{ "resourceType" : "StructureMap", "id" : "ExtractDischargeClearanceClinicalReadiness", "text" : { "status" : "generated", "div" : "

Generated Narrative: StructureMap ExtractDischargeClearanceClinicalReadiness

\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractDischargeClearanceClinicalReadiness'\r\n/// name = 'ExtractDischargeClearanceClinicalReadiness'\r\n/// title = 'Discharge Clearance: Clinical Readiness Extraction'\r\n/// status = 'active'\r\n/// description = 'Turns the discharging clinician\\'s readiness attestation into four survey Observations: oral intake, mobility, pain control and the condition the patient is leaving in. Each is its own Observation because a clinician answers four separate questions and one flat resource would let an answer to one stand in for an answer to another. The handover sentence rides as a note on the condition Observation rather than becoming a fifth: it is prose about the discharge, and an Observation whose value is a paragraph answers no query. Nothing here writes to the Encounter -- closing the stay and recording the discharge disposition belong to the EMR\\'s discharge workflow, and the condition a patient leaves in is a different axis from where they went. The signature the form collects is a typed name, which SGHIObservation cannot carry as a performer, so it stays in the response and out of the extracted resources.'\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target\r\n\r\ngroup ExtractDischargeClearanceClinicalReadiness(source qr : QR, target bundle : Bundle) {\r\n  qr -> bundle.type = 'transaction' "setBundleType";\r\n  // linkId 301989955559 — "Oral intake tolerated"\r\n  qr.item as it where ((linkId = '301989955559') and answer.value.exists()) then {\r\n    it.answer first as a then {\r\n      a ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {\r\n        qr ->  obs,  entry then BuildClearanceObs(qr, obs, entry) "oralIntakeBase";\r\n        qr -> obs.code as oralIntakeCodeCc then {\r\n          qr -> oralIntakeCodeCc.coding as oralIntakeCodeCoding then {\r\n            qr -> oralIntakeCodeCoding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "oralIntakeCodeSystem";\r\n            qr -> oralIntakeCodeCoding.code = 'oral-intake-at-discharge' "oralIntakeCodeCode";\r\n            qr -> oralIntakeCodeCoding.display = 'Oral intake tolerated at discharge' "oralIntakeCodeDisplay";\r\n          } "oralIntakeCodeCodingRule";\r\n        } "oralIntakeCode";\r\n        a -> obs then SetCodedValue(a, obs) "oralIntakeValue";\r\n      } "oralIntakeObs";\r\n    } "oralIntakeAnswer";\r\n  } "oralIntakeRule";\r\n  // linkId 507198101338 — "Mobility"\r\n  qr.item as it where ((linkId = '507198101338') and answer.value.exists()) then {\r\n    it.answer first as a then {\r\n      a ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {\r\n        qr ->  obs,  entry then BuildClearanceObs(qr, obs, entry) "mobilityBase";\r\n        qr -> obs.code as mobilityCodeCc then {\r\n          qr -> mobilityCodeCc.coding as mobilityCodeCoding then {\r\n            qr -> mobilityCodeCoding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "mobilityCodeSystem";\r\n            qr -> mobilityCodeCoding.code = 'mobility-at-discharge' "mobilityCodeCode";\r\n            qr -> mobilityCodeCoding.display = 'Mobility at discharge' "mobilityCodeDisplay";\r\n          } "mobilityCodeCodingRule";\r\n        } "mobilityCode";\r\n        a -> obs then SetCodedValue(a, obs) "mobilityValue";\r\n      } "mobilityObs";\r\n    } "mobilityAnswer";\r\n  } "mobilityRule";\r\n  // linkId 852812667233 — "Pain controlled"\r\n  qr.item as it where ((linkId = '852812667233') and answer.value.exists()) then {\r\n    it.answer first as a then {\r\n      a ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {\r\n        qr ->  obs,  entry then BuildClearanceObs(qr, obs, entry) "painControlBase";\r\n        qr -> obs.code as painControlCodeCc then {\r\n          qr -> painControlCodeCc.coding as painControlCodeCoding then {\r\n            qr -> painControlCodeCoding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "painControlCodeSystem";\r\n            qr -> painControlCodeCoding.code = 'pain-control-at-discharge' "painControlCodeCode";\r\n            qr -> painControlCodeCoding.display = 'Pain control at discharge' "painControlCodeDisplay";\r\n          } "painControlCodeCodingRule";\r\n        } "painControlCode";\r\n        a -> obs then SetCodedValue(a, obs) "painControlValue";\r\n      } "painControlObs";\r\n    } "painControlAnswer";\r\n  } "painControlRule";\r\n  // linkId 108099570999 — "Condition at discharge". This one carries the\r\n  // free-text handover as a note, so it is the Observation a reader lands on\r\n  // when they want the clinician's own words.\r\n  qr.item as it where ((linkId = '108099570999') and answer.value.exists()) then {\r\n    it.answer first as a then {\r\n      a ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {\r\n        qr ->  obs,  entry then BuildClearanceObs(qr, obs, entry) "conditionBase";\r\n        qr -> obs.code as conditionCodeCc then {\r\n          qr -> conditionCodeCc.coding as conditionCodeCoding then {\r\n            qr -> conditionCodeCoding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "conditionCodeSystem";\r\n            qr -> conditionCodeCoding.code = 'patient-condition-at-discharge' "conditionCodeCode";\r\n            qr -> conditionCodeCoding.display = 'Condition at discharge' "conditionCodeDisplay";\r\n          } "conditionCodeCodingRule";\r\n        } "conditionCode";\r\n        a -> obs then SetCodedValue(a, obs) "conditionValue";\r\n        // linkId 474741611141 — "Anything the next clinician should know"\r\n        qr.item as itNote where ((linkId = '474741611141') and answer.value.exists()) then {\r\n          itNote.answer first as aNote then {\r\n            aNote.value as nv -> obs.note as note then {\r\n              nv -> note.text = nv "handoverNoteText";\r\n              qr.authored as t -> note.time = t "handoverNoteTime";\r\n            } "handoverNote";\r\n          } "handoverNoteAnswer";\r\n        } "handoverNoteRule";\r\n      } "conditionObs";\r\n    } "conditionAnswer";\r\n  } "conditionRule";\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Shared scaffolding. Repeated in each clearance map rather than imported: the\r\n// transform engine resolves `imports` against whatever StructureMaps happen to\r\n// be on the server, and a clearance that stops extracting because a shared map\r\n// was not uploaded is a worse failure than a duplicated group.\r\n// Source parameters are left untyped on purpose. Writing `: Element` makes the\r\n// publisher's StructureMap validator compare QuestionnaireResponse.item against\r\n// the literal 'Element' and report them as incompatible, which is noise.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\ngroup BuildClearanceObs(source qr : QR, target obs : Observation, target entry) {\r\n  qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";\r\n  qr -> entry.request as request then {\r\n    qr -> request.method = 'POST' "requestMethod";\r\n    qr -> request.url = 'Observation' "requestUrl";\r\n  } "entryRequest";\r\n  qr -> obs.status = 'final' "status";\r\n  qr -> obs.category as categoryCc then {\r\n    qr -> categoryCc.coding as categoryCoding then {\r\n      qr -> categoryCoding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n      qr -> categoryCoding.code = 'survey' "categoryCode";\r\n      qr -> categoryCoding.display = 'Survey' "categoryDisplay";\r\n    } "categoryCodingRule";\r\n  } "category";\r\n  qr.subject as s -> obs.subject = s;\r\n  qr.encounter as e -> obs.encounter = e;\r\n  // `effective`, not `effectiveInstant`: the R5 transform engine writes choice\r\n  // elements by their base name and rejects the typed form.\r\n  // Advantage stamps `authored` when the clearances are submitted, not when each\r\n  // was signed, so a clearance signed at two in the morning and submitted at the\r\n  // handover carries the handover time. Sending the signature time on the\r\n  // response would fix it at the source; there is nothing on the response for a\r\n  // map to read it from.\r\n  qr.authored as t -> obs.effective = t "effective";\r\n  qr.authored as t -> obs.issued = cast(t, 'instant') "issued";\r\n  // The facility, not the person who signed: SGHIObservation admits only an\r\n  // Organization or a Patient as performer, and the form's signature is a typed\r\n  // name that resolves to neither.\r\n  qr.source as src -> obs.performer = create('Reference') as perf then {\r\n    src.reference as ref -> perf.reference = ref "performerRef";\r\n    src.display as disp -> perf.display = disp "performerDisplay";\r\n  } "performer";\r\n  // One identifier per resource. Copying the response's own would give every\r\n  // Observation from a single form the same business identity.\r\n  qr -> obs.identifier as ident then {\r\n    qr -> ident.use = 'official' "identifierUse";\r\n    qr -> ident.type as identifierTypeCc then {\r\n      qr -> identifierTypeCc.coding as identifierTypeCoding then {\r\n        qr -> identifierTypeCoding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem' "identifierTypeSystem";\r\n        qr -> identifierTypeCoding.code = 'default-id' "identifierTypeCode";\r\n        qr -> identifierTypeCoding.display = 'Default Resource Identifier' "identifierTypeDisplay";\r\n      } "identifierTypeCodingRule";\r\n    } "identifierType";\r\n    qr -> ident.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem' "identifierSystem";\r\n    qr -> ident.value = uuid() "identifierValue";\r\n    qr.source as src -> ident.assigner = src "identifierAssigner";\r\n  } "identifier";\r\n  // No append: under this engine `qr.id` already resolves to the type-qualified\r\n  // relative reference, so prefixing it again produces a reference to nothing.\r\n  qr -> obs.derivedFrom = create('Reference') as ref then {\r\n    qr.id as qid -> ref.reference = qid "derivedFromRef";\r\n  } "linkQuestionnaireResponse";\r\n}\r\n\r\ngroup SetCodedValue(source a, target obs : Observation) {\r\n  a.value as cv -> obs.value = create('CodeableConcept') as concept then {\r\n    cv -> concept.coding = cv "valueCoding";\r\n    cv.display as d -> concept.text = d "valueText";\r\n  } "codedValue";\r\n}\r\n\r\ngroup SetObservationFullUrl(source obs : Observation, target entry) {\r\n  obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl";\r\n}\r\n\r\n
" }, "url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractDischargeClearanceClinicalReadiness", "version" : "0.1.0", "name" : "ExtractDischargeClearanceClinicalReadiness", "title" : "Discharge Clearance: Clinical Readiness Extraction", "status" : "active", "date" : "2026-09-14T06:31:13+00:00", "publisher" : "Kathurima Kimathi", "contact" : [{ "name" : "Kathurima Kimathi", "telecom" : [{ "system" : "url", "value" : "https://www.linkedin.com/in/kathurima-kimathi/" }, { "system" : "email", "value" : "kathurimakimathi415@gmail.com" }] }, { "name" : "Oscar John", "telecom" : [{ "system" : "email", "value" : "oscarjohnotieno@gmail.com", "use" : "work" }] }, { "name" : "Kennedy Omondi", "telecom" : [{ "system" : "email", "value" : "kennankole@gmail.com", "use" : "work" }] }], "description" : "Turns the discharging clinician's readiness attestation into four survey Observations: oral intake, mobility, pain control and the condition the patient is leaving in. Each is its own Observation because a clinician answers four separate questions and one flat resource would let an answer to one stand in for an answer to another. The handover sentence rides as a note on the condition Observation rather than becoming a fifth: it is prose about the discharge, and an Observation whose value is a paragraph answers no query. Nothing here writes to the Encounter -- closing the stay and recording the discharge disposition belong to the EMR's discharge workflow, and the condition a patient leaves in is a different axis from where they went. The signature the form collects is a typed name, which SGHIObservation cannot carry as a performer, so it stays in the response and out of the extracted resources.", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "mode" : "source", "alias" : "QR" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "target", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "target", "alias" : "Observation" }], "group" : [{ "name" : "ExtractDischargeClearanceClinicalReadiness", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "bundle", "type" : "Bundle", "mode" : "target" }], "rule" : [{ "name" : "setBundleType", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "bundle", "element" : "type", "transform" : "copy", "parameter" : [{ "valueString" : "transaction" }] }] }, { "name" : "oralIntakeRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "it", "condition" : "(linkId = '301989955559') and answer.value.exists()" }], "rule" : [{ "name" : "oralIntakeAnswer", "source" : [{ "context" : "it", "element" : "answer", "listMode" : "first", "variable" : "a" }], "rule" : [{ "name" : "oralIntakeObs", "source" : [{ "context" : "a" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "obs", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "oralIntakeBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildClearanceObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obs" }, { "valueId" : "entry" }] }] }, { "name" : "oralIntakeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "code", "variable" : "oralIntakeCodeCc" }], "rule" : [{ "name" : "oralIntakeCodeCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oralIntakeCodeCc", "element" : "coding", "variable" : "oralIntakeCodeCoding" }], "rule" : [{ "name" : "oralIntakeCodeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oralIntakeCodeCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem" }] }] }, { "name" : "oralIntakeCodeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oralIntakeCodeCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "oral-intake-at-discharge" }] }] }, { "name" : "oralIntakeCodeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "oralIntakeCodeCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Oral intake tolerated at discharge" }] }] }] }] }, { "name" : "oralIntakeValue", "source" : [{ "context" : "a" }], "target" : [{ "context" : "obs" }], "dependent" : [{ "name" : "SetCodedValue", "parameter" : [{ "valueId" : "a" }, { "valueId" : "obs" }] }] }] }] }], "documentation" : "linkId 301989955559 — \"Oral intake tolerated\"" }, { "name" : "mobilityRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "it", "condition" : "(linkId = '507198101338') and answer.value.exists()" }], "rule" : [{ "name" : "mobilityAnswer", "source" : [{ "context" : "it", "element" : "answer", "listMode" : "first", "variable" : "a" }], "rule" : [{ "name" : "mobilityObs", "source" : [{ "context" : "a" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "obs", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "mobilityBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildClearanceObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obs" }, { "valueId" : "entry" }] }] }, { "name" : "mobilityCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "code", "variable" : "mobilityCodeCc" }], "rule" : [{ "name" : "mobilityCodeCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "mobilityCodeCc", "element" : "coding", "variable" : "mobilityCodeCoding" }], "rule" : [{ "name" : "mobilityCodeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "mobilityCodeCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem" }] }] }, { "name" : "mobilityCodeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "mobilityCodeCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "mobility-at-discharge" }] }] }, { "name" : "mobilityCodeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "mobilityCodeCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Mobility at discharge" }] }] }] }] }, { "name" : "mobilityValue", "source" : [{ "context" : "a" }], "target" : [{ "context" : "obs" }], "dependent" : [{ "name" : "SetCodedValue", "parameter" : [{ "valueId" : "a" }, { "valueId" : "obs" }] }] }] }] }], "documentation" : "linkId 507198101338 — \"Mobility\"" }, { "name" : "painControlRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "it", "condition" : "(linkId = '852812667233') and answer.value.exists()" }], "rule" : [{ "name" : "painControlAnswer", "source" : [{ "context" : "it", "element" : "answer", "listMode" : "first", "variable" : "a" }], "rule" : [{ "name" : "painControlObs", "source" : [{ "context" : "a" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "obs", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "painControlBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildClearanceObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obs" }, { "valueId" : "entry" }] }] }, { "name" : "painControlCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "code", "variable" : "painControlCodeCc" }], "rule" : [{ "name" : "painControlCodeCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "painControlCodeCc", "element" : "coding", "variable" : "painControlCodeCoding" }], "rule" : [{ "name" : "painControlCodeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "painControlCodeCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem" }] }] }, { "name" : "painControlCodeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "painControlCodeCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "pain-control-at-discharge" }] }] }, { "name" : "painControlCodeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "painControlCodeCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Pain control at discharge" }] }] }] }] }, { "name" : "painControlValue", "source" : [{ "context" : "a" }], "target" : [{ "context" : "obs" }], "dependent" : [{ "name" : "SetCodedValue", "parameter" : [{ "valueId" : "a" }, { "valueId" : "obs" }] }] }] }] }], "documentation" : "linkId 852812667233 — \"Pain controlled\"" }, { "name" : "conditionRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "it", "condition" : "(linkId = '108099570999') and answer.value.exists()" }], "rule" : [{ "name" : "conditionAnswer", "source" : [{ "context" : "it", "element" : "answer", "listMode" : "first", "variable" : "a" }], "rule" : [{ "name" : "conditionObs", "source" : [{ "context" : "a" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "obs", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "conditionBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildClearanceObs", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obs" }, { "valueId" : "entry" }] }] }, { "name" : "conditionCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "code", "variable" : "conditionCodeCc" }], "rule" : [{ "name" : "conditionCodeCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "conditionCodeCc", "element" : "coding", "variable" : "conditionCodeCoding" }], "rule" : [{ "name" : "conditionCodeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "conditionCodeCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem" }] }] }, { "name" : "conditionCodeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "conditionCodeCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "patient-condition-at-discharge" }] }] }, { "name" : "conditionCodeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "conditionCodeCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Condition at discharge" }] }] }] }] }, { "name" : "conditionValue", "source" : [{ "context" : "a" }], "target" : [{ "context" : "obs" }], "dependent" : [{ "name" : "SetCodedValue", "parameter" : [{ "valueId" : "a" }, { "valueId" : "obs" }] }] }, { "name" : "handoverNoteRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itNote", "condition" : "(linkId = '474741611141') and answer.value.exists()" }], "rule" : [{ "name" : "handoverNoteAnswer", "source" : [{ "context" : "itNote", "element" : "answer", "listMode" : "first", "variable" : "aNote" }], "rule" : [{ "name" : "handoverNote", "source" : [{ "context" : "aNote", "element" : "value", "variable" : "nv" }], "target" : [{ "context" : "obs", "element" : "note", "variable" : "note" }], "rule" : [{ "name" : "handoverNoteText", "source" : [{ "context" : "nv" }], "target" : [{ "context" : "note", "element" : "text", "transform" : "copy", "parameter" : [{ "valueId" : "nv" }] }] }, { "name" : "handoverNoteTime", "source" : [{ "context" : "qr", "element" : "authored", "variable" : "t" }], "target" : [{ "context" : "note", "element" : "time", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }] }] }] }], "documentation" : "linkId 474741611141 — \"Anything the next clinician should know\"" }] }] }], "documentation" : "linkId 108099570999 — \"Condition at discharge\". This one carries the\r\nfree-text handover as a note, so it is the Observation a reader lands on\r\nwhen they want the clinician's own words." }] }, { "name" : "BuildClearanceObs", "documentation" : "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each clearance map rather than imported: the\r\ntransform engine resolves `imports` against whatever StructureMaps happen to\r\nbe on the server, and a clearance that stops extracting because a shared map\r\nwas not uploaded is a worse failure than a duplicated group.\r\nSource parameters are left untyped on purpose. Writing `: Element` makes the\r\npublisher's StructureMap validator compare QuestionnaireResponse.item against\r\nthe literal 'Element' and report them as incompatible, which is noise.\r\n─────────────────────────────────────────────────────────────────────────────", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "obs", "type" : "Observation", "mode" : "target" }, { "name" : "entry", "mode" : "target" }], "rule" : [{ "name" : "idAndFullUrl", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "id", "transform" : "uuid" }], "dependent" : [{ "name" : "SetObservationFullUrl", "parameter" : [{ "valueId" : "obs" }, { "valueId" : "entry" }] }] }, { "name" : "entryRequest", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "entry", "element" : "request", "variable" : "request" }], "rule" : [{ "name" : "requestMethod", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "request", "element" : "method", "transform" : "copy", "parameter" : [{ "valueString" : "POST" }] }] }, { "name" : "requestUrl", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "request", "element" : "url", "transform" : "copy", "parameter" : [{ "valueString" : "Observation" }] }] }] }, { "name" : "status", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "status", "transform" : "copy", "parameter" : [{ "valueString" : "final" }] }] }, { "name" : "category", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "category", "variable" : "categoryCc" }], "rule" : [{ "name" : "categoryCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "categoryCc", "element" : "coding", "variable" : "categoryCoding" }], "rule" : [{ "name" : "categorySystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "categoryCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category" }] }] }, { "name" : "categoryCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "categoryCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "survey" }] }] }, { "name" : "categoryDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "categoryCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Survey" }] }] }] }] }, { "name" : "subject", "source" : [{ "context" : "qr", "element" : "subject", "variable" : "s" }], "target" : [{ "context" : "obs", "element" : "subject", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }, { "name" : "encounter", "source" : [{ "context" : "qr", "element" : "encounter", "variable" : "e" }], "target" : [{ "context" : "obs", "element" : "encounter", "transform" : "copy", "parameter" : [{ "valueId" : "e" }] }] }, { "name" : "effective", "source" : [{ "context" : "qr", "element" : "authored", "variable" : "t" }], "target" : [{ "context" : "obs", "element" : "effective", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }], "documentation" : "`effective`, not `effectiveInstant`: the R5 transform engine writes choice\r\nelements by their base name and rejects the typed form.\r\nAdvantage stamps `authored` when the clearances are submitted, not when each\r\nwas signed, so a clearance signed at two in the morning and submitted at the\r\nhandover carries the handover time. Sending the signature time on the\r\nresponse would fix it at the source; there is nothing on the response for a\r\nmap to read it from." }, { "name" : "issued", "source" : [{ "context" : "qr", "element" : "authored", "variable" : "t" }], "target" : [{ "context" : "obs", "element" : "issued", "transform" : "cast", "parameter" : [{ "valueId" : "t" }, { "valueString" : "instant" }] }] }, { "name" : "performer", "source" : [{ "context" : "qr", "element" : "source", "variable" : "src" }], "target" : [{ "context" : "obs", "element" : "performer", "variable" : "perf", "transform" : "create", "parameter" : [{ "valueString" : "Reference" }] }], "rule" : [{ "name" : "performerRef", "source" : [{ "context" : "src", "element" : "reference", "variable" : "ref" }], "target" : [{ "context" : "perf", "element" : "reference", "transform" : "copy", "parameter" : [{ "valueId" : "ref" }] }] }, { "name" : "performerDisplay", "source" : [{ "context" : "src", "element" : "display", "variable" : "disp" }], "target" : [{ "context" : "perf", "element" : "display", "transform" : "copy", "parameter" : [{ "valueId" : "disp" }] }] }], "documentation" : "The facility, not the person who signed: SGHIObservation admits only an\r\nOrganization or a Patient as performer, and the form's signature is a typed\r\nname that resolves to neither." }, { "name" : "identifier", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "identifier", "variable" : "ident" }], "rule" : [{ "name" : "identifierUse", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ident", "element" : "use", "transform" : "copy", "parameter" : [{ "valueString" : "official" }] }] }, { "name" : "identifierType", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ident", "element" : "type", "variable" : "identifierTypeCc" }], "rule" : [{ "name" : "identifierTypeCodingRule", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "identifierTypeCc", "element" : "coding", "variable" : "identifierTypeCoding" }], "rule" : [{ "name" : "identifierTypeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "identifierTypeCoding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem" }] }] }, { "name" : "identifierTypeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "identifierTypeCoding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "default-id" }] }] }, { "name" : "identifierTypeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "identifierTypeCoding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Default Resource Identifier" }] }] }] }] }, { "name" : "identifierSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ident", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem" }] }] }, { "name" : "identifierValue", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ident", "element" : "value", "transform" : "uuid" }] }, { "name" : "identifierAssigner", "source" : [{ "context" : "qr", "element" : "source", "variable" : "src" }], "target" : [{ "context" : "ident", "element" : "assigner", "transform" : "copy", "parameter" : [{ "valueId" : "src" }] }] }], "documentation" : "One identifier per resource. Copying the response's own would give every\r\nObservation from a single form the same business identity." }, { "name" : "linkQuestionnaireResponse", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "derivedFrom", "variable" : "ref", "transform" : "create", "parameter" : [{ "valueString" : "Reference" }] }], "rule" : [{ "name" : "derivedFromRef", "source" : [{ "context" : "qr", "element" : "id", "variable" : "qid" }], "target" : [{ "context" : "ref", "element" : "reference", "transform" : "copy", "parameter" : [{ "valueId" : "qid" }] }] }], "documentation" : "No append: under this engine `qr.id` already resolves to the type-qualified\r\nrelative reference, so prefixing it again produces a reference to nothing." }] }, { "name" : "SetCodedValue", "input" : [{ "name" : "a", "mode" : "source" }, { "name" : "obs", "type" : "Observation", "mode" : "target" }], "rule" : [{ "name" : "codedValue", "source" : [{ "context" : "a", "element" : "value", "variable" : "cv" }], "target" : [{ "context" : "obs", "element" : "value", "variable" : "concept", "transform" : "create", "parameter" : [{ "valueString" : "CodeableConcept" }] }], "rule" : [{ "name" : "valueCoding", "source" : [{ "context" : "cv" }], "target" : [{ "context" : "concept", "element" : "coding", "transform" : "copy", "parameter" : [{ "valueId" : "cv" }] }] }, { "name" : "valueText", "source" : [{ "context" : "cv", "element" : "display", "variable" : "d" }], "target" : [{ "context" : "concept", "element" : "text", "transform" : "copy", "parameter" : [{ "valueId" : "d" }] }] }] }] }, { "name" : "SetObservationFullUrl", "input" : [{ "name" : "obs", "type" : "Observation", "mode" : "source" }, { "name" : "entry", "mode" : "target" }], "rule" : [{ "name" : "assignFullUrl", "source" : [{ "context" : "obs", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "entry", "element" : "fullUrl", "transform" : "append", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/Observation/" }, { "valueId" : "id" }] }] }] }] }