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
| Active as of 2026-09-14 |
{
"resourceType" : "StructureMap",
"id" : "ExtractDeclineForm",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractDeclineForm</b></p><a name=\"ExtractDeclineForm\"> </a><a name=\"hcExtractDeclineForm\"> </a><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractDeclineForm'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractDeclineForm'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Decline Form Extraction'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n<span style=\"color: #cc00cc\">/// <b>description</b> = </span><span style=\"color: blue\">'The refusal out as a Consent with `decision = \\'deny\\'` -- the only deny decision in this whole set -- with one provision per thing actually being refused, so a patient refusing a single procedure is not recorded as having refused all care. An Observation records whether they understood the explanation and in which language, because that is what makes the refusal informed and it is the fact a later dispute turns on.'</span>\r\n\r\n<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>\r\n<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>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/consent.html\" title=\"Consent\">http://hl7.org/fhir/StructureDefinition/Consent</a><span style=\"color: navy\">" </span><b>alias </b>Consent <b>as </b><b>target</b>\r\n<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>\r\n\r\n<b>group </b>ExtractDeclineForm<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\"> {\r\n</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>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Guarded on the person having actually signed. A refusal built from a</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">half-filled form asserts that somebody declined care when they may not have.</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>item.where(linkId = 'signatures').item.where(linkId = 'signatures/person-signed').answer.value = true<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\">'Consent'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">consent</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> consent<span style=\"color: navy\">, </span> entry<b> then </b>BuildConsentBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">consent</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>consent.status = <span style=\"color: blue\">'active'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">`deny`, not `permit`. This is the one form in the set that records a</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">refusal, and the whole resource turns on this single code.</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>consent.decision = <span style=\"color: blue\">'deny'</span> <i>"decision"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>consent.category<b> as </b><span style=\"color: maroon\">cat</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cat.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/consentcategorycodes'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'acd'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Advance Directive'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cat.text = <span style=\"color: blue\">'Decline of care, procedure or assessment'</span> <i>"categoryText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">sg</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'signatures'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sg.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'signatures/signed-on') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>consent.date = <span style=\"color: maroon\">d</span> <i>"signedDate"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"signedOnRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">The witness verifies the refusal. On this form that matters more than on</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">a consent: the hospital is recording that somebody left against advice.</span>\r\n sg.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'signatures/witness-signed') and (answer.value = true)<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>consent.verification<b> as </b><span style=\"color: maroon\">ver</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>ver.verified = <span style=\"color: blue\">true</span> <i>"verified"</i><span style=\"color: navy\">;</span>\r\n sg.item<b> as </b><span style=\"color: maroon\">wn</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'signatures/witness-name') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> wn.answer first<b> as </b><span style=\"color: maroon\">wa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> wa.value<b> as </b><span style=\"color: maroon\">txt</span><span style=\"color: navy\"><b> -> </b></span> ver.verifiedBy = <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.display = <span style=\"color: maroon\">txt</span> <i>"witnessDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"witnessNameRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"witnessVerification"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"signaturesGroup"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">pg</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'person-declining'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> pg.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'person-declining/name') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">txt</span><span style=\"color: navy\"><b> -> </b></span> consent.grantor = <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.display = <span style=\"color: maroon\">txt</span> <i>"grantorDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"nameRule"</i><span style=\"color: navy\">;</span>\r\n pg.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'person-declining/relationship') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">txt</span><span style=\"color: navy\"><b> -> </b></span> consent.grantor = <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.display = <span style=\"color: maroon\">txt</span> <i>"relationshipDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"relationshipRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"personGroup"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">eg</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'what-was-explained'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> eg.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'what-was-explained/doctor') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">ref</span><span style=\"color: navy\"><b> -> </b></span>consent.manager = <span style=\"color: maroon\">ref</span> <i>"manager"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"doctorRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"explainedGroup"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── One provision per thing refused ─────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">The sheet prints "care/procedure/assessment" as one slashed phrase. A</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">single provision saying all three would record a patient who declined one</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">investigation as having refused every kind of care, which is both wrong</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">and the sort of wrong that ends up in a coroner's court.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'declining'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -> </b></span>consent.provision<b> as </b><span style=\"color: maroon\">prov</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">cv</span><span style=\"color: navy\"><b> -> </b></span>prov.code<b> as </b><span style=\"color: maroon\">pc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>pc.coding = <span style=\"color: maroon\">cv</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>pc.text = <span style=\"color: maroon\">d</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"declineCode"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"declineProvision"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"decliningGroup"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'procedure-declined') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>consent.provision<b> as </b><span style=\"color: maroon\">prov</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">txt</span><span style=\"color: navy\"><b> -> </b></span> prov.code<b> as </b><span style=\"color: maroon\">pc</span><span style=\"color: navy\">, </span> pc.text = <span style=\"color: maroon\">txt</span> <i>"procedureText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"procedureDeclinedProvision"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Where the patient is going. Recorded on the Consent because it is part of</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">the refusal -- a patient transferring to another hospital and one going</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">home carry different follow-up obligations.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'destination') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>consent.provision<b> as </b><span style=\"color: maroon\">prov</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">cv</span><span style=\"color: navy\"><b> -> </b></span>prov.code<b> as </b><span style=\"color: maroon\">pc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>pc.coding = <span style=\"color: maroon\">cv</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>pc.text = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Opting to go to: '</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">d</span><span style=\"color: navy\">)</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"destinationCode"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"destinationProvision"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"createDeclineConsent"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── Was the refusal informed? ───────────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Its own Observation. Not a provision -- it is not a thing being refused --</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">but it is the fact that makes the refusal defensible, and it carries the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">language the discussion was held in. The paper form is bilingual and the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">language was previously only implied by which half of the sheet was signed.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'what-was-explained'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'what-was-explained/understood') 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\"> {\r\n</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>\r\n 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>\r\n 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\"> {\r\n</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\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'capacity-to-consent'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Capacity to consent'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cc.text = <span style=\"color: blue\">'Understood the explanation of the condition and the risks of declining'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">cv</span><span style=\"color: navy\"><b> -> </b></span>obs.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\">vc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>vc.coding = <span style=\"color: maroon\">cv</span> <i>"valueCoding"</i><span style=\"color: navy\">;</span>\r\n cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>vc.text = <span style=\"color: maroon\">d</span> <i>"valueText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codedValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">cv</span><b> where </b><span style=\"color: navy\">(</span>code = 'N'<span style=\"color: navy\">)</span><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\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>interp.coding<b> as </b><span style=\"color: maroon\">icg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>icg.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n cv<span style=\"color: navy\"><b> -> </b></span>icg.code = <span style=\"color: blue\">'A'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n cv<span style=\"color: navy\"><b> -> </b></span>icg.display = <span style=\"color: blue\">'Abnormal'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"notUnderstoodInterp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"understoodInterpretation"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'what-was-explained/language'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</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\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"note"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'what-was-explained/condition-and-risks'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</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\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"note2"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"understoodObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"explainedGroup"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Shared scaffolding. Repeated in each map rather than imported: the transform</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">engine resolves `imports` against whatever StructureMaps happen to be on the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">server, and a form that stops extracting because a shared map was not</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">uploaded is a worse failure than a duplicated group.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Two notes on what the publisher's StructureMap validator says about this file.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Source parameters below are left untyped on purpose. Writing `: Element` makes</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">the validator compare QuestionnaireResponse.item against the literal 'Element'</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">and report them as incompatible with each other, which is noise, not a finding.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were</span>\r\n<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>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">outright -- it wants a parameter, a comma, then the FHIRPath -- so the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">publisher is objecting to what its own compiler emits. Two arguments is the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">only form that compiles, and it is what the R5 transform engine executes.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<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\"> {\r\n</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>\r\n 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>\r\n 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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Observation'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.status = <span style=\"color: blue\">'final'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n 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>\r\n 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>\r\n 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>\r\n 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>\r\n qr<b> where </b><span style=\"color: navy\">(</span>source.exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</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>\r\n <span style=\"color: navy\">}</span> <i>"performerFallback"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">A stored response's id already reads "QuestionnaireResponse/<id>", so it is</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">a relative reference as it stands. The hasValue() guard is what stops an</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">unsaved response -- one posted straight to $extract rather than saved first</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">-- from writing "QuestionnaireResponse/null" into the record.</span>\r\n qr.id<b> as </b><span style=\"color: maroon\">qid</span><b> where </b><span style=\"color: navy\">(</span>$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>\r\n<span style=\"color: navy\">}\r\n\r\n</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\"> {\r\n</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>\r\n<span style=\"color: navy\">}\r\n\r\n</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>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">typed property name fails at transform time on HAPI R5 with "Attempt to read</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">invalid property ... on QuestionnaireResponse.item.answer".</span>\r\n<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\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</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\"> {\r\n</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>\r\n 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>\r\n <span style=\"color: navy\">}</span> <i>"codedValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"componentAnswer"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</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\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</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>\r\n <span style=\"color: navy\">}</span> <i>"componentAnswer"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</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\"> {\r\n</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\"> {\r\n</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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'survey'</span> <i>"categoryCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Survey'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>BuildConsentBase<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>Consent, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>r<b> then </b>SetResponseProvenance<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">r</span><span style=\"color: navy\">)</span> <i>"responseProvenance"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>r.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetConsentFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">r</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>\r\n 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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Consent'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>r.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetConsentFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">r</span><span style=\"color: navy\"> : </span>Consent, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> r.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/Consent/'</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>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">── Provenance and tenancy ───────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Two tags on everything this map creates. The first says which questionnaire</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">produced it, so a form that reopens mid-admission recalls its own earlier</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">entries and not another form's. The second copies the tenant tags off the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">response, because nothing else on the path puts them there.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">The code is the form's document type, not the questionnaire's id: every</span>\r\n<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>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">here would tie the tag to whichever environment stamped it.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">── Provenance and tenancy ───────────────────────────────────────────────────</span>\r\n<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\"> {\r\n</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\"> {\r\n</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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>t.code = <span style=\"color: blue\">'decline-form'</span> <i>"provenanceCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>t.display = <span style=\"color: blue\">'Decline form'</span> <i>"provenanceDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"provenanceTag"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"provenanceMeta"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Every tag the response carries, onto the resource. `meta` is 0..1, so this</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">lands on the same meta the rule above created rather than a second one.</span>\r\n qr.meta<b> as </b><span style=\"color: maroon\">qm</span><b> then</b><span style=\"color: navy\"> {\r\n</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>\r\n <span style=\"color: navy\">}</span> <i>"tenantTags"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
},
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