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 |
<StructureMap xmlns="http://hl7.org/fhir">
<id value="ExtractEndoscopyInvestigation"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap ExtractEndoscopyInvestigation</b></p><a name="ExtractEndoscopyInvestigation"> </a><a name="hcExtractEndoscopyInvestigation"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractEndoscopyInvestigation'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractEndoscopyInvestigation'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Endoscopy Service Investigation Extraction'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'active'</span>
<span style="color: #cc00cc">/// <b>description</b> = </span><span style="color: blue">'The endoscopy form is a request, a procedure and a report on one sheet, so it extracts as all three: a Procedure coded by whichever scope was done, taking its own coding from the answer so a colonoscopy is coded as a colonoscopy and not as \'endoscopy\'; a DiagnosticReport under LOINC 18751-8 whose conclusion is the endoscopist\'s conclusion and whose result points at the findings Observation; a MedicationAdministration per drug given during the procedure; and a CarePlan for the suggested treatment. The findings live in an Observation rather than only in the report\'s narrative so that what was seen stays queryable after the report is filed.'</span>
<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>
<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>
<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>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/procedure.html" title="Procedure">http://hl7.org/fhir/StructureDefinition/Procedure</a><span style="color: navy">" </span><b>alias </b>Procedure <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/diagnosticreport.html" title="DiagnosticReport">http://hl7.org/fhir/StructureDefinition/DiagnosticReport</a><span style="color: navy">" </span><b>alias </b>DiagnosticReport <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/medicationadministration.html" title="MedicationAdministration">http://hl7.org/fhir/StructureDefinition/MedicationAdministration</a><span style="color: navy">" </span><b>alias </b>MedicationAdministration <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/careplan.html" title="CarePlan">http://hl7.org/fhir/StructureDefinition/CarePlan</a><span style="color: navy">" </span><b>alias </b>CarePlan <b>as </b><b>target</b>
<b>group </b>ExtractEndoscopyInvestigation<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"> {
</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>
<span style="color: navy">// </span><span style="color: green">── The report, and the findings Observation it points at ───────────────</span>
<span style="color: navy">// </span><span style="color: green">Built together and in this order because the report's `result` has to</span>
<span style="color: navy">// </span><span style="color: green">reference the Observation, and a reference to a resource created in a</span>
<span style="color: navy">// </span><span style="color: green">sibling rule is not reachable: the target variable does not exist there.</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'study'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> qr<b> where </b><span style="color: navy">(</span>item.where(linkId = 'findings').answer.value.exists() or item.where(linkId = 'conclusion').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">'DiagnosticReport'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">dr</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> dr<span style="color: navy">, </span> entry<b> then </b>BuildDiagnosticReportBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">dr</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>
qr<span style="color: navy"><b> -> </b></span>dr.status = <span style="color: blue">'final'</span> <i>"status"</i><span style="color: navy">;</span>
qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -> </b></span>dr.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">issued is an instant and qr.authored is a dateTime, so it needs the</span>
<span style="color: navy">// </span><span style="color: green">cast: "Unable to convert a dateTime to a Instant". The cast is safe</span>
<span style="color: navy">// </span><span style="color: green">because a QuestionnaireResponse.authored always carries a time.</span>
qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -> </b></span>dr.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>
qr<span style="color: navy"><b> -> </b></span>dr.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> qr<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"> {
</span> qr<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'18751-8'</span> <i>"cd"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Endoscopy study'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>dr.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</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"> {
</span> qr<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/v2-0074'</span> <i>"sys"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'OSL'</span> <i>"cd"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Outside Lab'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cat.text = <span style="color: blue">'Endoscopy unit'</span> <i>"catText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Effective time is the study's own time, not the form's. A report filed</span>
<span style="color: navy">// </span><span style="color: green">the next morning is still a report on yesterday's scope.</span>
g.item<b> as </b><span style="color: maroon">pa</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/performed-at') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> pa.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>dr.effective = <span style="color: maroon">v</span> <i>"effectiveFromStudy"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"effectiveRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">ep</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/endoscopist') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> ep.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">ref</span><span style="color: navy"><b> -> </b></span>dr.performer = <span style="color: maroon">ref</span> <i>"performer"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"performerRule"</i><span style="color: navy">;</span>
qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'conclusion') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span>dr.conclusion = <span style="color: maroon">txt</span> <i>"conclusionText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"conclusionRule"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">The findings, as an Observation the report points at.</span>
qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'findings') 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">sentry</span><span style="color: navy">, </span> sentry.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">sobs</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> sobs<span style="color: navy">, </span> sentry<b> then </b>BuildObsBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">sobs</span><span style="color: navy">, </span><span style="color: maroon">sentry</span><span style="color: navy">)</span> <i>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>sobs<b> then </b>SetProcedureCategory<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">sobs</span><span style="color: navy">)</span> <i>"category"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>sobs.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</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"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'endoscopy-endoscopic-findings'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Endoscopic findings'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span> sobs.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>"findingsText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span> dr.result = <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">fref</span><span style="color: navy">, </span> fref.reference = <b>reference</b><span style="color: navy">(</span><span style="color: maroon">sobs</span><span style="color: navy">)</span> <i>"linkResult"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"findingsObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"endoscopyReport"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── The procedure ─────────────────────────────────────────────────────</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/investigation') 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">'Procedure'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">proc</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> proc<span style="color: navy">, </span> entry<b> then </b>BuildProcedureBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">proc</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>
it<span style="color: navy"><b> -> </b></span>proc.status = <span style="color: blue">'completed'</span> <i>"status"</i><span style="color: navy">;</span>
qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -> </b></span>proc.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">cv</span><span style="color: navy"><b> -> </b></span>proc.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span> cv<span style="color: navy"><b> -> </b></span>cc.coding = <span style="color: maroon">cv</span> <i>"coding"</i><span style="color: navy">;</span>
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>"text"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codeFromAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">pa</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/performed-at') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> pa.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>proc.occurrence = <span style="color: maroon">v</span> <i>"occurrence"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"occurrenceRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">ep</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/endoscopist') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> ep.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">ref</span><span style="color: navy"><b> -> </b></span> proc.performer<b> as </b><span style="color: maroon">p</span><span style="color: navy">, </span> p.actor = <span style="color: maroon">ref</span> <i>"endoscopist"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"endoscopistRule"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">The assistant is a name typed on the form, not a picked practitioner,</span>
<span style="color: navy">// </span><span style="color: green">so it travels as the actor's display with no reference behind it.</span>
g.item<b> as </b><span style="color: maroon">asst</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/assistant-instrumentalist') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> asst.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span> proc.performer<b> as </b><span style="color: maroon">p</span><span style="color: navy">, </span> p.actor = <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">aref</span><span style="color: navy">, </span> aref.display = <span style="color: maroon">txt</span> <i>"assistant"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"assistantRule"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">mh</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/medical-history') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> mh.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span> proc.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>"historyNote"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"historyRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"endoscopyProcedure"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"studyGroup"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── The medical history, also as its own Observation ────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Duplicated deliberately. On the Procedure it is context for the operator;</span>
<span style="color: navy">// </span><span style="color: green">as an Observation it is a piece of history a later clinician can find</span>
<span style="color: navy">// </span><span style="color: green">without opening an endoscopy report to look for it.</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'study'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'study/medical-history') 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"> {
</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>
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>
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"> {
</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"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'11348-0'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'History of Past illness note'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cc.text = <span style="color: blue">'Relevant medical history recorded on the endoscopy request'</span> <i>"codeText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"narr_11348_0"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"historyObsGroup"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── Drugs given during the procedure ────────────────────────────────────</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'management'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">d</span><b> where </b><span style="color: navy">(</span>(linkId = 'management/drug') and item.where(linkId = 'management/drug/name').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">'MedicationAdministration'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ma</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> ma<span style="color: navy">, </span> entry<b> then </b>BuildMedicationAdministrationBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">ma</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>
d<span style="color: navy"><b> -> </b></span>ma.status = <span style="color: blue">'completed'</span> <i>"status"</i><span style="color: navy">;</span>
qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -> </b></span>ma.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
qr.source<b> as </b><span style="color: maroon">src</span><span style="color: navy"><b> -> </b></span> ma.performer<b> as </b><span style="color: maroon">p</span><span style="color: navy">, </span> p.actor = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableReference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cr</span><span style="color: navy">, </span> cr.reference = <span style="color: maroon">src</span> <i>"performer"</i><span style="color: navy">;</span>
d.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'management/drug/name'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span> ma.medication<b> as </b><span style="color: maroon">med</span><span style="color: navy">, </span> med.concept<b> as </b><span style="color: maroon">mc</span><span style="color: navy">, </span> mc.text = <span style="color: maroon">txt</span> <i>"medicationText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"drugNameRule"</i><span style="color: navy">;</span>
d.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'management/drug/dose') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span> ma.dosage<b> as </b><span style="color: maroon">dos</span><span style="color: navy">, </span> dos.text = <span style="color: maroon">txt</span> <i>"dosageText"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"drugDoseRule"</i><span style="color: navy">;</span>
qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -> </b></span>ma.occurence = <span style="color: maroon">t</span> <i>"occurrence"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"drugAdministration"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── Suggested treatment, as a plan ────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">A CarePlan and not a note: what the endoscopist suggests is the whole</span>
<span style="color: navy">// </span><span style="color: green">point of the referral coming back, and the referring clinician needs to</span>
<span style="color: navy">// </span><span style="color: green">find it as an outstanding action rather than as prose in a report.</span>
g.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'management/suggested-treatment') 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">'CarePlan'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">plan</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> plan<span style="color: navy">, </span> entry<b> then </b>BuildCarePlanBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">plan</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>
it<span style="color: navy"><b> -> </b></span>plan.status = <span style="color: blue">'active'</span> <i>"status"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>plan.intent = <span style="color: blue">'proposal'</span> <i>"intent"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>plan.title = <span style="color: blue">'Treatment suggested after endoscopy'</span> <i>"title"</i><span style="color: navy">;</span>
qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -> </b></span>plan.created = <span style="color: maroon">t</span> <i>"created"</i><span style="color: navy">;</span>
qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -> </b></span>plan.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
qr.source<b> as </b><span style="color: maroon">src</span><span style="color: navy"><b> -> </b></span>plan.custodian = <span style="color: maroon">src</span> <i>"custodian"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>plan.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span> it<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"> {
</span> it<span style="color: navy"><b> -> </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>"sys"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'18776-5'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Plan of care note'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span> a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -> </b></span>plan.description = <span style="color: maroon">txt</span> <i>"description"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"suggestedTreatmentPlan"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"managementGroup"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Shared scaffolding. Repeated in each map rather than imported: the transform</span>
<span style="color: navy">// </span><span style="color: green">engine resolves `imports` against whatever StructureMaps happen to be on the</span>
<span style="color: navy">// </span><span style="color: green">server, and a form that stops extracting because a shared map was not</span>
<span style="color: navy">// </span><span style="color: green">uploaded is a worse failure than a duplicated group.</span>
<span style="color: navy">// </span><span style="color: green">Two notes on what the publisher's StructureMap validator says about this file.</span>
<span style="color: navy">// </span><span style="color: green">Source parameters below are left untyped on purpose. Writing `: Element` makes</span>
<span style="color: navy">// </span><span style="color: green">the validator compare QuestionnaireResponse.item against the literal 'Element'</span>
<span style="color: navy">// </span><span style="color: green">and report them as incompatible with each other, which is noise, not a finding.</span>
<span style="color: navy">// </span><span style="color: green">`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were</span>
<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>
<span style="color: navy">// </span><span style="color: green">outright -- it wants a parameter, a comma, then the FHIRPath -- so the</span>
<span style="color: navy">// </span><span style="color: green">publisher is objecting to what its own compiler emits. Two arguments is the</span>
<span style="color: navy">// </span><span style="color: green">only form that compiles, and it is what the R5 transform engine executes.</span>
<span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<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"> {
</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>
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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'Observation'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs.status = <span style="color: blue">'final'</span> <i>"status"</i><span style="color: navy">;</span>
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>
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>
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>
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>
qr<b> where </b><span style="color: navy">(</span>source.exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span> <i>"performerFallback"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">A stored response's id already reads "QuestionnaireResponse/<id>", so it is</span>
<span style="color: navy">// </span><span style="color: green">a relative reference as it stands. The hasValue() guard is what stops an</span>
<span style="color: navy">// </span><span style="color: green">unsaved response -- one posted straight to $extract rather than saved first</span>
<span style="color: navy">// </span><span style="color: green">-- from writing "QuestionnaireResponse/null" into the record.</span>
qr.id<b> as </b><span style="color: maroon">qid</span><b> where </b><span style="color: navy">(</span>$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>
<span style="color: navy">}
</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"> {
</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>
<span style="color: navy">}
</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>
<span style="color: navy">// </span><span style="color: green">untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its</span>
<span style="color: navy">// </span><span style="color: green">typed property name fails at transform time on HAPI R5 with "Attempt to read</span>
<span style="color: navy">// </span><span style="color: green">invalid property ... on QuestionnaireResponse.item.answer".</span>
<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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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"> {
</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>
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>
<span style="color: navy">}</span> <i>"codedValue"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"componentAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span> <i>"componentAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</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"> {
</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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>coding.code = <span style="color: blue">'survey'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = <span style="color: blue">'Survey'</span> <i>"categoryDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"categoryCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>SetProcedureCategory<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"> {
</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"> {
</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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>coding.code = <span style="color: blue">'procedure'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = <span style="color: blue">'Procedure'</span> <i>"categoryDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"categoryCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>BuildProcedureBase<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>Procedure, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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>
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>SetProcedureFullUrl<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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'Procedure'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">The response's own time, as a floor, the way BuildObsBase does it. A rule</span>
<span style="color: navy">// </span><span style="color: green">that reads a time off the form overwrites this; without it a procedure whose</span>
<span style="color: navy">// </span><span style="color: green">date column was taken off on review has no time at all, and a procedure with</span>
<span style="color: navy">// </span><span style="color: green">no time cannot be ordered against the rest of the admission.</span>
qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -> </b></span>r.occurrence = <span style="color: maroon">t</span> <i>"occurrenceFallback"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}
</span><b>group </b>SetProcedureFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">r</span><span style="color: navy"> : </span>Procedure, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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/Procedure/'</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>
<span style="color: navy">}
</span><b>group </b>BuildDiagnosticReportBase<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>DiagnosticReport, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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>
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>SetDiagnosticReportFullUrl<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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'DiagnosticReport'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}
</span><b>group </b>SetDiagnosticReportFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">r</span><span style="color: navy"> : </span>DiagnosticReport, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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/DiagnosticReport/'</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>
<span style="color: navy">}
</span><b>group </b>BuildMedicationAdministrationBase<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>MedicationAdministration, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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>
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>SetMedicationAdministrationFullUrl<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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'MedicationAdministration'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
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>
<span style="color: navy">// </span><span style="color: green">The response's own time, as a floor. A row that names the time it was given</span>
<span style="color: navy">// </span><span style="color: green">overwrites this; a form whose time column was taken off on review would</span>
<span style="color: navy">// </span><span style="color: green">otherwise produce an administration with no time at all, which is not a</span>
<span style="color: navy">// </span><span style="color: green">record of an administration. Same fallback BuildObsBase already applies.</span>
qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -> </b></span>r.occurence = <span style="color: maroon">t</span> <i>"occurrenceFallback"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><b>group </b>SetMedicationAdministrationFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">r</span><span style="color: navy"> : </span>MedicationAdministration, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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/MedicationAdministration/'</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>
<span style="color: navy">}
</span><b>group </b>BuildCarePlanBase<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>CarePlan, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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>
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>SetCarePlanFullUrl<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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'CarePlan'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}
</span><b>group </b>SetCarePlanFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">r</span><span style="color: navy"> : </span>CarePlan, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</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/CarePlan/'</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>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">── Provenance and tenancy ───────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Two tags on everything this map creates. The first says which questionnaire</span>
<span style="color: navy">// </span><span style="color: green">produced it, so a form that reopens mid-admission recalls its own earlier</span>
<span style="color: navy">// </span><span style="color: green">entries and not another form's. The second copies the tenant tags off the</span>
<span style="color: navy">// </span><span style="color: green">response, because nothing else on the path puts them there.</span>
<span style="color: navy">// </span><span style="color: green">The code is the form's document type, not the questionnaire's id: every</span>
<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>
<span style="color: navy">// </span><span style="color: green">here would tie the tag to whichever environment stamped it.</span>
<span style="color: navy">// </span><span style="color: green">── Provenance and tenancy ───────────────────────────────────────────────────</span>
<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"> {
</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"> {
</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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>t.code = <span style="color: blue">'endoscopy-investigation'</span> <i>"provenanceCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>t.display = <span style="color: blue">'Endoscopy service investigation form'</span> <i>"provenanceDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"provenanceTag"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"provenanceMeta"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Every tag the response carries, onto the resource. `meta` is 0..1, so this</span>
<span style="color: navy">// </span><span style="color: green">lands on the same meta the rule above created rather than a second one.</span>
qr.meta<b> as </b><span style="color: maroon">qm</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span> <i>"tenantTags"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span></pre></div>
</text>
<url
value="https://fhir.slade360.co.ke/fhir/StructureMap/ExtractEndoscopyInvestigation"/>
<version value="0.1.0"/>
<name value="ExtractEndoscopyInvestigation"/>
<title value="Endoscopy Service Investigation Extraction"/>
<status value="active"/>
<date value="2026-09-14T06:31:13+00:00"/>
<publisher value="Kathurima Kimathi"/>
<contact>
<name value="Kathurima Kimathi"/>
<telecom>
<system value="url"/>
<value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
</telecom>
<telecom>
<system value="email"/>
<value value="kathurimakimathi415@gmail.com"/>
</telecom>
</contact>
<contact>
<name value="Oscar John"/>
<telecom>
<system value="email"/>
<value value="oscarjohnotieno@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<contact>
<name value="Kennedy Omondi"/>
<telecom>
<system value="email"/>
<value value="kennankole@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<description
value="The endoscopy form is a request, a procedure and a report on one sheet, so it extracts as all three: a Procedure coded by whichever scope was done, taking its own coding from the answer so a colonoscopy is coded as a colonoscopy and not as 'endoscopy'; a DiagnosticReport under LOINC 18751-8 whose conclusion is the endoscopist's conclusion and whose result points at the findings Observation; a MedicationAdministration per drug given during the procedure; and a CarePlan for the suggested treatment. The findings live in an Observation rather than only in the report's narrative so that what was seen stays queryable after the report is filed."/>
<structure>
<url
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
<mode value="source"/>
<alias value="QR"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
<mode value="target"/>
<alias value="Bundle"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mode value="target"/>
<alias value="Observation"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
<mode value="target"/>
<alias value="Procedure"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
<mode value="target"/>
<alias value="DiagnosticReport"/>
</structure>
<structure>
<url
value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
<mode value="target"/>
<alias value="MedicationAdministration"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
<mode value="target"/>
<alias value="CarePlan"/>
</structure>
<group>
<name value="ExtractEndoscopyInvestigation"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="bundle"/>
<type value="Bundle"/>
<mode value="target"/>
</input>
<rule>
<name value="setBundleType"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="bundle"/>
<element value="type"/>
<transform value="copy"/>
<parameter>
<valueString value="transaction"/>
</parameter>
</target>
</rule>
<rule>
<name value="studyGroup"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'study'"/>
</source>
<rule>
<name value="endoscopyReport"/>
<source>
<context value="qr"/>
<condition
value="item.where(linkId = 'findings').answer.value.exists() or item.where(linkId = 'conclusion').answer.value.exists()"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="entry"/>
</target>
<target>
<context value="entry"/>
<element value="resource"/>
<variable value="dr"/>
<transform value="create"/>
<parameter>
<valueString value="DiagnosticReport"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="dr"/>
</target>
<target>
<context value="entry"/>
</target>
<dependent>
<name value="BuildDiagnosticReportBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="dr"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="status"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="dr"/>
<element value="status"/>
<transform value="copy"/>
<parameter>
<valueString value="final"/>
</parameter>
</target>
</rule>
<rule>
<name value="encounter"/>
<source>
<context value="qr"/>
<element value="encounter"/>
<variable value="e"/>
</source>
<target>
<context value="dr"/>
<element value="encounter"/>
<transform value="copy"/>
<parameter>
<valueId value="e"/>
</parameter>
</target>
</rule>
<rule>
<name value="issued"/>
<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
</source>
<target>
<context value="dr"/>
<element value="issued"/>
<transform value="cast"/>
<parameter>
<valueId value="t"/>
</parameter>
<parameter>
<valueString value="instant"/>
</parameter>
</target>
<documentation
value="issued is an instant and qr.authored is a dateTime, so it needs the
cast: "Unable to convert a dateTime to a Instant". The cast is safe
because a QuestionnaireResponse.authored always carries a time."/>
</rule>
<rule>
<name value="code"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="dr"/>
<element value="code"/>
<variable value="cc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="18751-8"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Endoscopy study"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="dr"/>
<element value="category"/>
<variable value="cat"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="OSL"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Outside Lab"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="catText"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString value="Endoscopy unit"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="effectiveRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="pa"/>
<condition
value="(linkId = 'study/performed-at') and answer.value.exists()"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="pa"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="effectiveFromStudy"/>
<source>
<context value="a"/>
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<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Plan of care note"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="description"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="plan"/>
<element value="description"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
<documentation
value="── Suggested treatment, as a plan ────────────────────────────────────
A CarePlan and not a note: what the endoscopist suggests is the whole
point of the referral coming back, and the referring clinician needs to
find it as an outstanding action rather than as prose in a report."/>
</rule>
<documentation
value="── Drugs given during the procedure ────────────────────────────────────"/>
</rule>
</group>
<group>
<name value="BuildObsBase"/>
<documentation
value="─────────────────────────────────────────────────────────────────────────────
Shared scaffolding. Repeated in each map rather than imported: the transform
engine resolves `imports` against whatever StructureMaps happen to be on the
server, and a form that stops extracting because a shared map was not
uploaded is a worse failure than a duplicated group.
Two notes on what the publisher's StructureMap validator says about this file.
Source parameters below are left untyped on purpose. Writing `: Element` makes
the validator compare QuestionnaireResponse.item against the literal 'Element'
and report them as incompatible with each other, which is noise, not a finding.
`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were
found". Leave it. The FML parser in the same jar refuses the one-argument form
outright -- it wants a parameter, a comma, then the FHIRPath -- so the
publisher is objecting to what its own compiler emits. Two arguments is the
only form that compiles, and it is what the R5 transform engine executes.
─────────────────────────────────────────────────────────────────────────────"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="obs"/>
<type value="Observation"/>
<mode value="target"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="responseProvenance"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
</target>
<dependent>
<name value="SetResponseProvenance"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="obs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="idAndFullUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="id"/>
<transform value="uuid"/>
</target>
<dependent>
<name value="SetObservationFullUrl"/>
<parameter>
<valueId value="obs"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
</target>
<rule>
<name value="requestMethod"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
</parameter>
</target>
</rule>
<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="status"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="status"/>
<transform value="copy"/>
<parameter>
<valueString value="final"/>
</parameter>
</target>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="obs"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
<rule>
<name value="encounter"/>
<source>
<context value="qr"/>
<element value="encounter"/>
<variable value="e"/>
</source>
<target>
<context value="obs"/>
<element value="encounter"/>
<transform value="copy"/>
<parameter>
<valueId value="e"/>
</parameter>
</target>
</rule>
<rule>
<name value="effective"/>
<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
</source>
<target>
<context value="obs"/>
<element value="effective"/>
<transform value="copy"/>
<parameter>
<valueId value="t"/>
</parameter>
</target>
</rule>
<rule>
<name value="performerFromSource"/>
<source>
<context value="qr"/>
<element value="source"/>
<variable value="src"/>
</source>
<target>
<context value="obs"/>
<element value="performer"/>
<transform value="copy"/>
<parameter>
<valueId value="src"/>
</parameter>
</target>
</rule>
<rule>
<name value="performerFallback"/>
<source>
<context value="qr"/>
<condition value="source.exists().not()"/>
</source>
<rule>
<name value="performerFromAuthor"/>
<source>
<context value="qr"/>
<element value="author"/>
<variable value="a"/>
</source>
<target>
<context value="obs"/>
<element value="performer"/>
<transform value="copy"/>
<parameter>
<valueId value="a"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="linkQuestionnaireResponse"/>
<source>
<context value="qr"/>
<element value="id"/>
<variable value="qid"/>
<condition value="$this.hasValue()"/>
</source>
<target>
<context value="obs"/>
<element value="derivedFrom"/>
<variable value="ref"/>
<transform value="create"/>
<parameter>
<valueString value="Reference"/>
</parameter>
</target>
<target>
<context value="ref"/>
<element value="reference"/>
<transform value="copy"/>
<parameter>
<valueId value="qid"/>
</parameter>
</target>
<documentation
value="A stored response's id already reads "QuestionnaireResponse/<id>", so it is
a relative reference as it stands. The hasValue() guard is what stops an
unsaved response -- one posted straight to $extract rather than saved first
-- from writing "QuestionnaireResponse/null" into the record."/>
</rule>
</group>
<group>
<name value="SetObservationFullUrl"/>
<input>
<name value="obs"/>
<type value="Observation"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="obs"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="https://fhir.slade360.co.ke/fhir/Observation/"/>
</parameter>
<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetComponentCodedValue"/>
<documentation
value="The two answer shapes a component can carry. Both read the answer through the
untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its
typed property name fails at transform time on HAPI R5 with "Attempt to read
invalid property ... on QuestionnaireResponse.item.answer"."/>
<input>
<name value="it"/>
<mode value="source"/>
</input>
<input>
<name value="comp"/>
<mode value="target"/>
</input>
<rule>
<name value="componentAnswer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="codedValue"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="cv"/>
</source>
<target>
<context value="comp"/>
<element value="value"/>
<variable value="cc"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<rule>
<name value="valueCoding"/>
<source>
<context value="cv"/>
</source>
<target>
<context value="cc"/>
<element value="coding"/>
<transform value="copy"/>
<parameter>
<valueId value="cv"/>
</parameter>
</target>
</rule>
<rule>
<name value="valueText"/>
<source>
<context value="cv"/>
<element value="display"/>
<variable value="d"/>
</source>
<target>
<context value="cc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="d"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="SetComponentValue"/>
<input>
<name value="it"/>
<mode value="source"/>
</input>
<input>
<name value="comp"/>
<mode value="target"/>
</input>
<rule>
<name value="componentAnswer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="plainValue"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="v"/>
</source>
<target>
<context value="comp"/>
<element value="value"/>
<transform value="copy"/>
<parameter>
<valueId value="v"/>
</parameter>
</target>
</rule>
</rule>
</group>
<group>
<name value="SetSurveyCategory"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="obs"/>
<type value="Observation"/>
<mode value="target"/>
</input>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="category"/>
<variable value="cat"/>
</target>
<rule>
<name value="categoryCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="coding"/>
<variable value="coding"/>
</target>
<rule>
<name value="categorySystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="survey"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Survey"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="SetProcedureCategory"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="obs"/>
<type value="Observation"/>
<mode value="target"/>
</input>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="category"/>
<variable value="cat"/>
</target>
<rule>
<name value="categoryCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="coding"/>
<variable value="coding"/>
</target>
<rule>
<name value="categorySystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="procedure"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Procedure"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="BuildProcedureBase"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<type value="Procedure"/>
<mode value="target"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="responseProvenance"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
</target>
<dependent>
<name value="SetResponseProvenance"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="r"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="idAndFullUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="id"/>
<transform value="uuid"/>
</target>
<dependent>
<name value="SetProcedureFullUrl"/>
<parameter>
<valueId value="r"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
</target>
<rule>
<name value="requestMethod"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
</parameter>
</target>
</rule>
<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="Procedure"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="occurrenceFallback"/>
<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
</source>
<target>
<context value="r"/>
<element value="occurrence"/>
<transform value="copy"/>
<parameter>
<valueId value="t"/>
</parameter>
</target>
<documentation
value="The response's own time, as a floor, the way BuildObsBase does it. A rule
that reads a time off the form overwrites this; without it a procedure whose
date column was taken off on review has no time at all, and a procedure with
no time cannot be ordered against the rest of the admission."/>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="r"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetProcedureFullUrl"/>
<input>
<name value="r"/>
<type value="Procedure"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="r"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="https://fhir.slade360.co.ke/fhir/Procedure/"/>
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<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
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<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<type value="DiagnosticReport"/>
<mode value="target"/>
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<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
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<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
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<dependent>
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<parameter>
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<parameter>
<valueId value="r"/>
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<rule>
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<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="id"/>
<transform value="uuid"/>
</target>
<dependent>
<name value="SetDiagnosticReportFullUrl"/>
<parameter>
<valueId value="r"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
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<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
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<rule>
<name value="requestMethod"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
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</rule>
<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="DiagnosticReport"/>
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</target>
</rule>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="r"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
</group>
<group>
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<input>
<name value="r"/>
<type value="DiagnosticReport"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="r"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString
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<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="BuildMedicationAdministrationBase"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<type value="MedicationAdministration"/>
<mode value="target"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="responseProvenance"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
</target>
<dependent>
<name value="SetResponseProvenance"/>
<parameter>
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<parameter>
<valueId value="r"/>
</parameter>
</dependent>
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<rule>
<name value="idAndFullUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="id"/>
<transform value="uuid"/>
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<dependent>
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<parameter>
<valueId value="r"/>
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<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
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<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
</target>
<rule>
<name value="requestMethod"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
</parameter>
</target>
</rule>
<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="MedicationAdministration"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="r"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
<rule>
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<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
</source>
<target>
<context value="r"/>
<element value="occurence"/>
<transform value="copy"/>
<parameter>
<valueId value="t"/>
</parameter>
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<documentation
value="The response's own time, as a floor. A row that names the time it was given
overwrites this; a form whose time column was taken off on review would
otherwise produce an administration with no time at all, which is not a
record of an administration. Same fallback BuildObsBase already applies."/>
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</group>
<group>
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<input>
<name value="r"/>
<type value="MedicationAdministration"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="r"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString
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<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="BuildCarePlanBase"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<type value="CarePlan"/>
<mode value="target"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="responseProvenance"/>
<source>
<context value="qr"/>
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<target>
<context value="r"/>
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<dependent>
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<parameter>
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<rule>
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<source>
<context value="qr"/>
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<target>
<context value="r"/>
<element value="id"/>
<transform value="uuid"/>
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<dependent>
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<parameter>
<valueId value="entry"/>
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<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
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<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
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<rule>
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<source>
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<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
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</target>
</rule>
<rule>
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<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="CarePlan"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="r"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetCarePlanFullUrl"/>
<input>
<name value="r"/>
<type value="CarePlan"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="r"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="https://fhir.slade360.co.ke/fhir/CarePlan/"/>
</parameter>
<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetResponseProvenance"/>
<documentation
value="── Provenance and tenancy ───────────────────────────────────────────────────
Two tags on everything this map creates. The first says which questionnaire
produced it, so a form that reopens mid-admission recalls its own earlier
entries and not another form's. The second copies the tenant tags off the
response, because nothing else on the path puts them there.
The code is the form's document type, not the questionnaire's id: every
environment mints its own ids, and there is only one set of maps, so an id
here would tie the tag to whichever environment stamped it.
── Provenance and tenancy ───────────────────────────────────────────────────"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<mode value="target"/>
</input>
<rule>
<name value="provenanceMeta"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="meta"/>
<variable value="m"/>
</target>
<rule>
<name value="provenanceTag"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="m"/>
<element value="tag"/>
<variable value="t"/>
</target>
<rule>
<name value="provenanceSystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://slade360edi.com/questionnaire-provenance"/>
</parameter>
</target>
</rule>
<rule>
<name value="provenanceCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="endoscopy-investigation"/>
</parameter>
</target>
</rule>
<rule>
<name value="provenanceDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Endoscopy service investigation form"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="tenantTags"/>
<source>
<context value="qr"/>
<element value="meta"/>
<variable value="qm"/>
</source>
<rule>
<name value="copyTag"/>
<source>
<context value="qm"/>
<element value="tag"/>
<variable value="qt"/>
</source>
<target>
<context value="r"/>
<element value="meta"/>
<variable value="m"/>
</target>
<target>
<context value="m"/>
<element value="tag"/>
<transform value="copy"/>
<parameter>
<valueId value="qt"/>
</parameter>
</target>
</rule>
<documentation
value="Every tag the response carries, onto the resource. `meta` is 0..1, so this
lands on the same meta the rule above created rather than a second one."/>
</rule>
</group>
</StructureMap>