SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBloodDonorQuestionnaire | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractBloodDonorQuestionnaire | |||
The KTTA donor form out as: one Observation carrying the thirteen deferral questions as components, because eligibility is a judgement over the whole set; the screening measurements each as their own Observation, so a haemoglobin below the 12.5 g/dL line is findable by its LOINC code; the eligibility decision as its own Observation with an abnormal interpretation when the donor was deferred, and the reason beside it; a Consent from the signed declaration, with the research opt-in as a second provision because it is a separate question the form asks separately; a Procedure for the collection itself; and one Observation carrying the nine post-donation adverse events.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBloodDonorQuestionnaire' /// name = 'ExtractBloodDonorQuestionnaire' /// title = 'Blood Donor Questionnaire Extraction' /// status = 'active' /// description = 'The KTTA donor form out as: one Observation carrying the thirteen deferral questions as components, because eligibility is a judgement over the whole set; the screening measurements each as their own Observation, so a haemoglobin below the 12.5 g/dL line is findable by its LOINC code; the eligibility decision as its own Observation with an abnormal interpretation when the donor was deferred, and the reason beside it; a Consent from the signed declaration, with the research opt-in as a second provision because it is a separate question the form asks separately; a Procedure for the collection itself; and one Observation carrying the nine post-donation adverse events.' uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target uses "http://hl7.org/fhir/StructureDefinition/Consent" alias Consent as target uses "http://hl7.org/fhir/StructureDefinition/Procedure" alias Procedure as target group ExtractBloodDonorQuestionnaire(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // ── The thirteen deferral questions, as one panel ─────────────────────── // Eligibility is decided by reading all thirteen together, so they travel // together. A single "yes" to any of several of them defers the donor, and a // reviewer has to be able to see which. qr.item as g where ((linkId = 'eligibility') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'donor-eligibility-question' "cd"; g -> cg.display = 'Donor eligibility question' "dsp"; } "coding"; g -> cc.text = 'KTTA donor eligibility questionnaire' "codeText"; } "code"; g.item as it where ((linkId = 'eligibility/feeling-well-today') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-feeling-well-today' "cd"; it -> cg.display = 'Feeling well today' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_feeling_well_today"; g.item as it where ((linkId = 'eligibility/eaten-in-last-6-hours') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-eaten-in-the-last-6-hours' "cd"; it -> cg.display = 'Eaten in the last 6 hours' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_eaten_in_the_last_6_hours"; g.item as it where ((linkId = 'eligibility/fainted-in-past-year') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-fainted-within-the-past-one-year' "cd"; it -> cg.display = 'Fainted within the past one year' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_fainted_within_the_past_one_year"; g.item as it where ((linkId = 'eligibility/pregnant-or-lactating') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-pregnant-or-lactating' "cd"; it -> cg.display = 'Pregnant or lactating' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_pregnant_or_lactating"; g.item as it where ((linkId = 'eligibility/travelled-in-last-14-days') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-travelled-in-the-last-14-days-outside-the-usual-area' "cd"; it -> cg.display = 'Travelled in the last 14 days outside the usual area of residence' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_travelled_in_the_last_14_days_outside_the_usual_area"; g.item as it where ((linkId = 'eligibility/regular-medication') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-on-regular-medication-antibiotics-or-analgesics' "cd"; it -> cg.display = 'On regular medication, antibiotics or analgesics' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_on_regular_medication_antibiotics_or_analgesics"; g.item as it where ((linkId = 'eligibility/tattoo-or-piercing-3-months') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-tattooing-or-body-piercing-in-the-last-3-months' "cd"; it -> cg.display = 'Tattooing or body piercing in the last 3 months' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_tattooing_or_body_piercing_in_the_last_3_months"; g.item as it where ((linkId = 'eligibility/sexual-activity-unknown-status') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-sexual-activity-in-the-last-3-months-with-a-person' "cd"; it -> cg.display = 'Sexual activity in the last 3 months with a person of unknown health status' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_sexual_activity_in_the_last_3_months_with_a_person"; g.item as it where ((linkId = 'eligibility/vaccination-3-months') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-vaccination-in-the-last-3-months' "cd"; it -> cg.display = 'Vaccination in the last 3 months' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_vaccination_in_the_last_3_months"; g.item as it where ((linkId = 'eligibility/surgery-or-treatment-6-months') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-surgery-or-medical-treatment-in-the-past-6-months' "cd"; it -> cg.display = 'Surgery or medical treatment in the past 6 months' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_surgery_or_medical_treatment_in_the_past_6_months"; g.item as it where ((linkId = 'eligibility/received-blood-6-months') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-received-blood-or-blood-products-in-the-past-6' "cd"; it -> cg.display = 'Received blood or blood products in the past 6 months' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_received_blood_or_blood_products_in_the_past_6"; g.item as it where ((linkId = 'eligibility/hepatitis-or-yellow-eyes') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-ever-had-hepatitis-or-yellow-eyes' "cd"; it -> cg.display = 'Ever had hepatitis or yellow eyes' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_ever_had_hepatitis_or_yellow_eyes"; g.item as it where ((linkId = 'eligibility/covid-exposure-14-days') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-q-exposed-to-a-suspected-case-of-covid-19-in-the-last' "cd"; it -> cg.display = 'Exposed to a suspected case of COVID-19 in the last 14 days' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_q_exposed_to_a_suspected_case_of_covid_19_in_the_last"; } "eligibilityPanel"; // ── Screening measurements ────────────────────────────────────────────── qr.item as g where (linkId = 'screening') then { g.item as it where ((linkId = 'screening/weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29463-7' "cd"; it -> cg.display = 'Body weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_29463_7"; g.item as it where ((linkId = 'screening/haemoglobin') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetLaboratoryCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '718-7' "cd"; it -> cg.display = 'Hemoglobin [Mass/volume] in Blood' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; it -> obs.note as n, n.text = 'The KTTA form prints the acceptance threshold on the line: over 12.5 g/dL.' "note"; } "measure_718_7"; g.item as it where ((linkId = 'screening/pulse') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8867-4' "cd"; it -> cg.display = 'Heart rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8867_4"; g.item as it where ((linkId = 'screening/temperature') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8310-5' "cd"; it -> cg.display = 'Body temperature' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8310_5"; g.item as bpS where ((linkId = 'screening/systolic') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; bpS -> obs.code as cc then { bpS -> cc.coding as cg then { bpS -> cg.system = 'http://loinc.org' "sys"; bpS -> cg.code = '85354-9' "cd"; bpS -> cg.display = 'Blood pressure panel with all children optional' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'screening/systolic') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8480-6' "cd"; it -> cg.display = 'Systolic blood pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8480_6"; g.item as it where ((linkId = 'screening/diastolic') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8462-4' "cd"; it -> cg.display = 'Diastolic blood pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8462_4"; } "screeningBloodPressure"; // ── The eligibility decision ────────────────────────────────────────── // Its own Observation with an interpretation, because this is the finding // the whole form exists to produce, and a blood bank filters on it. g.item as it where ((linkId = 'screening/eligible') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-eligible' "cd"; it -> cg.display = 'Donor is eligible' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as cv -> obs.value = create('CodeableConcept') as vc then { cv -> vc.coding = cv "valueCoding"; cv.display as d -> vc.text = d "valueText"; } "codedValue"; }; it.answer first as a then { a.value as cv where (code = 'N') -> obs.interpretation as interp then { cv -> interp.coding as icg then { cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys"; cv -> icg.code = 'A' "cd"; cv -> icg.display = 'Abnormal' "dsp"; } "coding"; } "deferredInterp"; } "eligibilityInterpretation"; // The deferral reason travels on the same Observation. A deferral without // a reason cannot be reviewed, and the questionnaire only asks for the // reason when the answer was no -- so this rule fires only then too. g.item as dr where ((linkId = 'screening/deferral-reason') and answer.value.exists()) then { dr.answer first as da then { da.value as txt -> obs.note as n, n.text = txt "deferralReasonNote"; }; } "deferralReasonRule"; } "eligibilityObservation"; g.item as it where ((linkId = 'screening/donor-type') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-type' "cd"; it -> cg.display = 'Type of donor' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as cv -> obs.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; }; } "coded_donor_type"; g.item as it where ((linkId = 'screening/donation-type') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donation-type' "cd"; it -> cg.display = 'Type of donation' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as cv -> obs.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; }; } "coded_donation_type"; } "screeningGroup"; // ── The declaration and consent ───────────────────────────────────────── // Two provisions on one Consent, not two Consents. The donor signed one form, // and the research opt-in is a checkbox inside it -- but it is a *separate* // permission and the form prints its own yes and no boxes, so it cannot be // inferred from the signature. Where the donor did not answer it, no // provision is written, which reads as "not asked" rather than "declined". qr.item as g where (linkId = 'declaration') then { g.item as it where ((linkId = 'declaration/signed') and (answer.value = true)) -> bundle.entry as entry, entry.resource = create('Consent') as consent then { qr -> consent, entry then BuildConsentBase(qr, consent, entry) "base"; it -> consent.status = 'active' "status"; it -> consent.category as cat then { it -> cat.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '64293-4' "cd"; it -> cg.display = 'Procedure consent Document' "dsp"; } "coding"; it -> cat.text = 'KTTA blood donor declaration and consent' "categoryText"; } "category"; it -> consent.decision = 'permit' "decision"; qr.source as src -> consent.grantee = src "grantee"; g.item as dt where ((linkId = 'declaration/signed-on') and answer.value.exists()) then { dt.answer first as a then { a.value as d -> consent.date = d "signedDate"; }; } "signedOnRule"; it -> consent.provision as prov, prov.code as pc, pc.text = 'The donor signed the KTTA declaration: that the form was filled truthfully, that they consent to give blood, that the donation will be screened for HIV, hepatitis B and C and syphilis, and that a reactive result will be communicated to them with counselling offered.' "declarationNote"; // The research opt-in, as its own provision. g.item as ru where ((linkId = 'declaration/research-use') and (answer.value.ofType(Coding).code = 'Y')) -> consent.provision as prov then { ru -> prov.purpose as pur then { ru -> pur.system = 'http://terminology.hl7.org/CodeSystem/v3-ActReason' "purposeSystem"; ru -> pur.code = 'HRESCH' "purposeCode"; ru -> pur.display = 'healthcare research' "purposeDisplay"; } "purpose"; } "researchProvision"; } "createConsent"; } "declarationGroup"; // ── The donation itself ───────────────────────────────────────────────── // A Procedure. `status = 'completed'` only when a volume was actually taken: // a form filled in for a donor who was then deferred records no collection, // and a completed Procedure would say blood was drawn that never was. qr.item as g where ((linkId = 'donation') and item.where(linkId = 'donation/volume').answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Procedure') as proc then { qr -> proc, entry then BuildProcedureBase(qr, proc, entry) "base"; g -> proc.status = 'completed' "status"; g -> proc.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'blood-donation' "cd"; g -> cg.display = 'Blood donation' "dsp"; } "coding"; } "code"; qr.authored as t -> proc.occurrence = t "occurrence"; qr.encounter as e -> proc.encounter = e; qr.source as src -> proc.performer as p, p.actor = src "performer"; g.item as bt where ((linkId = 'donation/bag-type') and answer.value.exists()) then { bt.answer first as a then { a.value as txt -> proc.note as n, n.text = txt "bagTypeNote"; }; } "bagTypeRule"; } "donationProcedure"; qr.item as g where (linkId = 'donation') then { g.item as it where ((linkId = 'donation/volume') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetProcedureCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'volume-donated' "cd"; it -> cg.display = 'Volume donated' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_volume_donated"; } "volumeGroup"; // ── Post-donation adverse events ──────────────────────────────────────── // One panel. Nine questions the KTTA form asks after every donation, and the // set is the haemovigilance record: a donation with no events recorded and a // donation where nobody asked look identical unless the panel exists. qr.item as g where ((linkId = 'donation') and item.answer.value.ofType(Coding).exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'donation-adverse-event' "cd"; g -> cg.display = 'Post-donation adverse event' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'donation/underweight-unit') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-underweight-unit' "cd"; it -> cg.display = 'Underweight unit' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_underweight_unit"; g.item as it where ((linkId = 'donation/more-than-one-venipuncture') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-more-than-one-venipuncture' "cd"; it -> cg.display = 'More than one venipuncture' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_more_than_one_venipuncture"; g.item as it where ((linkId = 'donation/haematoma') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-haematoma' "cd"; it -> cg.display = 'Haematoma' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_haematoma"; g.item as it where ((linkId = 'donation/fainting') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-fainting' "cd"; it -> cg.display = 'Fainting' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_fainting"; g.item as it where ((linkId = 'donation/nausea') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-nausea' "cd"; it -> cg.display = 'Nausea' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_nausea"; g.item as it where ((linkId = 'donation/vomiting') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-vomiting' "cd"; it -> cg.display = 'Vomiting' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_vomiting"; g.item as it where ((linkId = 'donation/headache') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-headache' "cd"; it -> cg.display = 'Headache' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_headache"; g.item as it where ((linkId = 'donation/convulsion') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-convulsion' "cd"; it -> cg.display = 'Convulsion' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_convulsion"; g.item as it where ((linkId = 'donation/incontinence') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'donor-ae-incontinence-of-urine-or-stool' "cd"; it -> cg.display = 'Incontinence of urine or stool' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_donor_ae_incontinence_of_urine_or_stool"; } "adverseEventPanel"; // ── Previous donations ────────────────────────────────────────────────── qr.item as g where (linkId = 'donor') then { g.item as it where ((linkId = 'donor/previous-donations') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'previous-donation-count' "cd"; it -> cg.display = 'Number of previous donations' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_previous_donation_count"; } "donorGroup"; } // ───────────────────────────────────────────────────────────────────────────── // Shared scaffolding. Repeated in each map rather than imported: the transform // engine resolves `imports` against whatever StructureMaps happen to be on the // server, and a form that stops extracting because a shared map was not // uploaded is a worse failure than a duplicated group. // Two notes on what the publisher's StructureMap validator says about this file. // Source parameters below are left untyped on purpose. Writing `: Element` makes // the validator compare QuestionnaireResponse.item against the literal 'Element' // and report them as incompatible with each other, which is noise, not a finding. // `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were // found". Leave it. The FML parser in the same jar refuses the one-argument form // outright -- it wants a parameter, a comma, then the FHIRPath -- so the // publisher is objecting to what its own compiler emits. Two arguments is the // only form that compiles, and it is what the R5 transform engine executes. // ───────────────────────────────────────────────────────────────────────────── group BuildObsBase(source qr : QR, target obs : Observation, target entry) { qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance"; qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Observation' "requestUrl"; } "entryRequest"; qr -> obs.status = 'final' "status"; qr.subject as s -> obs.subject = s; qr.encounter as e -> obs.encounter = e; qr.authored as t -> obs.effective = t "effective"; qr.source as src -> obs.performer = src "performerFromSource"; qr where (source.exists().not()) then { qr.author as a -> obs.performer = a "performerFromAuthor"; } "performerFallback"; // A stored response's id already reads "QuestionnaireResponse/<id>", so it is // a relative reference as it stands. The hasValue() guard is what stops an // unsaved response -- one posted straight to $extract rather than saved first // -- from writing "QuestionnaireResponse/null" into the record. qr.id as qid where ($this.hasValue()) -> obs.derivedFrom = create('Reference') as ref, ref.reference = qid "linkQuestionnaireResponse"; } group SetObservationFullUrl(source obs : Observation, target entry) { obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl"; } // The two answer shapes a component can carry. Both read the answer through the // untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its // typed property name fails at transform time on HAPI R5 with "Attempt to read // invalid property ... on QuestionnaireResponse.item.answer". group SetComponentCodedValue(source it, target comp) { it.answer first as a then { a.value as cv -> comp.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; } "componentAnswer"; } group SetComponentValue(source it, target comp) { it.answer first as a then { a.value as v -> comp.value = v "plainValue"; } "componentAnswer"; } group SetSurveyCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'survey' "categoryCode"; qr -> coding.display = 'Survey' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetVitalSignsCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'vital-signs' "categoryCode"; qr -> coding.display = 'Vital Signs' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetLaboratoryCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'laboratory' "categoryCode"; qr -> coding.display = 'Laboratory' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetProcedureCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'procedure' "categoryCode"; qr -> coding.display = 'Procedure' "categoryDisplay"; } "categoryCoding"; } "category"; } group BuildConsentBase(source qr : QR, target r : Consent, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetConsentFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Consent' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetConsentFullUrl(source r : Consent, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Consent/', id) "assignFullUrl"; } group BuildProcedureBase(source qr : QR, target r : Procedure, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetProcedureFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Procedure' "requestUrl"; } "entryRequest"; // The response's own time, as a floor, the way BuildObsBase does it. A rule // that reads a time off the form overwrites this; without it a procedure whose // date column was taken off on review has no time at all, and a procedure with // no time cannot be ordered against the rest of the admission. qr.authored as t -> r.occurrence = t "occurrenceFallback"; qr.subject as s -> r.subject = s; } group SetProcedureFullUrl(source r : Procedure, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Procedure/', id) "assignFullUrl"; } // ── Provenance and tenancy ─────────────────────────────────────────────────── // Two tags on everything this map creates. The first says which questionnaire // produced it, so a form that reopens mid-admission recalls its own earlier // entries and not another form's. The second copies the tenant tags off the // response, because nothing else on the path puts them there. // The code is the form's document type, not the questionnaire's id: every // environment mints its own ids, and there is only one set of maps, so an id // here would tie the tag to whichever environment stamped it. // ── Provenance and tenancy ─────────────────────────────────────────────────── group SetResponseProvenance(source qr : QR, target r) { qr -> r.meta as m then { qr -> m.tag as t then { qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem"; qr -> t.code = 'blood-donor-questionnaire' "provenanceCode"; qr -> t.display = 'Blood donor questionnaire' "provenanceDisplay"; } "provenanceTag"; } "provenanceMeta"; // Every tag the response carries, onto the resource. `meta` is 0..1, so this // lands on the same meta the rule above created rather than a second one. qr.meta as qm then { qm.tag as qt -> r.meta as m, m.tag = qt "copyTag"; } "tenantTags"; }