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/ExtractBodyPartDisposalConsent | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractBodyPartDisposalConsent | |||
A Consent whose provision is the disposition chosen – released to the family, or disposed of by the hospital. Both are permissions, so the decision stays 'permit' and the disposition rides in the provision rather than flipping the decision: refusing to let the hospital dispose of a part is not refusing the surgery, it is choosing the other option, and a Consent with decision 'deny' would say the wrong thing entirely.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBodyPartDisposalConsent' /// name = 'ExtractBodyPartDisposalConsent' /// title = 'Body Part Disposal Consent Extraction' /// status = 'active' /// description = 'A Consent whose provision is the disposition chosen -- released to the family, or disposed of by the hospital. Both are permissions, so the decision stays \'permit\' and the disposition rides in the provision rather than flipping the decision: refusing to let the hospital dispose of a part is not refusing the surgery, it is choosing the other option, and a Consent with decision \'deny\' would say the wrong thing entirely.' 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 group ExtractBodyPartDisposalConsent(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; qr.item as g where (linkId = 'consent') then { g.item as it where ((linkId = 'consent/disposition') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Consent') as con then { qr -> con, entry then BuildConsentBase(qr, con, entry) "base"; it -> con.status = 'active' "status"; it -> con.decision = 'permit' "decision"; it -> con.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 = 'Consent for the disposal of a body part removed at surgery' "catText"; } "category"; g.item as sa where ((linkId = 'consent/signed-at') and answer.value.exists()) then { sa.answer first as a then { a.value as v -> con.period as per, per.start = v "periodStart"; }; } "signedAtRule"; // The disposition as the provision. Its own coding travels, so "taken // home" and "disposed by the hospital" stay distinguishable without // reading the note. it.answer first as a then { a.value as cv -> con.provision as prov, prov.code as pc then { cv -> pc.coding = cv "coding"; cv.display as d -> pc.text = d "text"; } "dispositionProvision"; } "dispositionRule"; qr.item as p where (linkId = 'procedure') then { p.item as bp where ((linkId = 'procedure/body-part') and answer.value.exists()) then { bp.answer first as a then { a.value as txt -> con.provision as prov, prov.code as pc, pc.text = txt "bodyPartText"; }; } "bodyPartRule"; } "procedureGroup"; g.item as nk where ((linkId = 'consent/next-of-kin-name') and answer.value.exists()) then { nk.answer first as a then { a.value as txt -> con.grantor = create('Reference') as gref, gref.display = txt "grantor"; }; } "nextOfKinRule"; qr.item as e where (linkId = 'explained-by') then { e.item as pr where ((linkId = 'explained-by/practitioner') and answer.value.exists()) then { pr.answer first as a then { a.value as ref -> con.verification as ver then { ref -> ver.verified = true "verified"; ref -> ver.verifiedBy = ref "verifiedBy"; } "verification"; }; } "explainedByRule"; } "explainedByGroup"; } "bodyPartConsent"; } "consentGroup"; // The procedure and the part removed, as an Observation. A histology request // or a later query about what was taken looks for the part, and a Consent // provision is not where a clinician goes to find it. qr.item as g where ((linkId = 'procedure') 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 SetProcedureCategory(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 = 'body-part-removal-body-part-removed-at-surgery' "cd"; g -> cg.display = 'Body part removed at surgery' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'procedure/diagnosis') 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 = 'body-part-removal-diagnosis-before-the-procedure' "cd"; it -> cg.display = 'Diagnosis before the procedure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_body_part_removal_diagnosis_before_the_procedure"; g.item as it where ((linkId = 'procedure/name') 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 = 'body-part-removal-procedure-or-surgery-performed' "cd"; it -> cg.display = 'Procedure or surgery performed' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_body_part_removal_procedure_or_surgery_performed"; g.item as it where ((linkId = 'procedure/body-part') 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 = 'body-part-removal-body-part-removed' "cd"; it -> cg.display = 'Body part removed' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_body_part_removal_body_part_removed"; } "procedureObservation"; qr.item as g where (linkId = 'handover') then { g.item as it where ((linkId = 'handover/theatre-staff') 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 = 'body-part-removal-theatre-staff-handing-over-the-body-part' "cd"; it -> cg.display = 'Theatre staff handing over the body part' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_body_part_removal_theatre_staff_handing_over_the_body_part"; g.item as it where ((linkId = 'handover/mortuary-staff') 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 = 'body-part-removal-mortuary-staff-receiving-the-body-part' "cd"; it -> cg.display = 'Mortuary staff receiving the body part' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_body_part_removal_mortuary_staff_receiving_the_body_part"; } "handoverGroup"; } // ───────────────────────────────────────────────────────────────────────────── // 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 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"; } // ── 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 = 'body-part-disposal-consent' "provenanceCode"; qr -> t.display = 'Body part disposal consent form' "provenanceDisplay"; } "provenanceTag"; } "provenanceMeta"; // Every tag the response carries, onto the resource. `meta` is 0..1, so this // lands on the same meta the rule above created rather than a second one. qr.meta as qm then { qm.tag as qt -> r.meta as m, m.tag = qt "copyTag"; } "tenantTags"; }