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/ExtractHeadInjuryChart | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractHeadInjuryChart | |||
The conscious level goes out under the chart's own four-point scale and a local code, not as a Glasgow Coma Scale total. This sheet prints four levels with its own wording – fully conscious, conscious but confused, semi conscious, coma – and forcing them onto GCS or AVPU would invent a precision the paper does not have. Coma carries a critically-low interpretation because that is the row that gets someone to theatre. Pupils are one Observation per eye with a SNOMED body site, because which side is dilating is the whole question, and movement and paralysis are recorded limb by limb for the same reason.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractHeadInjuryChart' /// name = 'ExtractHeadInjuryChart' /// title = 'Head Injury and Craniotomy Chart Extraction' /// status = 'active' /// description = 'The conscious level goes out under the chart\'s own four-point scale and a local code, not as a Glasgow Coma Scale total. This sheet prints four levels with its own wording -- fully conscious, conscious but confused, semi conscious, coma -- and forcing them onto GCS or AVPU would invent a precision the paper does not have. Coma carries a critically-low interpretation because that is the row that gets someone to theatre. Pupils are one Observation per eye with a SNOMED body site, because which side is dilating is the whole question, and movement and paralysis are recorded limb by limb for the same reason.' 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 group ExtractHeadInjuryChart(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // ── Other injuries ────────────────────────────────────────────────────── // A repeating coded answer, so "chest and spine" stays a different patient // from "chest". qr.item as g where (linkId = 'other-injuries') then { g.item as it where ((linkId = 'other-injuries/site') 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 SetExamCategory(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 = 'injury-other-injury-present' "cd"; it -> cg.display = 'Other injury present' "dsp"; } "coding"; } "code"; it.answer as a then { a.value as cv -> obs.component as comp then { cv -> comp.code as cc then { cv -> cc.coding as cg then { cv -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; cv -> cg.code = 'injury-site' "cd"; cv -> cg.display = 'Site of another injury' "dsp"; } "coding"; } "code"; cv -> comp.value = create('CodeableConcept') as vc then { cv -> vc.coding = cv "valueCoding"; cv.display as d -> vc.text = d "valueText"; } "codedValue"; } "siteComponent"; } "sites"; g.item as it where (linkId = 'other-injuries/detail') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note"; } "otherInjuries"; } "otherInjuriesGroup"; // ── One round ─────────────────────────────────────────────────────────── qr.item as g where (linkId = 'round') then { g.item as it where ((linkId = 'round/temperature') and answer.value.ofType(Quantity).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 = '8310-5' "cd"; it -> cg.display = 'Body temperature' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "hivital_8310_5"; g.item as it where ((linkId = 'round/pulse') and answer.value.ofType(Quantity).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 = '8867-4' "cd"; it -> cg.display = 'Heart rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "hivital_8867_4"; g.item as it where ((linkId = 'round/respiratory-rate') and answer.value.ofType(Quantity).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 = '9279-1' "cd"; it -> cg.display = 'Respiratory rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "hivital_9279_1"; g.item as it where ((linkId = 'round/blood-pressure') and item.answer.value.ofType(Quantity).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 = '85354-9' "cd"; it -> cg.display = 'Blood pressure panel with all children optional' "dsp"; } "coding"; } "code"; it.item as sbp where ((linkId = 'round/blood-pressure/systolic') and answer.value.ofType(Quantity).exists()) -> obs.component as comp then { sbp -> comp.code as cc then { sbp -> cc.coding as cg then { sbp -> cg.system = 'http://loinc.org' "sys"; sbp -> cg.code = '8480-6' "cd"; sbp -> cg.display = 'Systolic blood pressure' "dsp"; } "coding"; } "code"; sbp -> comp then SetComponentValue(sbp, comp) "value"; } "comp_8480_6"; it.item as dbp where ((linkId = 'round/blood-pressure/diastolic') and answer.value.ofType(Quantity).exists()) -> obs.component as comp then { dbp -> comp.code as cc then { dbp -> cc.coding as cg then { dbp -> cg.system = 'http://loinc.org' "sys"; dbp -> cg.code = '8462-4' "cd"; dbp -> cg.display = 'Diastolic blood pressure' "dsp"; } "coding"; } "code"; dbp -> comp then SetComponentValue(dbp, comp) "value"; } "comp_8462_4"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "roundBloodPressure"; // ── The conscious level ─────────────────────────────────────────────── // Coma is flagged critically low. That row is what gets someone to CT and // then to theatre, and a reader should not have to interpret the wording. g.item as it where ((linkId = 'round/conscious-level') 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 SetExamCategory(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 = 'head-injury-conscious-level-on-the-head-injury-chart' "cd"; it -> cg.display = 'Conscious level on the head injury chart' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as cv -> obs.value = create('CodeableConcept') as vc then { cv -> vc.coding = cv "valueCoding"; cv.display as d -> vc.text = d "valueText"; } "codedValue"; }; it.answer first as a then { a.value as cv where (code = 'conscious-coma') -> obs.interpretation as interp then { cv -> interp.coding as icg then { cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys"; cv -> icg.code = 'LL' "cd"; cv -> icg.display = 'Critically low' "dsp"; } "coding"; } "comaInterp"; } "comaInterpretation"; it.answer first as a then { a.value as cv where (code = 'conscious-semi') -> obs.interpretation as interp then { cv -> interp.coding as icg then { cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys"; cv -> icg.code = 'A' "cd"; cv -> icg.display = 'Abnormal' "dsp"; } "coding"; } "semiInterp"; } "semiInterpretation"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "consciousLevel"; // ── Fits ────────────────────────────────────────────────────────────── g.item as it where ((linkId = 'round/fits') 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 SetExamCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://snomed.info/sct' "sys"; it -> cg.code = '91175000' "cd"; it -> cg.display = 'Seizure' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as cv -> obs.value = create('CodeableConcept') as vc then { cv -> vc.coding = cv "valueCoding"; cv.display as d -> vc.text = d "valueText"; } "codedValue"; }; it.answer first as a then { a.value as cv where (code = 'finding-present') -> obs.interpretation as interp then { cv -> interp.coding as icg then { cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys"; cv -> icg.code = 'A' "cd"; cv -> icg.display = 'Abnormal' "dsp"; } "coding"; } "fitInterp"; } "fitInterpretation"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "fits"; g.item as pg where ((linkId = 'round/right-pupil') 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 SetExamCategory(qr, obs) "category"; pg -> obs.code as cc then { pg -> cc.coding as cg then { pg -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; pg -> cg.code = 'neuro-right-pupil-assessment' "cd"; pg -> cg.display = 'Right pupil assessment' "dsp"; } "coding"; } "code"; pg -> obs.bodySite as bsc then { pg -> bsc.coding as bcg then { pg -> bcg.system = 'http://snomed.info/sct' "sys"; pg -> bcg.code = '18944008' "cd"; pg -> bcg.display = 'Right eye structure' "dsp"; } "coding"; } "bodySite"; pg.item as it where ((linkId = 'round/right-pupil/size') 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 = 'neuro-pupil-size' "cd"; it -> cg.display = 'Pupil size' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_neuro_pupil_size"; pg.item as it where ((linkId = 'round/right-pupil/reaction') 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 = 'neuro-pupil-reaction' "cd"; it -> cg.display = 'Pupil reaction' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_neuro_pupil_reaction"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "pupil_right"; g.item as pg where ((linkId = 'round/left-pupil') 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 SetExamCategory(qr, obs) "category"; pg -> obs.code as cc then { pg -> cc.coding as cg then { pg -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; pg -> cg.code = 'neuro-left-pupil-assessment' "cd"; pg -> cg.display = 'Left pupil assessment' "dsp"; } "coding"; } "code"; pg -> obs.bodySite as bsc then { pg -> bsc.coding as bcg then { pg -> bcg.system = 'http://snomed.info/sct' "sys"; pg -> bcg.code = '8966001' "cd"; pg -> bcg.display = 'Left eye structure' "dsp"; } "coding"; } "bodySite"; pg.item as it where ((linkId = 'round/left-pupil/size') 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 = 'neuro-pupil-size' "cd"; it -> cg.display = 'Pupil size' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_neuro_pupil_size2"; pg.item as it where ((linkId = 'round/left-pupil/reaction') 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 = 'neuro-pupil-reaction' "cd"; it -> cg.display = 'Pupil reaction' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_neuro_pupil_reaction2"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "pupil_left"; // ── Movement and paralysis, limb by limb ────────────────────────────── // Two panels rather than eight loose Observations, and limb by limb rather // than one summary, because a new weakness on one side is the finding and a // summary cannot carry it. g.item as m where ((linkId = 'round/spontaneous-movement') 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 SetExamCategory(qr, obs) "category"; m -> obs.code as cc then { m -> cc.coding as cg then { m -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; m -> cg.code = 'head-injury-spontaneous-movement-by-limb' "cd"; m -> cg.display = 'Spontaneous movement by limb' "dsp"; } "coding"; } "code"; m.item as it where ((linkId = 'round/spontaneous-movement/right-arm') 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 = 'head-injury-spontaneous-movement-right-arm' "cd"; it -> cg.display = 'Spontaneous movement, right arm' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_spontaneous_movement_right_arm"; m.item as it where ((linkId = 'round/spontaneous-movement/right-leg') 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 = 'head-injury-spontaneous-movement-right-leg' "cd"; it -> cg.display = 'Spontaneous movement, right leg' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_spontaneous_movement_right_leg"; m.item as it where ((linkId = 'round/spontaneous-movement/left-arm') 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 = 'head-injury-spontaneous-movement-left-arm' "cd"; it -> cg.display = 'Spontaneous movement, left arm' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_spontaneous_movement_left_arm"; m.item as it where ((linkId = 'round/spontaneous-movement/left-leg') 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 = 'head-injury-spontaneous-movement-left-leg' "cd"; it -> cg.display = 'Spontaneous movement, left leg' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_spontaneous_movement_left_leg"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "spontaneousMovement"; g.item as p where ((linkId = 'round/paralysis') 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 SetExamCategory(qr, obs) "category"; p -> obs.code as cc then { p -> cc.coding as cg then { p -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; p -> cg.code = 'head-injury-paralysis-by-limb' "cd"; p -> cg.display = 'Paralysis by limb' "dsp"; } "coding"; } "code"; p.item as it where ((linkId = 'round/paralysis/right-arm') 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 = 'head-injury-paralysis-right-arm' "cd"; it -> cg.display = 'Paralysis, right arm' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_paralysis_right_arm"; p.item as it where ((linkId = 'round/paralysis/right-leg') 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 = 'head-injury-paralysis-right-leg' "cd"; it -> cg.display = 'Paralysis, right leg' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_paralysis_right_leg"; p.item as it where ((linkId = 'round/paralysis/left-arm') 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 = 'head-injury-paralysis-left-arm' "cd"; it -> cg.display = 'Paralysis, left arm' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_paralysis_left_arm"; p.item as it where ((linkId = 'round/paralysis/left-leg') 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 = 'head-injury-paralysis-left-leg' "cd"; it -> cg.display = 'Paralysis, left leg' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_head_injury_paralysis_left_leg"; g -> obs then SetHeadInjuryRound(g, obs) "roundContext"; } "paralysis"; g.item as it where ((linkId = 'round/remarks') 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 SetSurveyCategory(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 = 'head-injury-remarks-on-a-head-injury-round' "cd"; it -> cg.display = 'Remarks on a head injury round' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_head_injury_remarks_on_a_head_injury_round"; } "roundRows"; } // The round's own timestamp on every Observation from it. Unlike the ICU // charts this sheet prints a full date and time per column rather than a clock // hour, so it becomes Observation.effective properly. group SetHeadInjuryRound(source g, target obs : Observation) { g.item as it where ((linkId = 'round/at') and answer.value.exists()) then { it.answer first as a then { a.value as v -> obs.effective = v "effective"; }; } "roundTimeRule"; g.item as it where ((linkId = 'round/recorded-by') and answer.value.exists()) then { it.answer first as a then { a.value as ref -> obs.performer = ref "performer"; }; } "recordedByRule"; } // ───────────────────────────────────────────────────────────────────────────── // 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 SetExamCategory(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 = 'exam' "categoryCode"; qr -> coding.display = 'Exam' "categoryDisplay"; } "categoryCoding"; } "category"; } // ── 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 = 'head-injury-chart' "provenanceCode"; qr -> t.display = 'Head injury and craniotomy chart' "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"; }