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 2026-10-06 |
{
"resourceType" : "StructureMap",
"id" : "ExtractInpatientAdmissionNote",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractInpatientAdmissionNote</b></p><a name=\"ExtractInpatientAdmissionNote\"> </a><a name=\"hcExtractInpatientAdmissionNote\"> </a><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientAdmissionNote'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractInpatientAdmissionNote'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Inpatient Admission Note Extraction'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n<span style=\"color: #cc00cc\">/// <b>description</b> = </span><span style=\"color: blue\">'Turns 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.'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/questionnaireresponse.html\" title=\"QuestionnaireResponse\">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style=\"color: navy\">" </span><b>alias </b>QR <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/bundle.html\" title=\"Bundle\">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style=\"color: navy\">" </span><b>alias </b>Bundle <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/composition.html\" title=\"Composition\">http://hl7.org/fhir/StructureDefinition/Composition</a><span style=\"color: navy\">" </span><b>alias </b>Composition <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/condition.html\" title=\"Condition\">http://hl7.org/fhir/StructureDefinition/Condition</a><span style=\"color: navy\">" </span><b>alias </b>Condition <b>as </b><b>target</b>\r\n\r\n<b>group </b>ExtractInpatientAdmissionNote<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">bundle</span><span style=\"color: navy\"> : </span>Bundle<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>bundle.type = <span style=\"color: blue\">'transaction'</span> <i>"setBundleType"</i><span style=\"color: navy\">;</span>\r\n qr<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\">'Composition'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">comp</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>comp<b> then </b>CopyResponseTags<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">comp</span><span style=\"color: navy\">)</span> <i>"responseTags"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> comp<span style=\"color: navy\">, </span> entry<b> then </b>BuildNoteBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">comp</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"noteBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.name = <span style=\"color: blue\">'InpatientAdmissionNote'</span> <i>"noteName"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.title = <span style=\"color: blue\">'Admission note'</span> <i>"noteTitle"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.type<b> as </b><span style=\"color: maroon\">ty</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>ty.coding<b> as </b><span style=\"color: maroon\">sghi</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>sghi.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem'</span> <i>"sghiSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sghi.code = <span style=\"color: blue\">'admission-note'</span> <i>"sghiCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sghi.display = <span style=\"color: blue\">'Admission note'</span> <i>"sghiDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sghiCoding"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ty.coding<b> as </b><span style=\"color: maroon\">loinc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>loinc.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"loincSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>loinc.code = <span style=\"color: blue\">'34117-2'</span> <i>"loincCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>loinc.display = <span style=\"color: blue\">'History and physical note'</span> <i>"loincDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"loincCoding"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ty.text = <span style=\"color: blue\">'Admission note'</span> <i>"typeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"noteType"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'history') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sec.title = <span style=\"color: blue\">'History'</span> <i>"historyTitle"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>"historyText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"historyRule"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'exam') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sec.title = <span style=\"color: blue\">'Examination'</span> <i>"examTitle"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>"examText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"examRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">The impression is both a section of the note and a Condition. It stays in</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">the document so the note reads whole, and it also lands on the problem</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">list so the rest of the stay can hang off it.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'impression') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sec.title = <span style=\"color: blue\">'Impression'</span> <i>"impressionTitle"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>"impressionText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"impressionSectionRule"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'plan') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sec.title = <span style=\"color: blue\">'Initial plan'</span> <i>"planTitle"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>"planText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"planRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"composition"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itImp</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'impression') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> itImp.answer first<b> as </b><span style=\"color: maroon\">aImp</span><b> then</b><span style=\"color: navy\"> {\r\n</span> aImp<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entryC</span><span style=\"color: navy\">, </span> entryC.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Condition'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cond</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cond<b> then </b>CopyResponseTags<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cond</span><span style=\"color: navy\">)</span> <i>"responseTags"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> cond<span style=\"color: navy\">, </span> entryC<b> then </b>BuildConditionBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cond</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entryC</span><span style=\"color: navy\">)</span> <i>"conditionBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cond.verificationStatus<b> as </b><span style=\"color: maroon\">vs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>vs.coding<b> as </b><span style=\"color: maroon\">vsc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>vsc.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/condition-ver-status'</span> <i>"verSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>vsc.code = <span style=\"color: blue\">'provisional'</span> <i>"verCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>vsc.display = <span style=\"color: blue\">'Provisional'</span> <i>"verDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"verCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"verificationStatus"</i><span style=\"color: navy\">;</span>\r\n aImp.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>cond.code<b> as </b><span style=\"color: maroon\">code</span><b> then</b><span style=\"color: navy\"> {\r\n</span> v<span style=\"color: navy\"><b> -> </b></span>code.text = <span style=\"color: maroon\">v</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"conditionCode"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"condition"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"impressionAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"impressionConditionRule"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Shared note scaffolding. Repeated in each note map rather than imported: the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">transform engine resolves `imports` against whatever StructureMaps happen to</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">be on the server, and a note that stops extracting because a shared map was</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">not uploaded is a worse failure than a duplicated group.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Two notes on what the publisher's StructureMap validator says about this file.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Source parameters below are left untyped on purpose. Writing `: Element` makes</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">the validator compare QuestionnaireResponse.item against the literal 'Element'</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">and report them as incompatible with each other, which is noise, not a finding.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Untyped, it says only that it cannot check the paths.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were</span>\r\n<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>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">outright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">is objecting to what its own compiler emits. Two arguments is the only form that</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">compiles, and it is what the R5 transform engine executes.</span>\r\n<b>group </b>BuildNoteBase<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\">comp</span><span style=\"color: navy\"> : </span>Composition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>comp.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetCompositionFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">comp</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"idAndFullUrl"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>entry.request<b> as </b><span style=\"color: maroon\">request</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>"requestMethod"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Composition'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.status = <span style=\"color: blue\">'final'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.contains('://').not() and reference.startsWith('#').not() and reference.startsWith('urn:').not())) or reference.empty()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n qr.encounter<b> as </b><span style=\"color: maroon\">e</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Composition.date is 1..1. `authored` is only 0..1 on the response, so when a</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">client sends none the extraction time stands in. It is a poor substitute for</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">when the note was written, but a document with no date at all is worse, and</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">extraction happens moments after submission in practice.</span>\r\n qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span>comp.date = <span style=\"color: maroon\">t</span> <i>"date"</i><span style=\"color: navy\">;</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>authored.exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>comp.date = evaluate<span style=\"color: navy\">(</span>qr<span style=\"color: navy\">, </span>now()<span style=\"color: navy\">)</span> <i>"dateFromExtractionTime"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"dateFallback"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Composition.author is 1..1 minimum. R5 QuestionnaireResponse carries both</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">`author` (who recorded the answers) and `source` (who supplied them); the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">author is the one who wrote the note, so it wins, and `source` only stands</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">in when the client did not send an author. If the response carries neither,</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">the note comes out unauthored -- there is nothing on a QuestionnaireResponse</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">to invent one from, and guessing at who wrote a clinical note is not a thing</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">a map should do.</span>\r\n qr.author<b> as </b><span style=\"color: maroon\">a</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.author = <span style=\"color: maroon\">a</span> <i>"authorFromAuthor"</i><span style=\"color: navy\">;</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>author.where(((reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization'))))).exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.source<b> as </b><span style=\"color: maroon\">src</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>comp.author = <span style=\"color: maroon\">src</span> <i>"authorFromSource"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"authorFallback"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.relatesTo<b> as </b><span style=\"color: maroon\">rel</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>rel.type = <span style=\"color: blue\">'derived-from'</span> <i>"relatesToType"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>rel.resourceReference = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ref</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.id<b> as </b><span style=\"color: maroon\">qid</span><span style=\"color: navy\"><b> -> </b></span>ref.reference = <span style=\"color: maroon\">qid</span> <i>"relatesToRef"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"relatesToTarget"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"linkQuestionnaireResponse"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>AddSectionText<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">it</span>, <b>target</b> <span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>sec.text<b> as </b><span style=\"color: maroon\">narrative</span><b> then</b><span style=\"color: navy\"> {\r\n</span> v<span style=\"color: navy\"><b> -> </b></span>narrative.status = <span style=\"color: blue\">'generated'</span> <i>"narrativeStatus"</i><span style=\"color: navy\">;</span>\r\n v<span style=\"color: navy\"><b> -> </b></span>narrative.div = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'xhtml'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">xhtml</span><b> then</b><span style=\"color: navy\"> {\r\n</span> v<span style=\"color: navy\"><b> -> </b></span>xhtml.value = evaluate<span style=\"color: navy\">(</span>a<span style=\"color: navy\">, </span>'<div xmlns="http://www.w3.org/1999/xhtml"><p>' + value.toString().escape('html') + '</p></div>'<span style=\"color: navy\">)</span> <i>"narrativeDiv"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"narrativeXhtml"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionAnswer"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetCompositionFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">comp</span><span style=\"color: navy\"> : </span>Composition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> comp.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/Composition/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>"assignFullUrl"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">Everything a Condition extracted from one of these forms shares. The caller</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">supplies verificationStatus and code, because those are the two things that</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">differ between an admitting impression and a stated cause of death.</span>\r\n<b>group </b>BuildConditionBase<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\">cond</span><span style=\"color: navy\"> : </span>Condition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cond.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetConditionFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">cond</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"idAndFullUrl"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>entry.request<b> as </b><span style=\"color: maroon\">request</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>"requestMethod"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Condition'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cond.clinicalStatus<b> as </b><span style=\"color: maroon\">cs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cs.coding<b> as </b><span style=\"color: maroon\">csc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>csc.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/condition-clinical'</span> <i>"clinSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>csc.code = <span style=\"color: blue\">'active'</span> <i>"clinCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>csc.display = <span style=\"color: blue\">'Active'</span> <i>"clinDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"clinCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"clinicalStatus"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cond.category<b> as </b><span style=\"color: maroon\">cat</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cat.coding<b> as </b><span style=\"color: maroon\">catc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>catc.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/condition-category'</span> <i>"catSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>catc.code = <span style=\"color: blue\">'encounter-diagnosis'</span> <i>"catCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>catc.display = <span style=\"color: blue\">'Encounter Diagnosis'</span> <i>"catDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"catCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>cond.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n qr.encounter<b> as </b><span style=\"color: maroon\">e</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>cond.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span>cond.recordedDate = <span style=\"color: maroon\">t</span> <i>"recordedDate"</i><span style=\"color: navy\">;</span>\r\n qr.author<b> as </b><span style=\"color: maroon\">a</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>cond.participant<b> as </b><span style=\"color: maroon\">part</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>part.actor = <span style=\"color: maroon\">a</span> <i>"participantActor"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"participantFromAuthor"</i><span style=\"color: navy\">;</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>author.where(((reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization'))))).exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.source<b> as </b><span style=\"color: maroon\">src</span><b> where </b><span style=\"color: navy\">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>cond.participant<b> as </b><span style=\"color: maroon\">part2</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>part2.actor = <span style=\"color: maroon\">src</span> <i>"participantActorFromSource"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"participantFromSource"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"participantFallback"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cond.evidence<b> as </b><span style=\"color: maroon\">ev</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>ev.reference = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ref</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.id<b> as </b><span style=\"color: maroon\">qid</span><span style=\"color: navy\"><b> -> </b></span>ref.reference = <span style=\"color: maroon\">qid</span> <i>"evidenceRef"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"evidenceTarget"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"linkQuestionnaireResponse"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetConditionFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">cond</span><span style=\"color: navy\"> : </span>Condition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> cond.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/Condition/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>"assignFullUrl"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">── Tenancy ──────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Whose this is. The platform says which tenant a response belongs to with a</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">tag on the response, and every tag the response carries is copied onto</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">everything this map creates, as it is. Copied rather than named here, so the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">map never has to know which tenant it is running for, nor which system the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">tag is under: that system has moved more than once.</span>\r\n<b>group </b>CopyResponseTags<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\"> {\r\n</span> qr.meta<b> as </b><span style=\"color: maroon\">qm</span><b> then</b><span style=\"color: navy\"> {\r\n</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>\r\n <span style=\"color: navy\">}</span> <i>"tenantTags"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
},
"url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientAdmissionNote",
"version" : "0.1.0",
"name" : "ExtractInpatientAdmissionNote",
"title" : "Inpatient Admission Note Extraction",
"status" : "active",
"date" : "2026-10-06T18:48:22+00:00",
"publisher" : "Kathurima Kimathi",
"contact" : [
{
"name" : "Kathurima Kimathi",
"telecom" : [
{
"system" : "url",
"value" : "https://www.linkedin.com/in/kathurima-kimathi/"
},
{
"system" : "email",
"value" : "kathurimakimathi415@gmail.com"
}
]
},
{
"name" : "Oscar John",
"telecom" : [
{
"system" : "email",
"value" : "oscarjohnotieno@gmail.com",
"use" : "work"
}
]
},
{
"name" : "Kennedy Omondi",
"telecom" : [
{
"system" : "email",
"value" : "kennankole@gmail.com",
"use" : "work"
}
]
}
],
"description" : "Turns 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.",
"structure" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"mode" : "source",
"alias" : "QR"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
"mode" : "target",
"alias" : "Bundle"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Composition",
"mode" : "target",
"alias" : "Composition"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Condition",
"mode" : "target",
"alias" : "Condition"
}
],
"group" : [
{
"name" : "ExtractInpatientAdmissionNote",
"input" : [
{
"name" : "qr",
"type" : "QR",
"mode" : "source"
},
{
"name" : "bundle",
"type" : "Bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "setBundleType",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "bundle",
"element" : "type",
"transform" : "copy",
"parameter" : [
{
"valueString" : "transaction"
}
]
}
]
},
{
"name" : "composition",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "comp",
"transform" : "create",
"parameter" : [
{
"valueString" : "Composition"
}
]
}
],
"rule" : [
{
"name" : "responseTags",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "comp"
}
],
"dependent" : [
{
"name" : "CopyResponseTags",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "comp"
}
]
}
]
},
{
"name" : "noteBase",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "comp"
},
{
"context" : "entry"
}
],
"dependent" : [
{
"name" : "BuildNoteBase",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "comp"
},
{
"valueId" : "entry"
}
]
}
]
},
{
"name" : "noteName",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "comp",
"element" : "name",
"transform" : "copy",
"parameter" : [
{
"valueString" : "InpatientAdmissionNote"
}
]
}
]
},
{
"name" : "noteTitle",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "comp",
"element" : "title",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Admission note"
}
]
}
]
},
{
"name" : "noteType",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "comp",
"element" : "type",
"variable" : "ty"
}
],
"rule" : [
{
"name" : "sghiCoding",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "ty",
"element" : "coding",
"variable" : "sghi"
}
],
"rule" : [
{
"name" : "sghiSystem",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "sghi",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem"
}
]
}
]
},
{
"name" : "sghiCode",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "sghi",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "admission-note"
}
]
}
]
},
{
"name" : "sghiDisplay",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "sghi",
"element" : "display",
"transform" : "copy",
"parameter" : [
{
"valueString" : "Admission note"
}
]
}
]
}
]
},
{
"name" : "loincCoding",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "ty",
"element" : "coding",
"variable" : "loinc"
}
],
"rule" : [
{
"name" : "loincSystem",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "loinc",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
"valueString" : "http://loinc.org"
}
]
}
]
},
{
"name" : "loincCode",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "loinc",
"element" : "code",
"transform" : "copy",
"parameter" : [
{
"valueString" : "34117-2"
}
]
}
]
},
{
"name" : "loincDisplay",
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