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
| Draft as of 2026-09-14 |
<StructureMap xmlns="http://hl7.org/fhir">
<id value="ExtractBishopScore"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap ExtractBishopScore</b></p><a name="ExtractBishopScore"> </a><a name="hcExtractBishopScore"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBishopScore'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractBishopScore'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Bishop Score Extraction'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'draft'</span>
<span style="color: #cc00cc">/// <b>description</b> = </span><span style="color: blue">'The Bishop score out as one Observation carrying the total, with the five weighted items as components and the fetal heart rate, the position of the presenting part and the membrane status alongside them. The total prefers what the form submitted and otherwise sums the item weights itself, and it only extracts when all five items have been answered — a Bishop of 6 out of three items answered reads as a favourable cervix and is not one.'</span>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/questionnaireresponse.html" title="QuestionnaireResponse">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style="color: navy">" </span><b>alias </b>QR <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/bundle.html" title="Bundle">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style="color: navy">" </span><b>alias </b>Bundle <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/observation.html" title="Observation">http://hl7.org/fhir/StructureDefinition/Observation</a><span style="color: navy">" </span><b>alias </b>Observation <b>as </b><b>target</b>
<b>group </b>ExtractBishopScore<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">bundle</span><span style="color: navy"> : </span>Bundle<span style="color: navy">)</span><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>bundle.type = <span style="color: blue">'transaction'</span> <i>"setBundleType"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Anchored on any item of the assessment group being answered rather than on</span>
<span style="color: navy">// </span><span style="color: green">the total, because the total is calculated and a client without a FHIRPath</span>
<span style="color: navy">// </span><span style="color: green">engine submits it empty. Anchoring on the total would mean such a client</span>
<span style="color: navy">// </span><span style="color: green">extracted nothing at all.</span>
qr<b> where </b><span style="color: navy">(</span>item.where(linkId = 'assessment').item.answer.value.ofType(Coding).exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> obs<span style="color: navy">, </span> entry<b> then </b>BuildObsBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs<b> then </b>SetSurveyCategory<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">)</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">LOINC has no term for the Bishop score, nor for cervical dilation at all,</span>
<span style="color: navy">// </span><span style="color: green">so the code is local. Searched both "Bishop" and "Dilation Cervix" in</span>
<span style="color: navy">// </span><span style="color: green">LOINC's implicit value set; neither returns anything.</span>
qr<span style="color: navy"><b> -> </b></span>obs.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>code.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"codeSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.code = <span style="color: blue">'bishop-total'</span> <i>"codeCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = <span style="color: blue">'Bishop score total'</span> <i>"codeDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codeCoding"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>code.text = <span style="color: blue">'Bishop score'</span> <i>"codeText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">The submitted total wins; otherwise sum the five item weights.</span>
<span style="color: navy">// </span><span style="color: green">The weight is read off the tail of the answer code, which is why the codes</span>
<span style="color: navy">// </span><span style="color: green">are namespaced instrument-item-weight. Order matters in the nested iif:</span>
<span style="color: navy">// </span><span style="color: green">'-3' has to be tested before '-1', or bishop-station-3 would never match</span>
<span style="color: navy">// </span><span style="color: green">-- endsWith('-1') is false for it, but a naive test on the last character</span>
<span style="color: navy">// </span><span style="color: green">is not what is written here, and the explicit chain keeps it obvious.</span>
<span style="color: navy">// </span><span style="color: green">Guarded on all five items being answered. Bishop is a sum over five items</span>
<span style="color: navy">// </span><span style="color: green">and a partial sum is not a smaller Bishop score, it is a different</span>
<span style="color: navy">// </span><span style="color: green">number; nothing in the resource would say which it was.</span>
qr<b> where </b><span style="color: navy">(</span>item.where(linkId = 'assessment').item.answer.value.ofType(Coding).count() = 5<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>obs.value = evaluate<span style="color: navy">(</span>qr<span style="color: navy">, </span>iif(item.where(linkId = 'total').answer.value.exists(), item.where(linkId = 'total').answer.value.truncate(), item.where(linkId = 'assessment').item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0)))).aggregate($this + $total, 0))<span style="color: navy">)</span> <i>"totalValue"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Six or more is a favourable cervix. Stated as the interpretation rather</span>
<span style="color: navy">// </span><span style="color: green">than left for a reader to recall, because the whole point of the score</span>
<span style="color: navy">// </span><span style="color: green">is the induction decision it drives.</span>
qr<span style="color: navy"><b> -> </b></span>obs.interpretation<b> as </b><span style="color: maroon">interp</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>interp.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation'</span> <i>"interpSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.code = evaluate<span style="color: navy">(</span>qr<span style="color: navy">, </span>iif(iif(item.where(linkId = 'total').answer.value.exists(), item.where(linkId = 'total').answer.value.truncate(), item.where(linkId = 'assessment').item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0)))).aggregate($this + $total, 0)) >= 6, 'POS', 'NEG')<span style="color: navy">)</span> <i>"interpCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = evaluate<span style="color: navy">(</span>qr<span style="color: navy">, </span>iif(iif(item.where(linkId = 'total').answer.value.exists(), item.where(linkId = 'total').answer.value.truncate(), item.where(linkId = 'assessment').item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0)))).aggregate($this + $total, 0)) >= 6, 'Favourable cervix', 'Unfavourable cervix')<span style="color: navy">)</span> <i>"interpDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"interpCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"interpretation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"totalRule"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── The five weighted items ─────────────────────────────────────────────</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'assessment'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'assessment/dilation') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'bishop-dilation'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Cervical dilation (Bishop)'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"dilationRule"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Effacement is the one item where LOINC has the underlying measurement:</span>
<span style="color: navy">// </span><span style="color: green">11867-9 Effacement Cervix. The component below carries the scored band,</span>
<span style="color: navy">// </span><span style="color: green">and the second component further down carries the same answer under the</span>
<span style="color: navy">// </span><span style="color: green">LOINC code, so a query for "effacement" finds it either way.</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'assessment/effacement') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'bishop-effacement'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Cervical effacement (Bishop)'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"effacementRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'assessment/effacement') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'11867-9'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Effacement Cervix'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"effacementLoincRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'assessment/consistency') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'bishop-consistency'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Cervical consistency (Bishop)'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"consistencyRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'assessment/position') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'bishop-position'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Cervical position (Bishop)'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"positionRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'assessment/station') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'bishop-station'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Head station (Bishop)'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"stationRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"assessmentItems"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── Recorded alongside the score ────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">These are not part of the score and carry no weight, but they belong on</span>
<span style="color: navy">// </span><span style="color: green">the same Observation: they were taken at the same examination, and the</span>
<span style="color: navy">// </span><span style="color: green">membrane status in particular changes what the next examination may do.</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'alongside'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'alongside/fetal-heart-rate') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'55283-6'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Fetal Heart rate'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"fetalHeartRateRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'alongside/membranes') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'membrane-status'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Membrane status'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"membraneStatusRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'alongside/presenting-part-position') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span>obs.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>comp.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'11876-0'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Fetal presentation palpation'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>comp<b> then </b>SetComponentValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"presentingPartRule"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Remarks become Observation.note rather than a component. A component</span>
<span style="color: navy">// </span><span style="color: green">needs a code saying what the value means, and "whatever the examiner</span>
<span style="color: navy">// </span><span style="color: green">wanted to add" is not one.</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'alongside/remarks'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span>obs.note<b> as </b><span style="color: maroon">note</span><b> then</b><span style="color: navy"> {
</span> txt<span style="color: navy"><b> -> </b></span>note.text = <span style="color: maroon">txt</span> <i>"noteText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"createNote"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"remarksAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"remarksRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"alongsideItems"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Gestation at the assessment. Not a component: it is a fact about the</span>
<span style="color: navy">// </span><span style="color: green">pregnancy on the day, not a part of the cervical assessment, so it rides</span>
<span style="color: navy">// </span><span style="color: green">as its own Observation in the entry below.</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'context'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> <span style="color: navy">// </span><span style="color: green">The indication is why induction was being considered, which is the</span>
<span style="color: navy">// </span><span style="color: green">reason for the whole examination. Observation has no `reason`, so it</span>
<span style="color: navy">// </span><span style="color: green">goes to note alongside any remarks.</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'context/indication'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span>obs.note<b> as </b><span style="color: maroon">note</span><b> then</b><span style="color: navy"> {
</span> txt<span style="color: navy"><b> -> </b></span>note.text = <span style="color: maroon">txt</span> <i>"noteText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"createNote"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"indicationAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"indicationRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"contextItems"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"bishopObservation"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Gestation, as its own Observation. Separate from the score because it is a</span>
<span style="color: navy">// </span><span style="color: green">property of the pregnancy that other forms also record, and folding it into</span>
<span style="color: navy">// </span><span style="color: green">the Bishop Observation would hide it from a query for gestational age.</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'context'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'context/gestation') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> obs<span style="color: navy">, </span> entry<b> then </b>BuildObsBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs<b> then </b>SetVitalSignsCategory<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">)</span> <i>"category"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>obs.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'11884-4'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Gestational age Estimated'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>obs.value = <span style="color: maroon">v</span> <i>"gestationValue"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"gestationAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"gestationObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"gestationRule"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Shared scaffolding. Repeated in each map rather than imported: the transform</span>
<span style="color: navy">// </span><span style="color: green">engine resolves `imports` against whatever StructureMaps happen to be on the</span>
<span style="color: navy">// </span><span style="color: green">server, and a form that stops extracting because a shared map was not</span>
<span style="color: navy">// </span><span style="color: green">uploaded is a worse failure than a duplicated group.</span>
<span style="color: navy">// </span><span style="color: green">Two notes on what the publisher's StructureMap validator says about this file.</span>
<span style="color: navy">// </span><span style="color: green">Source parameters below are left untyped on purpose. Writing `: Element` makes</span>
<span style="color: navy">// </span><span style="color: green">the validator compare QuestionnaireResponse.item against the literal 'Element'</span>
<span style="color: navy">// </span><span style="color: green">and report them as incompatible with each other, which is noise, not a finding.</span>
<span style="color: navy">// </span><span style="color: green">`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were</span>
<span style="color: navy">// </span><span style="color: green">found". Leave it. The FML parser in the same jar refuses the one-argument form</span>
<span style="color: navy">// </span><span style="color: green">outright -- it wants a parameter, a comma, then the FHIRPath -- so the</span>
<span style="color: navy">// </span><span style="color: green">publisher is objecting to what its own compiler emits. Two arguments is the</span>
<span style="color: navy">// </span><span style="color: green">only form that compiles, and it is what the R5 transform engine executes.</span>
<span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<b>group </b>BuildObsBase<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>obs<b> then </b>SetResponseProvenance<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">)</span> <i>"responseProvenance"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetObservationFullUrl<span style="color: navy">(</span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>"idAndFullUrl"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>entry.request<b> as </b><span style="color: maroon">request</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>request.method = <span style="color: blue">'POST'</span> <i>"requestMethod"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'Observation'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs.status = <span style="color: blue">'final'</span> <i>"status"</i><span style="color: navy">;</span>
qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </b></span>obs.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -> </b></span>obs.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -> </b></span>obs.effective = <span style="color: maroon">t</span> <i>"effective"</i><span style="color: navy">;</span>
qr.source<b> as </b><span style="color: maroon">src</span><span style="color: navy"><b> -> </b></span>obs.performer = <span style="color: maroon">src</span> <i>"performerFromSource"</i><span style="color: navy">;</span>
qr<b> where </b><span style="color: navy">(</span>source.exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> qr.author<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -> </b></span>obs.performer = <span style="color: maroon">a</span> <i>"performerFromAuthor"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"performerFallback"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">A stored response's id already reads "QuestionnaireResponse/<id>", so it is</span>
<span style="color: navy">// </span><span style="color: green">a relative reference as it stands. The hasValue() guard is what stops an</span>
<span style="color: navy">// </span><span style="color: green">unsaved response -- one posted straight to $extract rather than saved first</span>
<span style="color: navy">// </span><span style="color: green">-- from writing "QuestionnaireResponse/null" into the record.</span>
qr.id<b> as </b><span style="color: maroon">qid</span><b> where </b><span style="color: navy">(</span>$this.hasValue()<span style="color: navy">)</span><span style="color: navy"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Reference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ref</span><span style="color: navy">, </span> ref.reference = <span style="color: maroon">qid</span> <i>"linkQuestionnaireResponse"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>SetObservationFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span> obs.id<b> as </b><span style="color: maroon">id</span><span style="color: navy"><b> -> </b></span>entry.fullUrl = <b>append</b><span style="color: navy">(</span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/Observation/'</span><span style="color: navy">, </span><span style="color: maroon">id</span><span style="color: navy">)</span> <i>"assignFullUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">The two answer shapes a component can carry. Both read the answer through the</span>
<span style="color: navy">// </span><span style="color: green">untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its</span>
<span style="color: navy">// </span><span style="color: green">typed property name fails at transform time on HAPI R5 with "Attempt to read</span>
<span style="color: navy">// </span><span style="color: green">invalid property ... on QuestionnaireResponse.item.answer".</span>
<b>group </b>SetComponentCodedValue<span style="color: navy">(</span><b>source</b> <span style="color: maroon">it</span>, <b>target</b> <span style="color: maroon">comp</span><span style="color: navy">)</span><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">cv</span><span style="color: navy"><b> -> </b></span>comp.value = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> cv<span style="color: navy"><b> -> </b></span>cc.coding = <span style="color: maroon">cv</span> <i>"valueCoding"</i><span style="color: navy">;</span>
cv.display<b> as </b><span style="color: maroon">d</span><span style="color: navy"><b> -> </b></span>cc.text = <span style="color: maroon">d</span> <i>"valueText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codedValue"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"componentAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>SetComponentValue<span style="color: navy">(</span><b>source</b> <span style="color: maroon">it</span>, <b>target</b> <span style="color: maroon">comp</span><span style="color: navy">)</span><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>comp.value = <span style="color: maroon">v</span> <i>"plainValue"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"componentAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>SetSurveyCategory<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation<span style="color: navy">)</span><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>obs.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>cat.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>"categorySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.code = <span style="color: blue">'survey'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = <span style="color: blue">'Survey'</span> <i>"categoryDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"categoryCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>SetVitalSignsCategory<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation<span style="color: navy">)</span><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>obs.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>cat.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>"categorySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.code = <span style="color: blue">'vital-signs'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = <span style="color: blue">'Vital Signs'</span> <i>"categoryDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"categoryCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">── Provenance and tenancy ───────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Two tags on everything this map creates. The first says which questionnaire</span>
<span style="color: navy">// </span><span style="color: green">produced it, so a form that reopens mid-admission recalls its own earlier</span>
<span style="color: navy">// </span><span style="color: green">entries and not another form's. The second copies the tenant tags off the</span>
<span style="color: navy">// </span><span style="color: green">response, because nothing else on the path puts them there.</span>
<span style="color: navy">// </span><span style="color: green">The code is the form's document type, not the questionnaire's id: every</span>
<span style="color: navy">// </span><span style="color: green">environment mints its own ids, and there is only one set of maps, so an id</span>
<span style="color: navy">// </span><span style="color: green">here would tie the tag to whichever environment stamped it.</span>
<span style="color: navy">// </span><span style="color: green">── Provenance and tenancy ───────────────────────────────────────────────────</span>
<b>group </b>SetResponseProvenance<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">r</span><span style="color: navy">)</span><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>r.meta<b> as </b><span style="color: maroon">m</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>m.tag<b> as </b><span style="color: maroon">t</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span>t.system = <span style="color: blue">'http://slade360edi.com/questionnaire-provenance'</span> <i>"provenanceSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>t.code = <span style="color: blue">'bishop-score'</span> <i>"provenanceCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>t.display = <span style="color: blue">'Bishop score'</span> <i>"provenanceDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"provenanceTag"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"provenanceMeta"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Every tag the response carries, onto the resource. `meta` is 0..1, so this</span>
<span style="color: navy">// </span><span style="color: green">lands on the same meta the rule above created rather than a second one.</span>
qr.meta<b> as </b><span style="color: maroon">qm</span><b> then</b><span style="color: navy"> {
</span> qm.tag<b> as </b><span style="color: maroon">qt</span><span style="color: navy"><b> -> </b></span> r.meta<b> as </b><span style="color: maroon">m</span><span style="color: navy">, </span> m.tag = <span style="color: maroon">qt</span> <i>"copyTag"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"tenantTags"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span></pre></div>
</text>
<url
value="https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBishopScore"/>
<version value="0.1.0"/>
<name value="ExtractBishopScore"/>
<title value="Bishop Score Extraction"/>
<status value="draft"/>
<date value="2026-09-14T06:31:13+00:00"/>
<publisher value="Kathurima Kimathi"/>
<contact>
<name value="Kathurima Kimathi"/>
<telecom>
<system value="url"/>
<value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
</telecom>
<telecom>
<system value="email"/>
<value value="kathurimakimathi415@gmail.com"/>
</telecom>
</contact>
<contact>
<name value="Oscar John"/>
<telecom>
<system value="email"/>
<value value="oscarjohnotieno@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<contact>
<name value="Kennedy Omondi"/>
<telecom>
<system value="email"/>
<value value="kennankole@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<description
value="The Bishop score out as one Observation carrying the total, with the five weighted items as components and the fetal heart rate, the position of the presenting part and the membrane status alongside them. The total prefers what the form submitted and otherwise sums the item weights itself, and it only extracts when all five items have been answered — a Bishop of 6 out of three items answered reads as a favourable cervix and is not one."/>
<structure>
<url
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
<mode value="source"/>
<alias value="QR"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
<mode value="target"/>
<alias value="Bundle"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mode value="target"/>
<alias value="Observation"/>
</structure>
<group>
<name value="ExtractBishopScore"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="bundle"/>
<type value="Bundle"/>
<mode value="target"/>
</input>
<rule>
<name value="setBundleType"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="bundle"/>
<element value="type"/>
<transform value="copy"/>
<parameter>
<valueString value="transaction"/>
</parameter>
</target>
</rule>
<rule>
<name value="bishopObservation"/>
<source>
<context value="qr"/>
<condition
value="item.where(linkId = 'assessment').item.answer.value.ofType(Coding).exists()"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="entry"/>
</target>
<target>
<context value="entry"/>
<element value="resource"/>
<variable value="obs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
</target>
<target>
<context value="entry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="obs"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="obs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="code"/>
<variable value="code"/>
</target>
<rule>
<name value="codeCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="code"/>
<element value="coding"/>
<variable value="coding"/>
</target>
<rule>
<name value="codeSystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="codeCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-total"/>
</parameter>
</target>
</rule>
<rule>
<name value="codeDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Bishop score total"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="codeText"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="code"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString value="Bishop score"/>
</parameter>
</target>
</rule>
<documentation
value="LOINC has no term for the Bishop score, nor for cervical dilation at all,
so the code is local. Searched both "Bishop" and "Dilation Cervix" in
LOINC's implicit value set; neither returns anything."/>
</rule>
<rule>
<name value="totalRule"/>
<source>
<context value="qr"/>
<condition
value="item.where(linkId = 'assessment').item.answer.value.ofType(Coding).count() = 5"/>
</source>
<rule>
<name value="totalValue"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="value"/>
<transform value="evaluate"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueString
value="iif(item.where(linkId = 'total').answer.value.exists(), item.where(linkId = 'total').answer.value.truncate(), item.where(linkId = 'assessment').item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0)))).aggregate($this + $total, 0))"/>
</parameter>
</target>
</rule>
<rule>
<name value="interpretation"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="interpretation"/>
<variable value="interp"/>
</target>
<rule>
<name value="interpCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="interp"/>
<element value="coding"/>
<variable value="coding"/>
</target>
<rule>
<name value="interpSystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
</parameter>
</target>
</rule>
<rule>
<name value="interpCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="evaluate"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueString
value="iif(iif(item.where(linkId = 'total').answer.value.exists(), item.where(linkId = 'total').answer.value.truncate(), item.where(linkId = 'assessment').item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0)))).aggregate($this + $total, 0)) >= 6, 'POS', 'NEG')"/>
</parameter>
</target>
</rule>
<rule>
<name value="interpDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="evaluate"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueString
value="iif(iif(item.where(linkId = 'total').answer.value.exists(), item.where(linkId = 'total').answer.value.truncate(), item.where(linkId = 'assessment').item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0)))).aggregate($this + $total, 0)) >= 6, 'Favourable cervix', 'Unfavourable cervix')"/>
</parameter>
</target>
</rule>
</rule>
<documentation
value="Six or more is a favourable cervix. Stated as the interpretation rather
than left for a reader to recall, because the whole point of the score
is the induction decision it drives."/>
</rule>
<documentation
value="The submitted total wins; otherwise sum the five item weights.
The weight is read off the tail of the answer code, which is why the codes
are namespaced instrument-item-weight. Order matters in the nested iif:
'-3' has to be tested before '-1', or bishop-station-3 would never match
-- endsWith('-1') is false for it, but a naive test on the last character
is not what is written here, and the explicit chain keeps it obvious.
Guarded on all five items being answered. Bishop is a sum over five items
and a partial sum is not a smaller Bishop score, it is a different
number; nothing in the resource would say which it was."/>
</rule>
<rule>
<name value="assessmentItems"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'assessment'"/>
</source>
<rule>
<name value="dilationRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'assessment/dilation') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-dilation"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Cervical dilation (Bishop)"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="effacementRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'assessment/effacement') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-effacement"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Cervical effacement (Bishop)"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
<documentation
value="Effacement is the one item where LOINC has the underlying measurement:
11867-9 Effacement Cervix. The component below carries the scored band,
and the second component further down carries the same answer under the
LOINC code, so a query for "effacement" finds it either way."/>
</rule>
<rule>
<name value="effacementLoincRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'assessment/effacement') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11867-9"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Effacement Cervix"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="consistencyRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'assessment/consistency') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-consistency"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Cervical consistency (Bishop)"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="positionRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'assessment/position') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-position"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Cervical position (Bishop)"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="stationRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'assessment/station') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-station"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Head station (Bishop)"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<documentation
value="── The five weighted items ─────────────────────────────────────────────"/>
</rule>
<rule>
<name value="alongsideItems"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'alongside'"/>
</source>
<rule>
<name value="fetalHeartRateRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'alongside/fetal-heart-rate') and answer.value.exists()"/>
</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="55283-6"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Fetal Heart rate"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="membraneStatusRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'alongside/membranes') and answer.value.exists()"/>
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<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
</target>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
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</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="membrane-status"/>
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</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Membrane status"/>
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</target>
</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentCodedValue"/>
<parameter>
<valueId value="it"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
</dependent>
</rule>
</rule>
<rule>
<name value="presentingPartRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
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</source>
<target>
<context value="obs"/>
<element value="component"/>
<variable value="comp"/>
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<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="comp"/>
<element value="code"/>
<variable value="cc"/>
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<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
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</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11876-0"/>
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</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Fetal presentation palpation"/>
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</rule>
</rule>
</rule>
<rule>
<name value="value"/>
<source>
<context value="it"/>
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<target>
<context value="comp"/>
</target>
<dependent>
<name value="SetComponentValue"/>
<parameter>
<valueId value="it"/>
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<parameter>
<valueId value="comp"/>
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<rule>
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<source>
<context value="g"/>
<element value="item"/>
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<condition value="linkId = 'alongside/remarks'"/>
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<rule>
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<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
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<rule>
<name value="createNote"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
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<target>
<context value="obs"/>
<element value="note"/>
<variable value="note"/>
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<rule>
<name value="noteText"/>
<source>
<context value="txt"/>
</source>
<target>
<context value="note"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
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</target>
</rule>
</rule>
</rule>
<documentation
value="Remarks become Observation.note rather than a component. A component
needs a code saying what the value means, and "whatever the examiner
wanted to add" is not one."/>
</rule>
<documentation
value="── Recorded alongside the score ────────────────────────────────────────
These are not part of the score and carry no weight, but they belong on
the same Observation: they were taken at the same examination, and the
membrane status in particular changes what the next examination may do."/>
</rule>
<rule>
<name value="contextItems"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'context'"/>
</source>
<rule>
<name value="indicationRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition value="linkId = 'context/indication'"/>
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<rule>
<name value="indicationAnswer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="createNote"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="obs"/>
<element value="note"/>
<variable value="note"/>
</target>
<rule>
<name value="noteText"/>
<source>
<context value="txt"/>
</source>
<target>
<context value="note"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<documentation
value="The indication is why induction was being considered, which is the
reason for the whole examination. Observation has no `reason`, so it
goes to note alongside any remarks."/>
</rule>
<documentation
value="Gestation at the assessment. Not a component: it is a fact about the
pregnancy on the day, not a part of the cervical assessment, so it rides
as its own Observation in the entry below."/>
</rule>
<documentation
value="Anchored on any item of the assessment group being answered rather than on
the total, because the total is calculated and a client without a FHIRPath
engine submits it empty. Anchoring on the total would mean such a client
extracted nothing at all."/>
</rule>
<rule>
<name value="gestationRule"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'context'"/>
</source>
<rule>
<name value="gestationObservation"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'context/gestation') and answer.value.exists()"/>
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<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="entry"/>
</target>
<target>
<context value="entry"/>
<element value="resource"/>
<variable value="obs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
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</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
</target>
<target>
<context value="entry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="obs"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
</target>
<dependent>
<name value="SetVitalSignsCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="obs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="obs"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11884-4"/>
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</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Gestational age Estimated"/>
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</rule>
</rule>
</rule>
<rule>
<name value="gestationAnswer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="gestationValue"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="v"/>
</source>
<target>
<context value="obs"/>
<element value="value"/>
<transform value="copy"/>
<parameter>
<valueId value="v"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<documentation
value="Gestation, as its own Observation. Separate from the score because it is a
property of the pregnancy that other forms also record, and folding it into
the Bishop Observation would hide it from a query for gestational age."/>
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</group>
<group>
<name value="BuildObsBase"/>
<documentation
value="─────────────────────────────────────────────────────────────────────────────
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.
─────────────────────────────────────────────────────────────────────────────"/>
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<type value="Observation"/>
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<mode value="target"/>
</input>
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<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
</target>
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<parameter>
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<source>
<context value="qr"/>
</source>
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<context value="obs"/>
<element value="id"/>
<transform value="uuid"/>
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<dependent>
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<parameter>
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<source>
<context value="qr"/>
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<target>
<context value="entry"/>
<element value="request"/>
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<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
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<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
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<rule>
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<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="status"/>
<transform value="copy"/>
<parameter>
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<rule>
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<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
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<target>
<context value="obs"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
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<rule>
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<source>
<context value="qr"/>
<element value="encounter"/>
<variable value="e"/>
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<context value="obs"/>
<element value="encounter"/>
<transform value="copy"/>
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<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
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<context value="obs"/>
<element value="effective"/>
<transform value="copy"/>
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<rule>
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<context value="qr"/>
<element value="source"/>
<variable value="src"/>
</source>
<target>
<context value="obs"/>
<element value="performer"/>
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<rule>
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<rule>
<name value="performerFromAuthor"/>
<source>
<context value="qr"/>
<element value="author"/>
<variable value="a"/>
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<target>
<context value="obs"/>
<element value="performer"/>
<transform value="copy"/>
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<rule>
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<context value="qr"/>
<element value="id"/>
<variable value="qid"/>
<condition value="$this.hasValue()"/>
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<target>
<context value="obs"/>
<element value="derivedFrom"/>
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<transform value="create"/>
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</target>
<target>
<context value="ref"/>
<element value="reference"/>
<transform value="copy"/>
<parameter>
<valueId value="qid"/>
</parameter>
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<documentation
value="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."/>
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<group>
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<type value="Observation"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="obs"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
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<parameter>
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</rule>
</group>
<group>
<name value="SetComponentCodedValue"/>
<documentation
value="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"."/>
<input>
<name value="it"/>
<mode value="source"/>
</input>
<input>
<name value="comp"/>
<mode value="target"/>
</input>
<rule>
<name value="componentAnswer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="codedValue"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="cv"/>
</source>
<target>
<context value="comp"/>
<element value="value"/>
<variable value="cc"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
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<rule>
<name value="valueCoding"/>
<source>
<context value="cv"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<transform value="copy"/>
<parameter>
<valueId value="cv"/>
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</target>
</rule>
<rule>
<name value="valueText"/>
<source>
<context value="cv"/>
<element value="display"/>
<variable value="d"/>
</source>
<target>
<context value="cc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="d"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="SetComponentValue"/>
<input>
<name value="it"/>
<mode value="source"/>
</input>
<input>
<name value="comp"/>
<mode value="target"/>
</input>
<rule>
<name value="componentAnswer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="plainValue"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="v"/>
</source>
<target>
<context value="comp"/>
<element value="value"/>
<transform value="copy"/>
<parameter>
<valueId value="v"/>
</parameter>
</target>
</rule>
</rule>
</group>
<group>
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<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="obs"/>
<type value="Observation"/>
<mode value="target"/>
</input>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="category"/>
<variable value="cat"/>
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<rule>
<name value="categoryCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="coding"/>
<variable value="coding"/>
</target>
<rule>
<name value="categorySystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
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</target>
</rule>
<rule>
<name value="categoryCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="survey"/>
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</target>
</rule>
<rule>
<name value="categoryDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Survey"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="SetVitalSignsCategory"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="obs"/>
<type value="Observation"/>
<mode value="target"/>
</input>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="category"/>
<variable value="cat"/>
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<rule>
<name value="categoryCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="coding"/>
<variable value="coding"/>
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<rule>
<name value="categorySystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
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</target>
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<rule>
<name value="categoryCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="vital-signs"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Vital Signs"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="SetResponseProvenance"/>
<documentation
value="── 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 ───────────────────────────────────────────────────"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<mode value="target"/>
</input>
<rule>
<name value="provenanceMeta"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="meta"/>
<variable value="m"/>
</target>
<rule>
<name value="provenanceTag"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="m"/>
<element value="tag"/>
<variable value="t"/>
</target>
<rule>
<name value="provenanceSystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://slade360edi.com/questionnaire-provenance"/>
</parameter>
</target>
</rule>
<rule>
<name value="provenanceCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="bishop-score"/>
</parameter>
</target>
</rule>
<rule>
<name value="provenanceDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Bishop score"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="tenantTags"/>
<source>
<context value="qr"/>
<element value="meta"/>
<variable value="qm"/>
</source>
<rule>
<name value="copyTag"/>
<source>
<context value="qm"/>
<element value="tag"/>
<variable value="qt"/>
</source>
<target>
<context value="r"/>
<element value="meta"/>
<variable value="m"/>
</target>
<target>
<context value="m"/>
<element value="tag"/>
<transform value="copy"/>
<parameter>
<valueId value="qt"/>
</parameter>
</target>
</rule>
<documentation
value="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."/>
</rule>
</group>
</StructureMap>