SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.slade360.co.ke/fhir/StructureMap/ExtractHaemodialysisSession | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractHaemodialysisSession | |||
One dialysis session out as: a Procedure for the session itself, coded to SNOMED 302497006, with the treatment time as its period and the access as a note; the pre-, target and post-dialysis weights each as their own Observation, because the nephrologist reads them against each other over weeks; the fluid actually removed as its own Observation; the prescription and the machine's function check as two panels, because neither of their parts means anything alone; and one Observation per timed reading through the run, each keeping the reading's own time, since the flow chart is a time series and the circuit pressures are what a run is judged on.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractHaemodialysisSession' /// name = 'ExtractHaemodialysisSession' /// title = 'Haemodialysis Session Extraction' /// status = 'active' /// description = 'One dialysis session out as: a Procedure for the session itself, coded to SNOMED 302497006, with the treatment time as its period and the access as a note; the pre-, target and post-dialysis weights each as their own Observation, because the nephrologist reads them against each other over weeks; the fluid actually removed as its own Observation; the prescription and the machine\'s function check as two panels, because neither of their parts means anything alone; and one Observation per timed reading through the run, each keeping the reading\'s own time, since the flow chart is a time series and the circuit pressures are what a run is judged on.' uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target uses "http://hl7.org/fhir/StructureDefinition/Procedure" alias Procedure as target group ExtractHaemodialysisSession(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // ── The session, as a Procedure ───────────────────────────────────────── // SNOMED 302497006, haemodialysis, checked against tx.fhir.org. The access // is a note rather than Procedure.usedCode: usedCode wants a device, and // "arteriovenous fistula" is an anatomical route, not a device the unit // issued. qr.item as g where (linkId = 'session') -> bundle.entry as entry, entry.resource = create('Procedure') as proc then { qr -> proc, entry then BuildProcedureBase(qr, proc, entry) "base"; g -> proc.status = 'completed' "status"; g -> proc.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'http://snomed.info/sct' "sys"; g -> cg.code = '302497006' "cd"; g -> cg.display = 'Haemodialysis' "dsp"; } "coding"; } "code"; qr.encounter as e -> proc.encounter = e; g.item as d where ((linkId = 'session/date') and answer.value.exists()) then { d.answer first as a then { a.value as t -> proc.occurrence = t "occurrence"; }; } "dateRule"; g.item as ph where ((linkId = 'session/physician') and answer.value.exists()) then { ph.answer first as a then { a.value as ref -> proc.performer as p, p.actor = ref "physician"; }; } "physicianRule"; g.item as ac where ((linkId = 'session/access') and answer.value.exists()) then { ac.answer first as a then { a.value as cv then { cv.display as d -> proc.note as n, n.text = d "accessNote"; } "display"; }; } "accessRule"; g.item as tn where ((linkId = 'session/treatment-number') and answer.value.exists()) then { tn.answer first as a then { a.value as txt -> proc.identifier as ident then { txt -> ident.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "identSystem"; txt -> ident.value = txt "identValue"; } "identifier"; }; } "treatmentNumberRule"; // The nurses who started and finished the run. Both, because a run handed // over mid-session is exactly the case where knowing who did what matters. qr.item as tg where (linkId = 'timing') then { tg.item as nc where ((linkId = 'timing/nurse-commencing') and answer.value.exists()) then { nc.answer first as a then { a.value as ref -> proc.performer as p, p.actor = ref "nurseCommencing"; }; } "nurseCommencingRule"; tg.item as nt where ((linkId = 'timing/nurse-terminating') and answer.value.exists()) then { nt.answer first as a then { a.value as ref -> proc.performer as p, p.actor = ref "nurseTerminating"; }; } "nurseTerminatingRule"; } "timingGroup"; } "dialysisProcedure"; // ── The weights ───────────────────────────────────────────────────────── // Pre and post are both LOINC 29463-7 body weight, so each carries a note // saying which it is: without that a query for the patient's weight on the // day of dialysis returns two numbers with no way to tell them apart. qr.item as g where (linkId = 'weights') then { g.item as it where ((linkId = 'weights/pre-dialysis') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29463-7' "cd"; it -> cg.display = 'Body weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; it -> obs.note as n, n.text = 'Taken before the dialysis session.' "note"; } "measure_29463_7"; g.item as it where ((linkId = 'weights/post-dialysis') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29463-7' "cd"; it -> cg.display = 'Body weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; it -> obs.note as n, n.text = 'Taken after the dialysis session.' "note"; } "measure_29463_72"; g.item as it where ((linkId = 'weights/target') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetProcedureCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-target-weight' "cd"; it -> cg.display = 'Target weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; it -> obs.note as n, n.text = 'The dry weight the session was aiming for.' "note"; } "measure_fluid_removed"; g.item as it where ((linkId = 'weights/fluid-lost') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetProcedureCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'fluid-removed' "cd"; it -> cg.display = 'Fluid removed' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = create('Quantity') as q then { v -> q.value = v "qValue"; v -> q.unit = 'kg' "qUnit"; v -> q.system = 'http://unitsofmeasure.org' "qSystem"; v -> q.code = 'kg' "qCode"; } "quantity"; }; it -> obs.note as n, n.text = 'The difference between the pre- and post-dialysis weights, which is the fluid actually taken off. The unit is attached by the extraction map.' "note"; } "measureq_fluid_removed"; } "weightsGroup"; // ── The prescription, as one panel ────────────────────────────────────── // Five components on one Observation. A treatment time without its dialyser, // bath potassium and heparinisation is not a prescription, and splitting them // would let one be changed without the others being reviewed. qr.item as g where ((linkId = 'prescription') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetProcedureCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'dialysis-prescription' "cd"; g -> cg.display = 'Dialysis prescription' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'prescription/treatment-time') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-treatment-time' "cd"; it -> cg.display = 'Treatment time' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_treatment_time"; g.item as it where ((linkId = 'prescription/prime') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-prime' "cd"; it -> cg.display = 'Prime' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_prime"; g.item as it where ((linkId = 'prescription/dialyser') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-dialyser' "cd"; it -> cg.display = 'Dialyser' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_dialyser"; g.item as it where ((linkId = 'prescription/bath-potassium') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-bath-k-plus' "cd"; it -> cg.display = 'Bath K+' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_bath_k_plus"; g.item as it where ((linkId = 'prescription/heparin-loading-dose') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-heparin-loading-dose' "cd"; it -> cg.display = 'Heparin loading dose' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_heparin_loading_dose"; g.item as it where ((linkId = 'prescription/heparin-hourly') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-heparin-units-per-hour' "cd"; it -> cg.display = 'Heparin units per hour' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_heparin_units_per_hour"; } "prescriptionPanel"; // ── The machine's own function check ──────────────────────────────────── // A panel, and one that is about the machine rather than the patient. It is // still an Observation on the patient's record: it is the evidence that the // machine the patient was put on had passed its self-test, which is what a // review after an adverse event asks for. qr.item as g where ((linkId = 'machine-check') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetProcedureCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'machine-function-check' "cd"; g -> cg.display = 'Machine function check' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'machine-check/t1-test-passed') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'machine-t1-test-passed' "cd"; it -> cg.display = 'T1 test passed' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_machine_t1_test_passed"; g.item as it where ((linkId = 'machine-check/temperature') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'machine-temperature' "cd"; it -> cg.display = 'Machine temperature' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_machine_temperature"; g.item as it where ((linkId = 'machine-check/conductivity') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'machine-conductivity' "cd"; it -> cg.display = 'Conductivity' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_machine_conductivity"; g.item as it where ((linkId = 'machine-check/dialyser-flow-rate') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'machine-dialyser-flow-rate' "cd"; it -> cg.display = 'Dialyser flow rate' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_machine_dialyser_flow_rate"; } "machineCheckPanel"; // ── The virology screen ───────────────────────────────────────────────── // A laboratory panel. The unit records HIV, HBsAg and HCV status on every // flow chart because a positive donor changes which machine and which bay the // patient uses, so it belongs on the session record and not only in the lab. qr.item as g where ((linkId = 'virology-screen') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetLaboratoryCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'http://loinc.org' "sys"; g -> cg.code = '11502-2' "cd"; g -> cg.display = 'Laboratory report' "dsp"; } "coding"; g -> cc.text = 'Virology screen for dialysis' "codeText"; } "code"; g.item as it where ((linkId = 'virology-screen/hiv') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-hiv' "cd"; it -> cg.display = 'HIV' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_hiv"; g.item as it where ((linkId = 'virology-screen/hbsag') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-hbs-ag' "cd"; it -> cg.display = 'HBs Ag' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_hbs_ag"; g.item as it where ((linkId = 'virology-screen/hcv') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-hcv' "cd"; it -> cg.display = 'HCV' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_hcv"; } "virologyPanel"; // ── The readings through the run ──────────────────────────────────────── // One Observation per row of the flow chart. The circuit pressures are // deliberately coded to local concepts and not to the blood pressure LOINC // codes: arterial and venous pressure on an extracorporeal circuit are // machine readings on tubing, and coding them as the patient's arterial // pressure would put a figure of -180 mmHg into a vital signs chart. qr.item as g where ((linkId = 'reading') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetProcedureCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'dialysis-session-reading' "cd"; g -> cg.display = 'Dialysis session reading' "dsp"; } "coding"; g -> cc.text = 'Reading taken during the dialysis run' "codeText"; } "code"; g.item as it where ((linkId = 'reading/systolic') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8480-6' "cd"; it -> cg.display = 'Systolic blood pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8480_6"; g.item as it where ((linkId = 'reading/diastolic') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8462-4' "cd"; it -> cg.display = 'Diastolic blood pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8462_4"; g.item as it where ((linkId = 'reading/pulse') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8867-4' "cd"; it -> cg.display = 'Heart rate' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8867_4"; g.item as it where ((linkId = 'reading/blood-pump-rate') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'blood-pump-rate' "cd"; it -> cg.display = 'Blood pump rate' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_blood_pump_rate"; g.item as it where ((linkId = 'reading/transmembrane-pressure') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'transmembrane-pressure' "cd"; it -> cg.display = 'Transmembrane pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_transmembrane_pressure"; g.item as it where ((linkId = 'reading/ultrafiltration') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'ultrafiltration-volume' "cd"; it -> cg.display = 'Ultrafiltration volume' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_ultrafiltration_volume"; g.item as it where ((linkId = 'reading/arterial-pressure') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'arterial-pressure-circuit' "cd"; it -> cg.display = 'Arterial pressure (extracorporeal circuit)' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_arterial_pressure_circuit"; g.item as it where ((linkId = 'reading/venous-pressure') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'venous-pressure-circuit' "cd"; it -> cg.display = 'Venous pressure (extracorporeal circuit)' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_venous_pressure_circuit"; g.item as it where ((linkId = 'reading/heparin') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-heparin-given' "cd"; it -> cg.display = 'Heparin given' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_heparin_given"; g.item as it where ((linkId = 'reading/clotting-time') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-clotting-time' "cd"; it -> cg.display = 'Clotting time' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_clotting_time"; g.item as it where ((linkId = 'reading/fluid') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'dialysis-fluid' "cd"; it -> cg.display = 'Fluid' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_dialysis_fluid"; g.item as it where (linkId = 'reading/comments') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note"; } "runReading"; } // ───────────────────────────────────────────────────────────────────────────── // Shared scaffolding. Repeated in each map rather than imported: the transform // engine resolves `imports` against whatever StructureMaps happen to be on the // server, and a form that stops extracting because a shared map was not // uploaded is a worse failure than a duplicated group. // Two notes on what the publisher's StructureMap validator says about this file. // Source parameters below are left untyped on purpose. Writing `: Element` makes // the validator compare QuestionnaireResponse.item against the literal 'Element' // and report them as incompatible with each other, which is noise, not a finding. // `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were // found". Leave it. The FML parser in the same jar refuses the one-argument form // outright -- it wants a parameter, a comma, then the FHIRPath -- so the // publisher is objecting to what its own compiler emits. Two arguments is the // only form that compiles, and it is what the R5 transform engine executes. // ───────────────────────────────────────────────────────────────────────────── group BuildObsBase(source qr : QR, target obs : Observation, target entry) { qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance"; qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Observation' "requestUrl"; } "entryRequest"; qr -> obs.status = 'final' "status"; qr.subject as s -> obs.subject = s; qr.encounter as e -> obs.encounter = e; qr.authored as t -> obs.effective = t "effective"; qr.source as src -> obs.performer = src "performerFromSource"; qr where (source.exists().not()) then { qr.author as a -> obs.performer = a "performerFromAuthor"; } "performerFallback"; // A stored response's id already reads "QuestionnaireResponse/<id>", so it is // a relative reference as it stands. The hasValue() guard is what stops an // unsaved response -- one posted straight to $extract rather than saved first // -- from writing "QuestionnaireResponse/null" into the record. qr.id as qid where ($this.hasValue()) -> obs.derivedFrom = create('Reference') as ref, ref.reference = qid "linkQuestionnaireResponse"; } group SetObservationFullUrl(source obs : Observation, target entry) { obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl"; } // The two answer shapes a component can carry. Both read the answer through the // untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its // typed property name fails at transform time on HAPI R5 with "Attempt to read // invalid property ... on QuestionnaireResponse.item.answer". group SetComponentCodedValue(source it, target comp) { it.answer first as a then { a.value as cv -> comp.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; } "componentAnswer"; } group SetComponentValue(source it, target comp) { it.answer first as a then { a.value as v -> comp.value = v "plainValue"; } "componentAnswer"; } group SetSurveyCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'survey' "categoryCode"; qr -> coding.display = 'Survey' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetVitalSignsCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'vital-signs' "categoryCode"; qr -> coding.display = 'Vital Signs' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetLaboratoryCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'laboratory' "categoryCode"; qr -> coding.display = 'Laboratory' "categoryDisplay"; } "categoryCoding"; } "category"; } group SetProcedureCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'procedure' "categoryCode"; qr -> coding.display = 'Procedure' "categoryDisplay"; } "categoryCoding"; } "category"; } group BuildProcedureBase(source qr : QR, target r : Procedure, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetProcedureFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Procedure' "requestUrl"; } "entryRequest"; // 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. qr.authored as t -> r.occurrence = t "occurrenceFallback"; qr.subject as s -> r.subject = s; } group SetProcedureFullUrl(source r : Procedure, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Procedure/', id) "assignFullUrl"; } // ── Provenance and tenancy ─────────────────────────────────────────────────── // Two tags on everything this map creates. The first says which questionnaire // produced it, so a form that reopens mid-admission recalls its own earlier // entries and not another form's. The second copies the tenant tags off the // response, because nothing else on the path puts them there. // The code is the form's document type, not the questionnaire's id: every // environment mints its own ids, and there is only one set of maps, so an id // here would tie the tag to whichever environment stamped it. // ── Provenance and tenancy ─────────────────────────────────────────────────── group SetResponseProvenance(source qr : QR, target r) { qr -> r.meta as m then { qr -> m.tag as t then { qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem"; qr -> t.code = 'haemodialysis-session-record' "provenanceCode"; qr -> t.display = 'Haemodialysis session record' "provenanceDisplay"; } "provenanceTag"; } "provenanceMeta"; // Every tag the response carries, onto the resource. `meta` is 0..1, so this // lands on the same meta the rule above created rather than a second one. qr.meta as qm then { qm.tag as qt -> r.meta as m, m.tag = qt "copyTag"; } "tenantTags"; }