{ "resourceType" : "StructureMap", "id" : "ExtractInpatientMentalHealthRiskAssessment", "text" : { "status" : "generated", "div" : "

Generated Narrative: StructureMap ExtractInpatientMentalHealthRiskAssessment

\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientMentalHealthRiskAssessment'\r\n/// name = 'ExtractInpatientMentalHealthRiskAssessment'\r\n/// title = 'Inpatient Mental Health Risk Assessment Extraction'\r\n/// status = 'active'\r\n/// description = 'Mood and capacity become Observations, the risk of self-harm becomes a RiskAssessment carrying what the patient said as its note, and a safeguarding concern becomes a Flag on the patient. This is the one instrument here that is not scored: the band comes from which of four answers was picked, not from arithmetic, so each answer is banded explicitly. The answer\\'s own coding and wording ride along in qualitativeRisk, so a reader never has to infer what was said from a risk tier.'\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/Observation" alias Observation as target\r\nuses "http://hl7.org/fhir/StructureDefinition/RiskAssessment" alias RiskAssessment as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Flag" alias Flag as target\r\n\r\ngroup ExtractInpatientMentalHealthRiskAssessment(source qr : QR, target bundle : Bundle) {\r\n  qr -> bundle.type = 'transaction' "setBundleType";\r\n  // ── Mood and affect ────────────────────────────────────────────────────────\r\n  // No LOINC concept for the mood and affect line of a mental state\r\n  // examination, so a local code. See SGHIInpatientClinicalConceptCodeSystem.\r\n  qr.item as itM where ((linkId = 'mood') and answer.value.exists()) then {\r\n    itM.answer first as aM then {\r\n      aM ->  bundle.entry as entryM,  entryM.resource = create('Observation') as obsM then {\r\n        qr ->  obsM,  entryM then BuildObsBase(qr, obsM, entryM) "moodBase";\r\n        qr -> obsM then SetExamCategory(qr, obsM) "moodCategory";\r\n        qr -> obsM.code as code then {\r\n          qr -> code.coding as coding then {\r\n            qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";\r\n            qr -> coding.code = 'mood-and-affect' "codeCode";\r\n            qr -> coding.display = 'Mood and affect' "codeDisplay";\r\n          } "codeCoding";\r\n          qr -> code.text = 'Mood and affect' "codeText";\r\n        } "moodCode";\r\n        aM.value as v -> obsM.value = v "moodValue";\r\n      } "moodObservation";\r\n    } "moodAnswer";\r\n  } "moodRule";\r\n  // ── Capacity to consent ────────────────────────────────────────────────────\r\n  qr.item as itC where ((linkId = 'capacity') and answer.value.exists()) then {\r\n    itC.answer first as aC then {\r\n      aC ->  bundle.entry as entryC,  entryC.resource = create('Observation') as obsC then {\r\n        qr ->  obsC,  entryC then BuildObsBase(qr, obsC, entryC) "capacityBase";\r\n        qr -> obsC then SetExamCategory(qr, obsC) "capacityCategory";\r\n        qr -> obsC.code as code then {\r\n          qr -> code.coding as coding then {\r\n            qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";\r\n            qr -> coding.code = 'capacity-to-consent' "codeCode";\r\n            qr -> coding.display = 'Capacity to consent' "codeDisplay";\r\n          } "codeCoding";\r\n          qr -> code.text = 'Capacity to consent' "codeText";\r\n        } "capacityCode";\r\n        aC -> obsC then SetCodedValue(aC, obsC) "capacityValue";\r\n      } "capacityObservation";\r\n    } "capacityAnswer";\r\n  } "capacityRule";\r\n  // ── Risk of self-harm ──────────────────────────────────────────────────────\r\n  // Four answers, four bands. Passive ideation is banded `moderate` rather than\r\n  // `low`: on a ward, thoughts of self-harm without a plan still warrant\r\n  // observation, and the cost of over-flagging here is smaller than the cost of\r\n  // under-flagging.\r\n  qr.item as itS where ((linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-none')) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, ra, entry) "riskBase";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.outcome as outcome then {\r\n        qr -> outcome.text = 'Self-harm' "outcomeText";\r\n      } "outcome";\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'negligible' "riskCode";\r\n          qr -> coding.display = 'Negligible likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        itS -> risk then AddAnswerCodingAndText(itS, risk) "answerCoding";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "selfHarmNoneRule";\r\n  qr.item as itS where ((linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-passive')) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, ra, entry) "riskBase";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.outcome as outcome then {\r\n        qr -> outcome.text = 'Self-harm' "outcomeText";\r\n      } "outcome";\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'moderate' "riskCode";\r\n          qr -> coding.display = 'Moderate likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        itS -> risk then AddAnswerCodingAndText(itS, risk) "answerCoding";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "selfHarmPassiveRule";\r\n  qr.item as itS where ((linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-active-plan')) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, ra, entry) "riskBase";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.outcome as outcome then {\r\n        qr -> outcome.text = 'Self-harm' "outcomeText";\r\n      } "outcome";\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'high' "riskCode";\r\n          qr -> coding.display = 'High likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        itS -> risk then AddAnswerCodingAndText(itS, risk) "answerCoding";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "selfHarmActivePlanRule";\r\n  qr.item as itS where ((linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-recent-act')) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, ra, entry) "riskBase";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.outcome as outcome then {\r\n        qr -> outcome.text = 'Self-harm' "outcomeText";\r\n      } "outcome";\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'high' "riskCode";\r\n          qr -> coding.display = 'High likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        itS -> risk then AddAnswerCodingAndText(itS, risk) "answerCoding";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "selfHarmRecentActRule";\r\n  // ── Safeguarding ───────────────────────────────────────────────────────────\r\n  // Flag has no element that points back at the response it came from, so this\r\n  // is the one resource the map emits with no link home. Category `safety` is\r\n  // what makes it show up wherever the ward surfaces safety flags.\r\n  qr.item as itSg where ((linkId = 'safeguarding') and answer.value.exists()) then {\r\n    itSg.answer first as aSg then {\r\n      aSg ->  bundle.entry as entryF,  entryF.resource = create('Flag') as flag then {\r\n        qr -> flag.id = uuid() then SetFlagFullUrl(flag, entryF) "idAndFullUrl";\r\n        qr -> entryF.request as request then {\r\n          qr -> request.method = 'POST' "requestMethod";\r\n          qr -> request.url = 'Flag' "requestUrl";\r\n        } "entryRequest";\r\n        qr -> flag.status = 'active' "status";\r\n        qr -> flag.category as cat then {\r\n          qr -> cat.coding as coding then {\r\n            qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/flag-category' "categorySystem";\r\n            qr -> coding.code = 'safety' "categoryCode";\r\n            qr -> coding.display = 'Safety' "categoryDisplay";\r\n          } "categoryCoding";\r\n        } "category";\r\n        // The concern as written. Flag.code is 1..1 and there is no code system\r\n        // for "what a nurse is worried about", so the wording is the concept.\r\n        aSg.value as v -> flag.code as code then {\r\n          v -> code.text = v "codeText";\r\n        } "flagCode";\r\n        qr.subject as s -> flag.subject = s;\r\n        qr.encounter as e -> flag.encounter = e;\r\n        qr.authored as t -> flag.period as period then {\r\n          t -> period.start = t "periodStart";\r\n        } "period";\r\n        qr.author as a -> flag.author = a "authorFromAuthor";\r\n        qr where (author.exists().not()) then {\r\n          qr.source as src -> flag.author = src "authorFromSource";\r\n        } "authorFallback";\r\n      } "flag";\r\n    } "safeguardingAnswer";\r\n  } "safeguardingRule";\r\n}\r\n\r\n// The chosen answer, coding and wording intact, alongside the risk-probability\r\n// code. risk-probability has five concepts and the form has four answers, so\r\n// two of them share `high`; the answer coding is what tells them apart.\r\ngroup AddAnswerCodingAndText(source it, target risk) {\r\n  it.answer first as a then {\r\n    a.value as cv -> risk.coding = cv "answerCoding";\r\n    a.value as cv then {\r\n      cv.display as d -> risk.text = d "answerText";\r\n    } "answerDisplay";\r\n  };\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Shared scaffolding. Repeated in each map rather than imported: the transform\r\n// engine resolves `imports` against whatever StructureMaps happen to be on the\r\n// server, and a form that stops extracting because a shared map was not\r\n// uploaded is a worse failure than a duplicated group.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Source parameters are left untyped on purpose. Writing `: Element` makes the\r\n// publisher's StructureMap validator compare QuestionnaireResponse.item against\r\n// the literal 'Element' and report them as incompatible with each other, which is\r\n// noise, not a finding. Untyped, it says only that it cannot check the paths.\r\ngroup BuildObsBase(source qr : QR, target obs : Observation, target entry) {\r\n  qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";\r\n  qr -> entry.request as request then {\r\n    qr -> request.method = 'POST' "requestMethod";\r\n    qr -> request.url = 'Observation' "requestUrl";\r\n  } "entryRequest";\r\n  qr -> obs.status = 'final' "status";\r\n  qr.subject as s -> obs.subject = s;\r\n  qr.encounter as e -> obs.encounter = e;\r\n  qr.authored as t -> obs.effective = t "effective";\r\n  qr.source as src -> obs.performer = src "performerFromSource";\r\n  qr where (source.exists().not()) then {\r\n    qr.author as a -> obs.performer = a "performerFromAuthor";\r\n  } "performerFallback";\r\n  qr -> obs.derivedFrom = create('Reference') as ref then {\r\n    qr.id as qid -> ref.reference = qid "derivedFromRef";\r\n  } "linkQuestionnaireResponse";\r\n}\r\n\r\n// No Observation to stand on here -- the self-harm answer is a judgement, not a\r\n// measurement -- so basis carries the response alone, and "What was said" comes\r\n// through as the assessment's note.\r\ngroup BuildRiskBase(source qr : QR, target ra : RiskAssessment, target entry) {\r\n  qr -> ra.id = uuid() then SetRiskAssessmentFullUrl(ra, entry) "idAndFullUrl";\r\n  qr -> entry.request as request then {\r\n    qr -> request.method = 'POST' "requestMethod";\r\n    qr -> request.url = 'RiskAssessment' "requestUrl";\r\n  } "entryRequest";\r\n  qr -> ra.status = 'final' "status";\r\n  qr -> ra.code as code then {\r\n    qr -> code.coding as coding then {\r\n      qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";\r\n      qr -> coding.code = 'self-harm-risk' "codeCode";\r\n      qr -> coding.display = 'Risk of self-harm' "codeDisplay";\r\n    } "codeCoding";\r\n    qr -> code.text = 'Risk of self-harm' "codeText";\r\n  } "code";\r\n  qr.subject as s -> ra.subject = s;\r\n  qr.encounter as e -> ra.encounter = e;\r\n  qr.authored as t -> ra.occurrence = t "occurrence";\r\n  qr.author as a -> ra.performer = a "performerFromAuthor";\r\n  qr where (author.exists().not()) then {\r\n    qr.source as src -> ra.performer = src "performerFromSource";\r\n  } "performerFallback";\r\n  qr -> ra.basis = create('Reference') as qref then {\r\n    qr.id as qid -> qref.reference = qid "basisQuestionnaireResponse";\r\n  } "basisResponse";\r\n  qr.item as itD where ((linkId = 'selfHarmDetail') and answer.value.exists()) then {\r\n    itD.answer first as aD then {\r\n      aD.value as v -> ra.note as note then {\r\n        v -> note.text = v "noteText";\r\n      } "note";\r\n    } "detailAnswer";\r\n  } "whatWasSaidRule";\r\n}\r\n\r\ngroup SetCodedValue(source a, target obs : Observation) {\r\n  a.value as cv -> obs.value = create('CodeableConcept') as cc then {\r\n    cv -> cc.coding = cv "valueCoding";\r\n    cv.display as d -> cc.text = d "valueText";\r\n  } "codedValue";\r\n}\r\n\r\ngroup SetExamCategory(source qr : QR, target obs : Observation) {\r\n  qr -> obs.category as cat then {\r\n    qr -> cat.coding as coding then {\r\n      qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n      qr -> coding.code = 'exam' "categoryCode";\r\n      qr -> coding.display = 'Exam' "categoryDisplay";\r\n    } "categoryCoding";\r\n  } "category";\r\n}\r\n\r\ngroup SetObservationFullUrl(source obs : Observation, target entry) {\r\n  obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl";\r\n}\r\n\r\ngroup SetRiskAssessmentFullUrl(source ra : RiskAssessment, target entry) {\r\n  ra.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/RiskAssessment/', id) "assignFullUrl";\r\n}\r\n\r\ngroup SetFlagFullUrl(source flag : Flag, target entry) {\r\n  flag.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Flag/', id) "assignFullUrl";\r\n}\r\n\r\n
" }, "url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientMentalHealthRiskAssessment", "version" : "0.1.0", "name" : "ExtractInpatientMentalHealthRiskAssessment", "title" : "Inpatient Mental Health Risk Assessment Extraction", "status" : "active", "date" : "2026-09-14T06:31:13+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" : "Mood and capacity become Observations, the risk of self-harm becomes a RiskAssessment carrying what the patient said as its note, and a safeguarding concern becomes a Flag on the patient. This is the one instrument here that is not scored: the band comes from which of four answers was picked, not from arithmetic, so each answer is banded explicitly. The answer's own coding and wording ride along in qualitativeRisk, so a reader never has to infer what was said from a risk tier.", "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/Observation", "mode" : "target", "alias" : "Observation" }, { "url" : "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "mode" : "target", "alias" : "RiskAssessment" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Flag", "mode" : "target", "alias" : "Flag" }], "group" : [{ "name" : "ExtractInpatientMentalHealthRiskAssessment", "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" : "moodRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itM", "condition" : "(linkId = 'mood') and answer.value.exists()" }], "rule" : [{ "name" : "moodAnswer", "source" : [{ "context" : "itM", "element" : "answer", "listMode" : "first", "variable" : "aM" }], "rule" : [{ "name" : "moodObservation", "source" : [{ "context" : "aM" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entryM" }, { "context" : "entryM", "element" : "resource", "variable" : "obsM", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "moodBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsM" }, { "context" : "entryM" }], "dependent" : [{ "name" : "BuildObsBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsM" }, { "valueId" : "entryM" }] }] }, { "name" : "moodCategory", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsM" }], "dependent" : [{ "name" : "SetExamCategory", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsM" }] }] }, { "name" : "moodCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsM", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "mood-and-affect" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Mood and affect" }] }] }] }, { "name" : "codeText", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "code", "element" : "text", "transform" : "copy", "parameter" : [{ "valueString" : "Mood and affect" }] }] }] }, { "name" : "moodValue", "source" : [{ "context" : "aM", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "obsM", "element" : "value", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }] }], "documentation" : "── Mood and affect ────────────────────────────────────────────────────────\r\nNo LOINC concept for the mood and affect line of a mental state\r\nexamination, so a local code. See SGHIInpatientClinicalConceptCodeSystem." }, { "name" : "capacityRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itC", "condition" : "(linkId = 'capacity') and answer.value.exists()" }], "rule" : [{ "name" : "capacityAnswer", "source" : [{ "context" : "itC", "element" : "answer", "listMode" : "first", "variable" : "aC" }], "rule" : [{ "name" : "capacityObservation", "source" : [{ "context" : "aC" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entryC" }, { "context" : "entryC", "element" : "resource", "variable" : "obsC", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "capacityBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsC" }, { "context" : "entryC" }], "dependent" : [{ "name" : "BuildObsBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsC" }, { "valueId" : "entryC" }] }] }, { "name" : "capacityCategory", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsC" }], "dependent" : [{ "name" : "SetExamCategory", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsC" }] }] }, { "name" : "capacityCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsC", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "capacity-to-consent" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Capacity to consent" }] }] }] }, { "name" : "codeText", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "code", "element" : "text", "transform" : "copy", "parameter" : [{ "valueString" : "Capacity to consent" }] }] }] }, { "name" : "capacityValue", "source" : [{ "context" : "aC" }], "target" : [{ "context" : "obsC" }], "dependent" : [{ "name" : "SetCodedValue", "parameter" : [{ "valueId" : "aC" }, { "valueId" : "obsC" }] }] }] }] }], "documentation" : "── Capacity to consent ────────────────────────────────────────────────────" }, { "name" : "selfHarmNoneRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itS", "condition" : "(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-none')" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "ra", "transform" : "create", "parameter" : [{ "valueString" : "RiskAssessment" }] }], "rule" : [{ "name" : "riskBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildRiskBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "ra" }, { "valueId" : "entry" }] }] }, { "name" : "prediction", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra", "element" : "prediction", "variable" : "pred" }], "rule" : [{ "name" : "outcome", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "outcome", "variable" : "outcome" }], "rule" : [{ "name" : "outcomeText", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "outcome", "element" : "text", "transform" : "copy", "parameter" : [{ "valueString" : "Self-harm" }] }] }] }, { "name" : "qualitativeRisk", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "qualitativeRisk", "variable" : "risk" }], "rule" : [{ "name" : "riskCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "risk", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "riskSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/risk-probability" }] }] }, { "name" : "riskCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "negligible" }] }] }, { "name" : "riskDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Negligible likelihood" }] }] }] }, { "name" : "answerCoding", "source" : [{ "context" : "itS" }], "target" : [{ "context" : "risk" }], "dependent" : [{ "name" : "AddAnswerCodingAndText", "parameter" : [{ "valueId" : "itS" }, { "valueId" : "risk" }] }] }] }] }], "documentation" : "── Risk of self-harm ──────────────────────────────────────────────────────\r\nFour answers, four bands. Passive ideation is banded `moderate` rather than\r\n`low`: on a ward, thoughts of self-harm without a plan still warrant\r\nobservation, and the cost of over-flagging here is smaller than the cost of\r\nunder-flagging." }, { "name" : "selfHarmPassiveRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itS", "condition" : "(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-passive')" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "ra", "transform" : "create", "parameter" : [{ "valueString" : "RiskAssessment" }] }], "rule" : [{ "name" : "riskBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildRiskBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "ra" }, { "valueId" : "entry" }] }] }, { "name" : "prediction", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra", "element" : "prediction", "variable" : "pred" }], "rule" : [{ "name" : "outcome", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "outcome", "variable" : "outcome" }], "rule" : [{ "name" : "outcomeText", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "outcome", "element" : "text", "transform" : "copy", "parameter" : [{ "valueString" : "Self-harm" }] }] }] }, { "name" : "qualitativeRisk", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "qualitativeRisk", "variable" : "risk" }], "rule" : [{ "name" : "riskCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "risk", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "riskSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/risk-probability" }] }] }, { "name" : "riskCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "moderate" }] }] }, { "name" : "riskDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Moderate likelihood" }] }] }] }, { "name" : "answerCoding", "source" : [{ "context" : "itS" }], "target" : [{ "context" : "risk" }], "dependent" : [{ "name" : "AddAnswerCodingAndText", "parameter" : [{ "valueId" : "itS" }, { "valueId" : "risk" }] }] }] }] }] }, { "name" : "selfHarmActivePlanRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itS", "condition" : "(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-active-plan')" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "ra", "transform" : "create", "parameter" : [{ "valueString" : "RiskAssessment" }] }], "rule" : [{ "name" : "riskBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildRiskBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "ra" }, { "valueId" : "entry" }] }] }, { "name" : "prediction", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra", "element" : "prediction", "variable" : "pred" }], "rule" : [{ "name" : "outcome", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "outcome", "variable" : "outcome" }], "rule" : [{ "name" : "outcomeText", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "outcome", "element" : "text", "transform" : "copy", "parameter" : [{ "valueString" : "Self-harm" }] }] }] }, { "name" : "qualitativeRisk", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "qualitativeRisk", "variable" : "risk" }], "rule" : [{ "name" : "riskCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "risk", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "riskSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/risk-probability" }] }] }, { "name" : "riskCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "high" }] }] }, { "name" : "riskDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "High likelihood" }] }] }] }, { "name" : "answerCoding", "source" : [{ "context" : "itS" }], "target" : [{ "context" : "risk" }], "dependent" : [{ "name" : "AddAnswerCodingAndText", "parameter" : [{ "valueId" : "itS" }, { "valueId" : "risk" }] }] }] }] }] }, { "name" : "selfHarmRecentActRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itS", "condition" : "(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-recent-act')" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry" }, { "context" : "entry", "element" : "resource", "variable" : "ra", "transform" : "create", "parameter" : [{ "valueString" : "RiskAssessment" }] }], "rule" : [{ "name" : "riskBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra" }, { "context" : "entry" }], "dependent" : [{ "name" : "BuildRiskBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "ra" }, { "valueId" : "entry" }] }] }, { "name" : "prediction", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra", "element" : "prediction", "variable" : "pred" }], "rule" : [{ "name" : "outcome", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "outcome", "variable" : "outcome" }], "rule" : [{ "name" : "outcomeText", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "outcome", "element" : "text", "transform" : "copy", "parameter" : [{ "valueString" : "Self-harm" }] }] }] }, { "name" : "qualitativeRisk", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "pred", "element" : "qualitativeRisk", "variable" : "risk" }], "rule" : [{ "name" : "riskCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "risk", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "riskSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/risk-probability" }] }] }, { "name" : "riskCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "high" }] }] }, { "name" : "riskDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "High likelihood" }] }] }] }, { "name" : "answerCoding", "source" : [{ "context" : "itS" }], "target" : [{ "context" : "risk" }], "dependent" : [{ "name" : "AddAnswerCodingAndText", "parameter" : [{ "valueId" : "itS" }, { "valueId" : "risk" }] }] }] }] }] }, { "name" : "safeguardingRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "itSg", "condition" : "(linkId = 'safeguarding') and answer.value.exists()" }], "rule" : [{ "name" : "safeguardingAnswer", "source" : [{ "context" : "itSg", "element" : "answer", "listMode" : "first", "variable" : "aSg" }], "rule" : [{ "name" : "flag", "source" : [{ "context" : "aSg" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entryF" }, { "context" : "entryF", "element" : "resource", "variable" : "flag", "transform" : "create", "parameter" : [{ "valueString" : "Flag" }] }], "rule" : [{ "name" : "idAndFullUrl", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "flag", "element" : "id", "transform" : "uuid" }], "dependent" : [{ "name" : "SetFlagFullUrl", "parameter" : [{ "valueId" : "flag" }, { "valueId" : "entryF" }] }] }, { "name" : "entryRequest", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "entryF", "element" : "request", "variable" : "request" }], "rule" : [{ "name" : "requestMethod", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "request", "element" : "method", "transform" : "copy", "parameter" : [{ "valueString" : "POST" }] }] }, { "name" : "requestUrl", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "request", "element" : "url", "transform" : "copy", "parameter" : [{ "valueString" : "Flag" }] }] }] }, { "name" : "status", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "flag", "element" : "status", "transform" : "copy", "parameter" : [{ "valueString" : "active" }] }] }, { "name" : "category", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "flag", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "categoryCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "cat", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "categorySystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/flag-category" }] }] }, { "name" : "categoryCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "safety" }] }] }, { "name" : "categoryDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Safety" }] }] }] }] }, { "name" : "flagCode", "source" : [{ "context" : "aSg", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "flag", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeText", "source" : [{ "context" : "v" }], "target" : [{ "context" : "code", "element" : "text", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }], "documentation" : "The concern as written. Flag.code is 1..1 and there is no code system\r\nfor \"what a nurse is worried about\", so the wording is the concept." }, { "name" : "subject", "source" : [{ "context" : "qr", "element" : "subject", "variable" : "s" }], "target" : [{ "context" : "flag", "element" : "subject", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }, { "name" : "encounter", "source" : [{ "context" : "qr", "element" : "encounter", "variable" : "e" }], "target" : [{ "context" : "flag", "element" : "encounter", "transform" : "copy", "parameter" : [{ "valueId" : "e" }] }] }, { "name" : "period", "source" : [{ "context" : "qr", "element" : "authored", "variable" : "t" }], "target" : [{ "context" : "flag", "element" : "period", "variable" : "period" }], "rule" : [{ "name" : "periodStart", "source" : [{ "context" : "t" }], "target" : [{ "context" : "period", "element" : "start", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }] }] }, { "name" : "authorFromAuthor", "source" : [{ "context" : "qr", "element" : "author", "variable" : "a" }], "target" : [{ "context" : "flag", "element" : "author", "transform" : "copy", "parameter" : [{ "valueId" : "a" }] }] }, { "name" : "authorFallback", "source" : [{ "context" : "qr", "condition" : "author.exists().not()" }], "rule" : [{ "name" : "authorFromSource", "source" : [{ "context" : "qr", "element" : "source", "variable" : "src" }], "target" : [{ "context" : "flag", "element" : "author", "transform" : "copy", "parameter" : [{ "valueId" : "src" }] }] }] }] }] }], "documentation" : "── Safeguarding ───────────────────────────────────────────────────────────\r\nFlag has no element that points back at the response it came from, so this\r\nis the one resource the map emits with no link home. Category `safety` is\r\nwhat makes it show up wherever the ward surfaces safety flags." }] }, { "name" : "AddAnswerCodingAndText", "documentation" : "The chosen answer, coding and wording intact, alongside the risk-probability\r\ncode. risk-probability has five concepts and the form has four answers, so\r\ntwo of them share `high`; the answer coding is what tells them apart.", "input" : [{ "name" : "it", "mode" : "source" }, { "name" : "risk", "mode" : "target" }], "rule" : [{ "name" : "answer", "source" : [{ "context" : "it", "element" : "answer", "listMode" : "first", "variable" : "a" }], "rule" : [{ "name" : "answerCoding", "source" : [{ "context" : "a", "element" : "value", "variable" : "cv" }], "target" : [{ "context" : "risk", "element" : "coding", "transform" : "copy", "parameter" : [{ "valueId" : "cv" }] }] }, { "name" : "answerDisplay", "source" : [{ "context" : "a", "element" : "value", "variable" : "cv" }], "rule" : [{ "name" : "answerText", "source" : [{ "context" : "cv", "element" : "display", "variable" : "d" }], "target" : [{ "context" : "risk", "element" : "text", "transform" : "copy", "parameter" : [{ "valueId" : "d" }] }] }] }] }] }, { "name" : "BuildObsBase", "documentation" : "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each map rather than imported: the transform\r\nengine resolves `imports` against whatever StructureMaps happen to be on the\r\nserver, and a form that stops extracting because a shared map was not\r\nuploaded is a worse failure than a duplicated group.\r\n─────────────────────────────────────────────────────────────────────────────\r\nSource parameters are left untyped on purpose. Writing `: Element` makes the\r\npublisher's StructureMap validator compare QuestionnaireResponse.item against\r\nthe literal 'Element' and report them as incompatible with each other, which is\r\nnoise, not a finding. Untyped, it says only that it cannot check the paths.", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "obs", "type" : "Observation", "mode" : "target" }, { "name" : "entry", "mode" : "target" }], "rule" : [{ "name" : "idAndFullUrl", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "id", "transform" : "uuid" }], "dependent" : [{ "name" : "SetObservationFullUrl", "parameter" : [{ "valueId" : "obs" }, { "valueId" : "entry" }] }] }, { "name" : "entryRequest", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "entry", "element" : "request", "variable" : "request" }], "rule" : [{ "name" : "requestMethod", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "request", "element" : "method", "transform" : "copy", "parameter" : [{ "valueString" : "POST" }] }] }, { "name" : "requestUrl", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "request", "element" : "url", "transform" : "copy", "parameter" : [{ "valueString" : "Observation" }] }] }] }, { "name" : "status", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "status", "transform" : "copy", "parameter" : [{ "valueString" : "final" }] }] }, { "name" : "subject", "source" : [{ "context" : "qr", "element" : "subject", "variable" : "s" }], "target" : [{ "context" : "obs", "element" : "subject", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }, { "name" : "encounter", "source" : [{ "context" : "qr", "element" : "encounter", "variable" : "e" }], "target" : [{ "context" : "obs", "element" : "encounter", "transform" : "copy", "parameter" : [{ "valueId" : "e" }] }] }, { "name" : "effective", "source" : [{ "context" : "qr", "element" : "authored", "variable" : "t" }], "target" : [{ "context" : "obs", "element" : "effective", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }] }, { "name" : "performerFromSource", "source" : [{ "context" : "qr", "element" : "source", "variable" : "src" }], 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