "coding";\r\n } "code";\r\n g.item as it where ((linkId = 'assessment/orientation') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-orientation-on-admission' "cd";\r\n it -> cg.display = 'Orientation on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_orientation_on_admission";\r\n g.item as it where ((linkId = 'assessment/pain-and-location') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-pain-and-its-location' "cd";\r\n it -> cg.display = 'Pain and its location' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_pain_and_its_location";\r\n g.item as it where ((linkId = 'assessment/skin') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-skin-on-admission' "cd";\r\n it -> cg.display = 'Skin on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_skin_on_admission";\r\n g.item as it where ((linkId = 'assessment/extremities') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-extremities-on-admission' "cd";\r\n it -> cg.display = 'Extremities on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_extremities_on_admission";\r\n g.item as it where ((linkId = 'assessment/eyes') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-eyes-on-admission' "cd";\r\n it -> cg.display = 'Eyes on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_eyes_on_admission";\r\n g.item as it where ((linkId = 'assessment/hearing') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-hearing-on-admission' "cd";\r\n it -> cg.display = 'Hearing on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_hearing_on_admission";\r\n g.item as it where ((linkId = 'assessment/mouth-and-teeth') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-mouth-and-teeth-on-admission' "cd";\r\n it -> cg.display = 'Mouth and teeth on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_mouth_and_teeth_on_admission";\r\n g.item as it where ((linkId = 'assessment/lungs') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-lungs-on-admission' "cd";\r\n it -> cg.display = 'Lungs on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_lungs_on_admission";\r\n g.item as it where ((linkId = 'assessment/cardiovascular') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-cardiovascular-examination-on-admission' "cd";\r\n it -> cg.display = 'Cardiovascular examination on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_cardiovascular_examination_on_admission";\r\n g.item as it where ((linkId = 'assessment/gastrointestinal') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-gastrointestinal-examination-on-admission' "cd";\r\n it -> cg.display = 'Gastrointestinal examination on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_gastrointestinal_examination_on_admission";\r\n g.item as it where ((linkId = 'assessment/genitourinary') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-genitourinary-examination-on-admission' "cd";\r\n it -> cg.display = 'Genitourinary examination on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_genitourinary_examination_on_admission";\r\n g.item as it where (linkId = 'assessment/nurse-summary') then {\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "note";\r\n } "nursingAssessment";\r\n qr.item as it where ((linkId = 'assessment/patient-description') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '10164-2' "cd";\r\n it -> cg.display = 'History of Present illness Narrative' "dsp";\r\n } "coding";\r\n it -> cc.text = 'The patient\\'s own description of the illness' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_10164_2";\r\n qr.item as it where ((linkId = 'assessment/present-medications') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '10160-0' "cd";\r\n it -> cg.display = 'History of Medication use Narrative' "dsp";\r\n } "coding";\r\n it -> cc.text = 'Medications the patient was taking on admission' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_10160_0";\r\n // ── Chronic illness history ─────────────────────────────────────────────\r\n // One Condition per ticked illness, verificationStatus 'unconfirmed'. A tick\r\n // against a printed word on a nursing admission sheet is a reported history.\r\n // Recording it as confirmed would put twelve unverified diagnoses on the\r\n // problem list of every patient admitted.\r\n qr.item as pg where (linkId = 'past-history') then {\r\n 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 {\r\n qr -> cond, entry then BuildConditionBase(qr, cond, entry) "base";\r\n row -> cond.clinicalStatus as cs then {\r\n row -> cs.coding as cg then {\r\n row -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "sys";\r\n row -> cg.code = 'active' "cd";\r\n row -> cg.display = 'Active' "dsp";\r\n } "coding";\r\n } "clinicalStatus";\r\n row -> cond.verificationStatus as vs then {\r\n row -> vs.coding as cg then {\r\n row -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "sys";\r\n row -> cg.code = 'unconfirmed' "cd";\r\n row -> cg.display = 'Unconfirmed' "dsp";\r\n } "coding";\r\n } "verificationStatus";\r\n row -> cond.category as cat then {\r\n row -> cat.coding as cg then {\r\n row -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "sys";\r\n row -> cg.code = 'problem-list-item' "cd";\r\n row -> cg.display = 'Problem List Item' "dsp";\r\n } "coding";\r\n } "category";\r\n row.item as it where (linkId = 'past-history/chronic/illness') then {\r\n it.answer first as a then {\r\n a.value as cv -> cond.code as cc then {\r\n cv -> cc.coding = cv "coding";\r\n cv.display as d -> cc.text = d "text";\r\n } "codeFromAnswer";\r\n };\r\n } "illnessRule";\r\n row.item as it where ((linkId = 'past-history/chronic/since') and answer.value.exists()) then {\r\n it.answer first as a then {\r\n a.value as txt -> cond.onset = txt "onsetString";\r\n };\r\n } "sinceRule";\r\n qr.authored as t -> cond.recordedDate = t "recordedDate";\r\n qr.encounter as e -> cond.encounter = e;\r\n } "chronicIllness";\r\n } "pastHistoryGroup";\r\n qr.item as g where (linkId = 'past-history') then {\r\n g.item as it where ((linkId = 'past-history/surgeries') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '11348-0' "cd";\r\n it -> cg.display = 'History of Past illness note' "dsp";\r\n } "coding";\r\n it -> cc.text = 'Surgeries and their dates, as reported on admission' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_11348_0";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-previous-admissions-reported-on-admission' "cd";\r\n it -> cg.display = 'Previous admissions reported on admission' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_nursing_assessment_previous_admissions_reported_on_admission";\r\n } "pastHistoryNarratives";\r\n // ── Family and social history ───────────────────────────────────────────\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n g -> obs.code as cc then {\r\n g -> cc.coding as cg then {\r\n g -> cg.system = 'http://loinc.org' "sys";\r\n g -> cg.code = '10157-6' "cd";\r\n g -> cg.display = 'History of family member diseases note' "dsp";\r\n } "coding";\r\n } "code";\r\n g.item as it where ((linkId = 'family-and-social/alcohol') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-takes-alcohol' "cd";\r\n it -> cg.display = 'Takes alcohol' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentCodedValue(it, comp) "value";\r\n } "comp_nursing_assessment_takes_alcohol";\r\n g.item as it where ((linkId = 'family-and-social/cigarettes') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-smokes-cigarettes' "cd";\r\n it -> cg.display = 'Smokes cigarettes' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentCodedValue(it, comp) "value";\r\n } "comp_nursing_assessment_smokes_cigarettes";\r\n g.item as it where ((linkId = 'family-and-social/family') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-family-circumstances' "cd";\r\n it -> cg.display = 'Family circumstances' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_family_circumstances";\r\n g.item as it where ((linkId = 'family-and-social/education') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-education' "cd";\r\n it -> cg.display = 'Education' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_education";\r\n g.item as it where ((linkId = 'family-and-social/occupation') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nursing-assessment-occupation' "cd";\r\n it -> cg.display = 'Occupation' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nursing_assessment_occupation";\r\n g.item as it where (linkId = 'family-and-social/family-medical-history') then {\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "note2";\r\n } "familyAndSocial";\r\n // ── Ordered on arrival ──────────────────────────────────────────────────\r\n 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 {\r\n qr -> sr, entry then BuildServiceRequestBase(qr, sr, entry) "base";\r\n row -> sr.status = 'active' "status";\r\n row -> sr.intent = 'order' "intent";\r\n qr.encounter as e -> sr.encounter = e;\r\n qr.authored as t -> sr.authoredOn = t "authoredOn";\r\n row -> sr.category as cat then {\r\n row -> cat.coding as cg then {\r\n row -> cg.system = 'http://snomed.info/sct' "sys";\r\n row -> cg.code = '108252007' "cd";\r\n row -> cg.display = 'Laboratory procedure' "dsp";\r\n } "coding";\r\n } "category";\r\n row.item as it where (linkId = 'investigation/name') then {\r\n it.answer first as a then {\r\n a.value as txt -> sr.code as cr, cr.concept as cc, cc.text = txt "codeText";\r\n };\r\n } "nameRule";\r\n qr -> sr then SetAdmissionOrderer(qr, sr) "orderer";\r\n } "investigationOrdered";\r\n 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 {\r\n qr -> sr, entry then BuildServiceRequestBase(qr, sr, entry) "base";\r\n row -> sr.status = 'active' "status";\r\n row -> sr.intent = 'order' "intent";\r\n qr.encounter as e -> sr.encounter = e;\r\n qr.authored as t -> sr.authoredOn = t "authoredOn";\r\n row.item as it where (linkId = 'treatment/name') then {\r\n it.answer first as a then {\r\n a.value as txt -> sr.code as cr, cr.concept as cc, cc.text = txt "codeText";\r\n };\r\n } "nameRule";\r\n qr -> sr then SetAdmissionOrderer(qr, sr) "orderer";\r\n } "treatmentOrdered";\r\n}\r\n\r\ngroup SetAdmissionOrderer(source qr : QR, target sr : ServiceRequest) {\r\n qr.item as g where (linkId = 'sign-off') then {\r\n g.item as it where ((linkId = 'sign-off/physician') and answer.value.exists()) then {\r\n it.answer first as a then {\r\n a.value as ref -> sr.requester = ref "requester";\r\n };\r\n } "physicianRule";\r\n } "signOffGroup";\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Shared scaffolding. Repeated in each map rather than imported: the transform\r\n// engine resolves `imports` against whatever StructureMaps happen to be on the\r\n// server, and a form that stops extracting because a shared map was not\r\n// uploaded is a worse failure than a duplicated group.\r\n// Two notes on what the publisher's StructureMap validator says about this file.\r\n// Source parameters below are left untyped on purpose. Writing `: Element` makes\r\n// the validator compare QuestionnaireResponse.item against the literal 'Element'\r\n// and report them as incompatible with each other, which is noise, not a finding.\r\n// `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were\r\n// found". Leave it. The FML parser in the same jar refuses the one-argument form\r\n// outright -- it wants a parameter, a comma, then the FHIRPath -- so the\r\n// publisher is objecting to what its own compiler emits. Two arguments is the\r\n// only form that compiles, and it is what the R5 transform engine executes.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\ngroup BuildObsBase(source qr : QR, target obs : Observation, target entry) {\r\n qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance";\r\n qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'Observation' "requestUrl";\r\n } "entryRequest";\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.effective = t "effective";\r\n qr.source as src -> obs.performer = src "performerFromSource";\r\n qr where (source.exists().not()) then {\r\n qr.author as a -> obs.performer = a "performerFromAuthor";\r\n } "performerFallback";\r\n // A stored response's id already reads "QuestionnaireResponse/<id>", so it is\r\n // a relative reference as it stands. The hasValue() guard is what stops an\r\n // unsaved response -- one posted straight to $extract rather than saved first\r\n // -- from writing "QuestionnaireResponse/null" into the record.\r\n qr.id as qid where ($this.hasValue()) -> obs.derivedFrom = create('Reference') as ref, ref.reference = qid "linkQuestionnaireResponse";\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// The two answer shapes a component can carry. Both read the answer through the\r\n// untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its\r\n// typed property name fails at transform time on HAPI R5 with "Attempt to read\r\n// invalid property ... on QuestionnaireResponse.item.answer".\r\ngroup SetComponentCodedValue(source it, target comp) {\r\n it.answer first as a then {\r\n a.value as cv -> comp.value = create('CodeableConcept') as cc then {\r\n cv -> cc.coding = cv "valueCoding";\r\n cv.display as d -> cc.text = d "valueText";\r\n } "codedValue";\r\n } "componentAnswer";\r\n}\r\n\r\ngroup SetComponentValue(source it, target comp) {\r\n it.answer first as a then {\r\n a.value as v -> comp.value = v "plainValue";\r\n } "componentAnswer";\r\n}\r\n\r\ngroup SetSurveyCategory(source qr : QR, target obs : Observation) {\r\n qr -> obs.category as cat then {\r\n qr -> cat.coding as coding then {\r\n qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n qr -> coding.code = 'survey' "categoryCode";\r\n qr -> coding.display = 'Survey' "categoryDisplay";\r\n } "categoryCoding";\r\n } "category";\r\n}\r\n\r\ngroup SetVitalSignsCategory(source qr : QR, target obs : Observation) {\r\n qr -> obs.category as cat then {\r\n qr -> cat.coding as coding then {\r\n qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n qr -> coding.code = 'vital-signs' "categoryCode";\r\n qr -> coding.display = 'Vital Signs' "categoryDisplay";\r\n } "categoryCoding";\r\n } "category";\r\n}\r\n\r\ngroup SetExamCategory(source qr : QR, target obs : Observation) {\r\n qr -> obs.category as cat then {\r\n qr -> cat.coding as coding then {\r\n qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n qr -> coding.code = 'exam' "categoryCode";\r\n qr -> coding.display = 'Exam' "categoryDisplay";\r\n } "categoryCoding";\r\n } "category";\r\n}\r\n\r\ngroup BuildConditionBase(source qr : QR, target r : Condition, target entry) {\r\n qr -> r then SetResponseProvenance(qr, r) "responseProvenance";\r\n qr -> r.id = uuid() then SetConditionFullUrl(r, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'Condition' "requestUrl";\r\n } "entryRequest";\r\n qr.subject as s -> r.subject = s;\r\n}\r\n\r\ngroup SetConditionFullUrl(source r : Condition, target entry) {\r\n r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Condition/', id) "assignFullUrl";\r\n}\r\n\r\ngroup BuildServiceRequestBase(source qr : QR, target r : ServiceRequest, target entry) {\r\n qr -> r then SetResponseProvenance(qr, r) "responseProvenance";\r\n qr -> r.id = uuid() then SetServiceRequestFullUrl(r, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'ServiceRequest' "requestUrl";\r\n } "entryRequest";\r\n qr.subject as s -> r.subject = s;\r\n}\r\n\r\ngroup SetServiceRequestFullUrl(source r : ServiceRequest, target entry) {\r\n r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/ServiceRequest/', id) "assignFullUrl";\r\n}\r\n\r\n// ── Provenance and tenancy ───────────────────────────────────────────────────\r\n// Two tags on everything this map creates. The first says which questionnaire\r\n// produced it, so a form that reopens mid-admission recalls its own earlier\r\n// entries and not another form's. The second copies the tenant tags off the\r\n// response, because nothing else on the path puts them there.\r\n// The code is the form's document type, not the questionnaire's id: every\r\n// environment mints its own ids, and there is only one set of maps, so an id\r\n// here would tie the tag to whichever environment stamped it.\r\n// ── Provenance and tenancy ───────────────────────────────────────────────────\r\ngroup SetResponseProvenance(source qr : QR, target r) {\r\n qr -> r.meta as m then {\r\n qr -> m.tag as t then {\r\n qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem";\r\n qr -> t.code = 'admission-form' "provenanceCode";\r\n qr -> t.display = 'Admission form' "provenanceDisplay";\r\n } "provenanceTag";\r\n } "provenanceMeta";\r\n // Every tag the response carries, onto the resource. `meta` is 0..1, so this\r\n // lands on the same meta the rule above created rather than a second one.\r\n qr.meta as qm then {\r\n qm.tag as qt -> r.meta as m, m.tag = qt "copyTag";\r\n } "tenantTags";\r\n}\r\n\r\n "
},
"url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractAdmissionForm",
"version" : "0.1.0",
"name" : "ExtractAdmissionForm",
"title" : "Admission Form Extraction",
"status" : "active",
"date" : "2026-09-14T06:31:13+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"
}]
}],
"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.",
"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"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Condition",
"mode" : "target",
"alias" : "Condition"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
"mode" : "target",
"alias" : "ServiceRequest"
}],
"group" : [{
"name" : "ExtractAdmissionForm",
"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" : "onArrivalGroup",
"source" : [{
"context" : "qr",
"element" : "item",
"variable" : "g",
"condition" : "linkId = 'on-arrival'"
}],
"rule" : [{
"name" : "measure_8302_2",
"source" : [{
"context" : "g",
"element" : "item",
"variable" : "it",
"condition" : "(linkId = 'on-arrival/height') and answer.value.exists()"
}],
"target" : [{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [{
"valueString" : "Observation"
}]
}],
"rule" : [{
"name" : "base",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
},
{
"context" : "entry"
}],
"dependent" : [{
"name" : "BuildObsBase",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
},
{
"valueId" : "entry"
}]
}]
},
{
"name" : "category",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
}],
"dependent" : [{
"name" : "SetVitalSignsCategory",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
}]
}]
},
{
"name" : "code",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "obs",
"element" : "code",
"variable" : "cc"
}],
"rule" : [{
"name" : "coding",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cc",
"element" : "coding",
"variable" : "cg"
}],
"rule" : [{
"name" : "sys",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "system",
"transform" : "copy",
"parameter" : [{
"valueString" : "http://loinc.org"
}]
}]
},
{
"name" : "cd",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "code",
"transform" : "copy",
"parameter" : [{
"valueString" : "8302-2"
}]
}]
},
{
"name" : "dsp",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "display",
"transform" : "copy",
"parameter" : [{
"valueString" : "Body height"
}]
}]
}]
}]
},
{
"name" : "answer",
"source" : [{
"context" : "it",
"element" : "answer",
"listMode" : "first",
"variable" : "a"
}],
"rule" : [{
"name" : "set",
"source" : [{
"context" : "a",
"element" : "value",
"variable" : "v"
}],
"target" : [{
"context" : "obs",
"element" : "value",
"transform" : "copy",
"parameter" : [{
"valueId" : "v"
}]
}]
}]
}]
},
{
"name" : "measure_29463_7",
"source" : [{
"context" : "g",
"element" : "item",
"variable" : "it",
"condition" : "(linkId = 'on-arrival/weight') and answer.value.exists()"
}],
"target" : [{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [{
"valueString" : "Observation"
}]
}],
"rule" : [{
"name" : "base",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
},
{
"context" : "entry"
}],
"dependent" : [{
"name" : "BuildObsBase",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
},
{
"valueId" : "entry"
}]
}]
},
{
"name" : "category",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
}],
"dependent" : [{
"name" : "SetVitalSignsCategory",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
}]
}]
},
{
"name" : "code",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "obs",
"element" : "code",
"variable" : "cc"
}],
"rule" : [{
"name" : "coding",
"source" : [{
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