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" : "ExtractDischargeClearanceClinicalReadiness",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractDischargeClearanceClinicalReadiness</b></p><a name=\"ExtractDischargeClearanceClinicalReadiness\"> </a><a name=\"hcExtractDischargeClearanceClinicalReadiness\"> </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/ExtractDischargeClearanceClinicalReadiness'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractDischargeClearanceClinicalReadiness'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Discharge Clearance: Clinical Readiness 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\">'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.'</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/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>ExtractDischargeClearanceClinicalReadiness<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\">linkId 301989955559 — "Oral intake tolerated"</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '301989955559') 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<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>BuildClearanceObs<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>"oralIntakeBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.code<b> as </b><span style=\"color: maroon\">oralIntakeCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>oralIntakeCodeCc.coding<b> as </b><span style=\"color: maroon\">oralIntakeCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>oralIntakeCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"oralIntakeCodeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>oralIntakeCodeCoding.code = <span style=\"color: blue\">'oral-intake-at-discharge'</span> <i>"oralIntakeCodeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>oralIntakeCodeCoding.display = <span style=\"color: blue\">'Oral intake tolerated at discharge'</span> <i>"oralIntakeCodeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"oralIntakeCodeCodingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"oralIntakeCode"</i><span style=\"color: navy\">;</span>\r\n a<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"oralIntakeValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"oralIntakeObs"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"oralIntakeAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"oralIntakeRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 507198101338 — "Mobility"</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '507198101338') 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<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>BuildClearanceObs<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>"mobilityBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.code<b> as </b><span style=\"color: maroon\">mobilityCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>mobilityCodeCc.coding<b> as </b><span style=\"color: maroon\">mobilityCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>mobilityCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"mobilityCodeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>mobilityCodeCoding.code = <span style=\"color: blue\">'mobility-at-discharge'</span> <i>"mobilityCodeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>mobilityCodeCoding.display = <span style=\"color: blue\">'Mobility at discharge'</span> <i>"mobilityCodeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"mobilityCodeCodingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"mobilityCode"</i><span style=\"color: navy\">;</span>\r\n a<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"mobilityValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"mobilityObs"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"mobilityAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"mobilityRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 852812667233 — "Pain controlled"</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '852812667233') 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<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>BuildClearanceObs<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>"painControlBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.code<b> as </b><span style=\"color: maroon\">painControlCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>painControlCodeCc.coding<b> as </b><span style=\"color: maroon\">painControlCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>painControlCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"painControlCodeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>painControlCodeCoding.code = <span style=\"color: blue\">'pain-control-at-discharge'</span> <i>"painControlCodeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>painControlCodeCoding.display = <span style=\"color: blue\">'Pain control at discharge'</span> <i>"painControlCodeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"painControlCodeCodingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"painControlCode"</i><span style=\"color: navy\">;</span>\r\n a<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"painControlValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"painControlObs"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"painControlAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"painControlRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 108099570999 — "Condition at discharge". This one carries the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">free-text handover as a note, so it is the Observation a reader lands on</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">when they want the clinician's own words.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '108099570999') 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<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>BuildClearanceObs<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>"conditionBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.code<b> as </b><span style=\"color: maroon\">conditionCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>conditionCodeCc.coding<b> as </b><span style=\"color: maroon\">conditionCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>conditionCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"conditionCodeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>conditionCodeCoding.code = <span style=\"color: blue\">'patient-condition-at-discharge'</span> <i>"conditionCodeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>conditionCodeCoding.display = <span style=\"color: blue\">'Condition at discharge'</span> <i>"conditionCodeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"conditionCodeCodingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"conditionCode"</i><span style=\"color: navy\">;</span>\r\n a<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"conditionValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 474741611141 — "Anything the next clinician should know"</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itNote</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '474741611141') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> itNote.answer first<b> as </b><span style=\"color: maroon\">aNote</span><b> then</b><span style=\"color: navy\"> {\r\n</span> aNote.value<b> as </b><span style=\"color: maroon\">nv</span><span style=\"color: navy\"><b> -> </b></span>obs.note<b> as </b><span style=\"color: maroon\">note</span><b> then</b><span style=\"color: navy\"> {\r\n</span> nv<span style=\"color: navy\"><b> -> </b></span>note.text = <span style=\"color: maroon\">nv</span> <i>"handoverNoteText"</i><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>note.time = <span style=\"color: maroon\">t</span> <i>"handoverNoteTime"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"handoverNote"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"handoverNoteAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"handoverNoteRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"conditionObs"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"conditionAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"conditionRule"</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 clearance map rather than imported: the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">transform engine resolves `imports` against whatever StructureMaps happen to</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">be on the server, and a clearance that stops extracting because a shared map</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">was not uploaded is a worse failure than a duplicated group.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Source parameters are left untyped on purpose. Writing `: Element` makes the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">publisher's StructureMap validator compare QuestionnaireResponse.item against</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">the literal 'Element' and report them as incompatible, which is noise.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<b>group </b>BuildClearanceObs<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.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<span style=\"color: navy\"><b> -> </b></span>obs.category<b> as </b><span style=\"color: maroon\">categoryCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>categoryCc.coding<b> as </b><span style=\"color: maroon\">categoryCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>categoryCoding.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>categoryCoding.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>categoryCoding.display = <span style=\"color: blue\">'Survey'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCodingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</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 <span style=\"color: navy\">// </span><span style=\"color: green\">`effective`, not `effectiveInstant`: the R5 transform engine writes choice</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">elements by their base name and rejects the typed form.</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Advantage stamps `authored` when the clearances are submitted, not when each</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">was signed, so a clearance signed at two in the morning and submitted at the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">handover carries the handover time. Sending the signature time on the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">response would fix it at the source; there is nothing on the response for a</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">map to read it from.</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.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span>obs.issued = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'instant'</span><span style=\"color: navy\">)</span> <i>"issued"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">The facility, not the person who signed: SGHIObservation admits only an</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Organization or a Patient as performer, and the form's signature is a typed</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">name that resolves to neither.</span>\r\n qr.source<b> as </b><span style=\"color: maroon\">src</span><span style=\"color: navy\"><b> -> </b></span>obs.performer = <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\">perf</span><b> then</b><span style=\"color: navy\"> {\r\n</span> src.reference<b> as </b><span style=\"color: maroon\">ref</span><span style=\"color: navy\"><b> -> </b></span>perf.reference = <span style=\"color: maroon\">ref</span> <i>"performerRef"</i><span style=\"color: navy\">;</span>\r\n src.display<b> as </b><span style=\"color: maroon\">disp</span><span style=\"color: navy\"><b> -> </b></span>perf.display = <span style=\"color: maroon\">disp</span> <i>"performerDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"performer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">One identifier per resource. Copying the response's own would give every</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Observation from a single form the same business identity.</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.identifier<b> as </b><span style=\"color: maroon\">ident</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>ident.use = <span style=\"color: blue\">'official'</span> <i>"identifierUse"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ident.type<b> as </b><span style=\"color: maroon\">identifierTypeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>identifierTypeCc.coding<b> as </b><span style=\"color: maroon\">identifierTypeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>identifierTypeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem'</span> <i>"identifierTypeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>identifierTypeCoding.code = <span style=\"color: blue\">'default-id'</span> <i>"identifierTypeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>identifierTypeCoding.display = <span style=\"color: blue\">'Default Resource Identifier'</span> <i>"identifierTypeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"identifierTypeCodingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"identifierType"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ident.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem'</span> <i>"identifierSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ident.value = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span> <i>"identifierValue"</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>ident.assigner = <span style=\"color: maroon\">src</span> <i>"identifierAssigner"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"identifier"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">No append: under this engine `qr.id` already resolves to the type-qualified</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">relative reference, so prefixing it again produces a reference to nothing.</span>\r\n qr<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><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.id<b> as </b><span style=\"color: maroon\">qid</span><span style=\"color: navy\"><b> -> </b></span>ref.reference = <span style=\"color: maroon\">qid</span> <i>"derivedFromRef"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"linkQuestionnaireResponse"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetCodedValue<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">a</span>, <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> 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\">concept</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>concept.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>concept.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\">}\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></pre></div>"
},
"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"
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