\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientDischargeNote'\r\n/// name = 'ExtractInpatientDischargeNote'\r\n/// title = 'Inpatient Discharge Note Extraction'\r\n/// status = 'active'\r\n/// description = 'Turns a response to the inpatient discharge note into a discharge-summary Composition and a ServiceRequest for the follow-up. Medication on discharge is referenced, never copied: those MedicationRequests already exist on the server -- the form picks them from it -- so they become section entries rather than new resources. The follow-up is intent `plan` rather than an Appointment because the form captures it as free text with no date to book against; give the item a date and an Appointment becomes the truer target. The Encounter is deliberately untouched: closing the stay -- Encounter.status and the discharge disposition -- belongs to the EMR\\'s discharge workflow, which knows about bed release, billing and the actual moment the patient left. Writing a note is not the same event as being discharged, and a map that conflated them would close stays early.'\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Composition" alias Composition as target\r\nuses "http://hl7.org/fhir/StructureDefinition/ServiceRequest" alias ServiceRequest as target\r\n\r\ngroup ExtractInpatientDischargeNote(source qr : QR, target bundle : Bundle) {\r\n qr -> bundle.type = 'transaction' "setBundleType";\r\n qr -> bundle.entry as entry, entry.resource = create('Composition') as comp then {\r\n qr -> comp, entry then BuildNoteBase(qr, comp, entry) "noteBase";\r\n qr -> comp.name = 'InpatientDischargeNote' "noteName";\r\n qr -> comp.title = 'Discharge note' "noteTitle";\r\n qr -> comp.type as ty then {\r\n qr -> ty.coding as sghi then {\r\n qr -> sghi.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem' "sghiSystem";\r\n qr -> sghi.code = 'discharge-note' "sghiCode";\r\n qr -> sghi.display = 'Discharge note' "sghiDisplay";\r\n } "sghiCoding";\r\n qr -> ty.coding as loinc then {\r\n qr -> loinc.system = 'http://loinc.org' "loincSystem";\r\n qr -> loinc.code = '18842-5' "loincCode";\r\n qr -> loinc.display = 'Discharge summary' "loincDisplay";\r\n } "loincCoding";\r\n qr -> ty.text = 'Discharge summary' "typeText";\r\n } "noteType";\r\n qr.item as it where ((linkId = 'summary') and answer.value.exists()) -> comp.section as sec then {\r\n it -> sec.title = 'Admission summary' "summaryTitle";\r\n it -> sec then AddSectionText(it, sec) "summaryText";\r\n } "summaryRule";\r\n // One section, one entry per medication. No MedicationRequest is created:\r\n // the form picked these off the server, and minting copies would double the\r\n // patient's prescription list.\r\n qr.item as itM where ((linkId = 'medsOnDischarge') and answer.value.exists()) -> comp.section as secM then {\r\n itM -> secM.title = 'Medication on discharge' "medsTitle";\r\n itM.answer as aM then {\r\n aM.value as mv -> secM.entry = mv "medsEntry";\r\n } "medsAnswers";\r\n } "medsRule";\r\n qr.item as it where ((linkId = 'followUp') and answer.value.exists()) -> comp.section as sec then {\r\n it -> sec.title = 'Follow-up' "followUpTitle";\r\n it -> sec then AddSectionText(it, sec) "followUpText";\r\n } "followUpSectionRule";\r\n qr.item as it where ((linkId = 'adviceGiven') and answer.value.exists()) -> comp.section as sec then {\r\n it -> sec.title = 'Advice given' "adviceTitle";\r\n it -> sec then AddSectionText(it, sec) "adviceText";\r\n } "adviceRule";\r\n } "composition";\r\n // The follow-up also leaves the document, so it can be worked rather than read.\r\n qr.item as itF where ((linkId = 'followUp') and answer.value.exists()) then {\r\n itF.answer first as aF then {\r\n aF -> bundle.entry as entryS, entryS.resource = create('ServiceRequest') as sr then {\r\n qr -> sr.id = uuid() then SetServiceRequestFullUrl(sr, entryS) "idAndFullUrl";\r\n qr -> entryS.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'ServiceRequest' "requestUrl";\r\n } "entryRequest";\r\n qr -> sr.status = 'active' "status";\r\n qr -> sr.intent = 'plan' "intent";\r\n qr -> sr.priority = 'routine' "priority";\r\n // R5 ServiceRequest.code is a CodeableReference, so the concept sits one\r\n // level down.\r\n aF.value as v -> sr.code as codeRef then {\r\n aF -> codeRef.concept as concept then {\r\n aF -> concept.coding as coding then {\r\n aF -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";\r\n aF -> coding.code = 'discharge-follow-up' "codeCode";\r\n aF -> coding.display = 'Follow-up arranged on discharge' "codeDisplay";\r\n } "codeCoding";\r\n v -> concept.text = v "codeText";\r\n } "codeConcept";\r\n } "serviceRequestCode";\r\n qr.subject as s -> sr.subject = s;\r\n qr.encounter as e -> sr.encounter = e;\r\n qr.authored as t -> sr.authoredOn = t "authoredOn";\r\n qr.author as a -> sr.requester = a "requesterFromAuthor";\r\n qr where (author.exists().not()) then {\r\n qr.source as src -> sr.requester = src "requesterFromSource";\r\n } "requesterFallback";\r\n qr -> sr.supportingInfo as si then {\r\n qr -> si.reference = create('Reference') as ref then {\r\n qr.id as qid -> ref.reference = qid "supportingInfoRef";\r\n } "supportingInfoTarget";\r\n } "linkQuestionnaireResponse";\r\n } "serviceRequest";\r\n } "followUpAnswer";\r\n } "followUpRequestRule";\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Shared note scaffolding. Repeated in each note map rather than imported: the\r\n// transform engine resolves `imports` against whatever StructureMaps happen to\r\n// be on the server, and a note that stops extracting because a shared map was\r\n// not uploaded is a worse failure than a duplicated group.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Two notes on what the publisher's StructureMap validator says about this file.\r\n// Source parameters below are left untyped on purpose. Writing `: Element` makes\r\n// the validator compare QuestionnaireResponse.item against the literal 'Element'\r\n// and report them as incompatible with each other, which is noise, not a finding.\r\n// Untyped, it says only that it cannot check the paths.\r\n// `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were\r\n// found". Leave it. The FML parser in the same jar refuses the one-argument form\r\n// outright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher\r\n// is objecting to what its own compiler emits. Two arguments is the only form that\r\n// compiles, and it is what the R5 transform engine executes.\r\ngroup BuildNoteBase(source qr : QR, target comp : Composition, target entry) {\r\n qr -> comp.id = uuid() then SetCompositionFullUrl(comp, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'Composition' "requestUrl";\r\n } "entryRequest";\r\n qr -> comp.status = 'final' "status";\r\n qr.subject as s -> comp.subject = s;\r\n qr.encounter as e -> comp.encounter = e;\r\n // Composition.date is 1..1. `authored` is only 0..1 on the response, so when a\r\n // client sends none the extraction time stands in. It is a poor substitute for\r\n // when the note was written, but a document with no date at all is worse, and\r\n // extraction happens moments after submission in practice.\r\n qr.authored as t -> comp.date = t "date";\r\n qr where (authored.exists().not()) then {\r\n qr -> comp.date = evaluate(qr, now()) "dateFromExtractionTime";\r\n } "dateFallback";\r\n // Composition.author is 1..1 minimum. R5 QuestionnaireResponse carries both\r\n // `author` (who recorded the answers) and `source` (who supplied them); the\r\n // author is the one who wrote the note, so it wins, and `source` only stands\r\n // in when the client did not send an author. If the response carries neither,\r\n // the note comes out unauthored -- there is nothing on a QuestionnaireResponse\r\n // to invent one from, and guessing at who wrote a clinical note is not a thing\r\n // a map should do.\r\n qr.author as a -> comp.author = a "authorFromAuthor";\r\n qr where (author.exists().not()) then {\r\n qr.source as src -> comp.author = src "authorFromSource";\r\n } "authorFallback";\r\n qr -> comp.relatesTo as rel then {\r\n qr -> rel.type = 'derived-from' "relatesToType";\r\n qr -> rel.resourceReference = create('Reference') as ref then {\r\n qr.id as qid -> ref.reference = qid "relatesToRef";\r\n } "relatesToTarget";\r\n } "linkQuestionnaireResponse";\r\n}\r\n\r\ngroup AddSectionText(source it, target sec) {\r\n it.answer first as a then {\r\n a.value as v -> sec.text as narrative then {\r\n v -> narrative.status = 'generated' "narrativeStatus";\r\n v -> narrative.div = create('xhtml') as xhtml then {\r\n v -> xhtml.value = evaluate(a, '<div xmlns="http://www.w3.org/1999/xhtml"><p>' + value.toString().escape('html') + '</p></div>') "narrativeDiv";\r\n } "narrativeXhtml";\r\n } "sectionText";\r\n } "sectionAnswer";\r\n}\r\n\r\ngroup SetCompositionFullUrl(source comp : Composition, target entry) {\r\n comp.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Composition/', id) "assignFullUrl";\r\n}\r\n\r\ngroup SetServiceRequestFullUrl(source sr : ServiceRequest, target entry) {\r\n sr.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/ServiceRequest/', id) "assignFullUrl";\r\n}\r\n\r\n "
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