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/ExtractInpatientAdmissionNote | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractInpatientAdmissionNote | |||
Turns a response to the inpatient admission note into a Composition with one section per heading, plus a Condition for the impression – the one line on this form that belongs on the problem list. The Condition is verificationStatus provisional because an admitting impression is exactly that; the team confirms or replaces it as the stay goes on. Its code carries the clinician's wording as text rather than an ICD-11 coding, because the form asks for prose and guessing a diagnosis code from prose is not something a map should do.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientAdmissionNote' /// name = 'ExtractInpatientAdmissionNote' /// title = 'Inpatient Admission Note Extraction' /// status = 'active' /// description = 'Turns a response to the inpatient admission note into a Composition with one section per heading, plus a Condition for the impression -- the one line on this form that belongs on the problem list. The Condition is verificationStatus `provisional` because an admitting impression is exactly that; the team confirms or replaces it as the stay goes on. Its code carries the clinician\'s wording as text rather than an ICD-11 coding, because the form asks for prose and guessing a diagnosis code from prose is not something a map should do.' 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/Composition" alias Composition as target uses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as target group ExtractInpatientAdmissionNote(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; qr -> bundle.entry as entry, entry.resource = create('Composition') as comp then { qr -> comp, entry then BuildNoteBase(qr, comp, entry) "noteBase"; qr -> comp.name = 'InpatientAdmissionNote' "noteName"; qr -> comp.title = 'Admission note' "noteTitle"; qr -> comp.type as ty then { qr -> ty.coding as sghi then { qr -> sghi.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem' "sghiSystem"; qr -> sghi.code = 'admission-note' "sghiCode"; qr -> sghi.display = 'Admission note' "sghiDisplay"; } "sghiCoding"; qr -> ty.coding as loinc then { qr -> loinc.system = 'http://loinc.org' "loincSystem"; qr -> loinc.code = '34117-2' "loincCode"; qr -> loinc.display = 'History and physical note' "loincDisplay"; } "loincCoding"; qr -> ty.text = 'Admission note' "typeText"; } "noteType"; qr.item as it where ((linkId = 'history') and answer.value.exists()) -> comp.section as sec then { it -> sec.title = 'History' "historyTitle"; it -> sec then AddSectionText(it, sec) "historyText"; } "historyRule"; qr.item as it where ((linkId = 'exam') and answer.value.exists()) -> comp.section as sec then { it -> sec.title = 'Examination' "examTitle"; it -> sec then AddSectionText(it, sec) "examText"; } "examRule"; // The impression is both a section of the note and a Condition. It stays in // the document so the note reads whole, and it also lands on the problem // list so the rest of the stay can hang off it. qr.item as it where ((linkId = 'impression') and answer.value.exists()) -> comp.section as sec then { it -> sec.title = 'Impression' "impressionTitle"; it -> sec then AddSectionText(it, sec) "impressionText"; } "impressionSectionRule"; qr.item as it where ((linkId = 'plan') and answer.value.exists()) -> comp.section as sec then { it -> sec.title = 'Initial plan' "planTitle"; it -> sec then AddSectionText(it, sec) "planText"; } "planRule"; } "composition"; qr.item as itImp where ((linkId = 'impression') and answer.value.exists()) then { itImp.answer first as aImp then { aImp -> bundle.entry as entryC, entryC.resource = create('Condition') as cond then { qr -> cond, entryC then BuildConditionBase(qr, cond, entryC) "conditionBase"; qr -> cond.verificationStatus as vs then { qr -> vs.coding as vsc then { qr -> vsc.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "verSystem"; qr -> vsc.code = 'provisional' "verCode"; qr -> vsc.display = 'Provisional' "verDisplay"; } "verCoding"; } "verificationStatus"; aImp.value as v -> cond.code as code then { v -> code.text = v "codeText"; } "conditionCode"; } "condition"; } "impressionAnswer"; } "impressionConditionRule"; } // ───────────────────────────────────────────────────────────────────────────── // Shared note scaffolding. Repeated in each note map rather than imported: the // transform engine resolves `imports` against whatever StructureMaps happen to // be on the server, and a note 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. // Untyped, it says only that it cannot check the paths. // `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 BuildNoteBase(source qr : QR, target comp : Composition, target entry) { qr -> comp.id = uuid() then SetCompositionFullUrl(comp, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Composition' "requestUrl"; } "entryRequest"; qr -> comp.status = 'final' "status"; qr.subject as s -> comp.subject = s; qr.encounter as e -> comp.encounter = e; // Composition.date is 1..1. `authored` is only 0..1 on the response, so when a // client sends none the extraction time stands in. It is a poor substitute for // when the note was written, but a document with no date at all is worse, and // extraction happens moments after submission in practice. qr.authored as t -> comp.date = t "date"; qr where (authored.exists().not()) then { qr -> comp.date = evaluate(qr, now()) "dateFromExtractionTime"; } "dateFallback"; // Composition.author is 1..1 minimum. R5 QuestionnaireResponse carries both // `author` (who recorded the answers) and `source` (who supplied them); the // author is the one who wrote the note, so it wins, and `source` only stands // in when the client did not send an author. If the response carries neither, // the note comes out unauthored -- there is nothing on a QuestionnaireResponse // to invent one from, and guessing at who wrote a clinical note is not a thing // a map should do. qr.author as a -> comp.author = a "authorFromAuthor"; qr where (author.exists().not()) then { qr.source as src -> comp.author = src "authorFromSource"; } "authorFallback"; qr -> comp.relatesTo as rel then { qr -> rel.type = 'derived-from' "relatesToType"; qr -> rel.resourceReference = create('Reference') as ref then { qr.id as qid -> ref.reference = qid "relatesToRef"; } "relatesToTarget"; } "linkQuestionnaireResponse"; } group AddSectionText(source it, target sec) { it.answer first as a then { a.value as v -> sec.text as narrative then { v -> narrative.status = 'generated' "narrativeStatus"; v -> narrative.div = create('xhtml') as xhtml then { v -> xhtml.value = evaluate(a, '<div xmlns="http://www.w3.org/1999/xhtml"><p>' + value.toString().escape('html') + '</p></div>') "narrativeDiv"; } "narrativeXhtml"; } "sectionText"; } "sectionAnswer"; } group SetCompositionFullUrl(source comp : Composition, target entry) { comp.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Composition/', id) "assignFullUrl"; } // Everything a Condition extracted from one of these forms shares. The caller // supplies verificationStatus and code, because those are the two things that // differ between an admitting impression and a stated cause of death. group BuildConditionBase(source qr : QR, target cond : Condition, target entry) { qr -> cond.id = uuid() then SetConditionFullUrl(cond, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Condition' "requestUrl"; } "entryRequest"; qr -> cond.clinicalStatus as cs then { qr -> cs.coding as csc then { qr -> csc.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "clinSystem"; qr -> csc.code = 'active' "clinCode"; qr -> csc.display = 'Active' "clinDisplay"; } "clinCoding"; } "clinicalStatus"; qr -> cond.category as cat then { qr -> cat.coding as catc then { qr -> catc.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "catSystem"; qr -> catc.code = 'encounter-diagnosis' "catCode"; qr -> catc.display = 'Encounter Diagnosis' "catDisplay"; } "catCoding"; } "category"; qr.subject as s -> cond.subject = s; qr.encounter as e -> cond.encounter = e; qr.authored as t -> cond.recordedDate = t "recordedDate"; qr.author as a -> cond.participant as part then { qr -> part.actor = a "participantActor"; } "participantFromAuthor"; qr where (author.exists().not()) then { qr.source as src -> cond.participant as part2 then { qr -> part2.actor = src "participantActorFromSource"; } "participantFromSource"; } "participantFallback"; qr -> cond.evidence as ev then { qr -> ev.reference = create('Reference') as ref then { qr.id as qid -> ref.reference = qid "evidenceRef"; } "evidenceTarget"; } "linkQuestionnaireResponse"; } group SetConditionFullUrl(source cond : Condition, target entry) { cond.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Condition/', id) "assignFullUrl"; }