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 2026-09-14 |
{
"resourceType" : "StructureMap",
"id" : "ExtractInpatientMentalHealthRiskAssessment",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractInpatientMentalHealthRiskAssessment</b></p><a name=\"ExtractInpatientMentalHealthRiskAssessment\"> </a><a name=\"hcExtractInpatientMentalHealthRiskAssessment\"> </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/ExtractInpatientMentalHealthRiskAssessment'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractInpatientMentalHealthRiskAssessment'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Inpatient Mental Health Risk Assessment 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\">'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.'</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/observation.html\" title=\"Observation\">http://hl7.org/fhir/StructureDefinition/Observation</a><span style=\"color: navy\">" </span><b>alias </b>Observation <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/riskassessment.html\" title=\"RiskAssessment\">http://hl7.org/fhir/StructureDefinition/RiskAssessment</a><span style=\"color: navy\">" </span><b>alias </b>RiskAssessment <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/flag.html\" title=\"Flag\">http://hl7.org/fhir/StructureDefinition/Flag</a><span style=\"color: navy\">" </span><b>alias </b>Flag <b>as </b><b>target</b>\r\n\r\n<b>group </b>ExtractInpatientMentalHealthRiskAssessment<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 <span style=\"color: navy\">// </span><span style=\"color: green\">── Mood and affect ────────────────────────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">No LOINC concept for the mood and affect line of a mental state</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">examination, so a local code. See SGHIInpatientClinicalConceptCodeSystem.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itM</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'mood') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> itM.answer first<b> as </b><span style=\"color: maroon\">aM</span><b> then</b><span style=\"color: navy\"> {\r\n</span> aM<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entryM</span><span style=\"color: navy\">, </span> entryM.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obsM</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> obsM<span style=\"color: navy\">, </span> entryM<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsM</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entryM</span><span style=\"color: navy\">)</span> <i>"moodBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obsM<b> then </b>SetExamCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsM</span><span style=\"color: navy\">)</span> <i>"moodCategory"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obsM.code<b> as </b><span style=\"color: maroon\">code</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>code.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"codeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'mood-and-affect'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Mood and affect'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>code.text = <span style=\"color: blue\">'Mood and affect'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"moodCode"</i><span style=\"color: navy\">;</span>\r\n aM.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>obsM.value = <span style=\"color: maroon\">v</span> <i>"moodValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"moodObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"moodAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"moodRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── Capacity to consent ────────────────────────────────────────────────────</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itC</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'capacity') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> itC.answer first<b> as </b><span style=\"color: maroon\">aC</span><b> then</b><span style=\"color: navy\"> {\r\n</span> aC<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\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obsC</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> obsC<span style=\"color: navy\">, </span> entryC<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsC</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entryC</span><span style=\"color: navy\">)</span> <i>"capacityBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obsC<b> then </b>SetExamCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsC</span><span style=\"color: navy\">)</span> <i>"capacityCategory"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obsC.code<b> as </b><span style=\"color: maroon\">code</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>code.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"codeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'capacity-to-consent'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Capacity to consent'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>code.text = <span style=\"color: blue\">'Capacity to consent'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"capacityCode"</i><span style=\"color: navy\">;</span>\r\n aC<span style=\"color: navy\"><b> -> </b></span>obsC<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">aC</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obsC</span><span style=\"color: navy\">)</span> <i>"capacityValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"capacityObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"capacityAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"capacityRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── Risk of self-harm ──────────────────────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Four answers, four bands. Passive ideation is banded `moderate` rather than</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">`low`: on a ward, thoughts of self-harm without a plan still warrant</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">observation, and the cost of over-flagging here is smaller than the cost of</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">under-flagging.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itS</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-none')<span style=\"color: navy\">)</span><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\">'RiskAssessment'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ra</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> ra<span style=\"color: navy\">, </span> entry<b> then </b>BuildRiskBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">ra</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"riskBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ra.prediction<b> as </b><span style=\"color: maroon\">pred</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>pred.outcome<b> as </b><span style=\"color: maroon\">outcome</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>outcome.text = <span style=\"color: blue\">'Self-harm'</span> <i>"outcomeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"outcome"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>pred.qualitativeRisk<b> as </b><span style=\"color: maroon\">risk</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>risk.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>"riskSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'negligible'</span> <i>"riskCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Negligible likelihood'</span> <i>"riskDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"riskCoding"</i><span style=\"color: navy\">;</span>\r\n itS<span style=\"color: navy\"><b> -> </b></span>risk<b> then </b>AddAnswerCodingAndText<span style=\"color: navy\">(</span><span style=\"color: maroon\">itS</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">risk</span><span style=\"color: navy\">)</span> <i>"answerCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"qualitativeRisk"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"prediction"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"selfHarmNoneRule"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itS</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-passive')<span style=\"color: navy\">)</span><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\">'RiskAssessment'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ra</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> ra<span style=\"color: navy\">, </span> entry<b> then </b>BuildRiskBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">ra</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"riskBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ra.prediction<b> as </b><span style=\"color: maroon\">pred</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>pred.outcome<b> as </b><span style=\"color: maroon\">outcome</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>outcome.text = <span style=\"color: blue\">'Self-harm'</span> <i>"outcomeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"outcome"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>pred.qualitativeRisk<b> as </b><span style=\"color: maroon\">risk</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>risk.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>"riskSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'moderate'</span> <i>"riskCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Moderate likelihood'</span> <i>"riskDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"riskCoding"</i><span style=\"color: navy\">;</span>\r\n itS<span style=\"color: navy\"><b> -> </b></span>risk<b> then </b>AddAnswerCodingAndText<span style=\"color: navy\">(</span><span style=\"color: maroon\">itS</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">risk</span><span style=\"color: navy\">)</span> <i>"answerCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"qualitativeRisk"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"prediction"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"selfHarmPassiveRule"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itS</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-active-plan')<span style=\"color: navy\">)</span><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\">'RiskAssessment'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ra</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> ra<span style=\"color: navy\">, </span> entry<b> then </b>BuildRiskBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">ra</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"riskBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ra.prediction<b> as </b><span style=\"color: maroon\">pred</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>pred.outcome<b> as </b><span style=\"color: maroon\">outcome</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>outcome.text = <span style=\"color: blue\">'Self-harm'</span> <i>"outcomeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"outcome"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>pred.qualitativeRisk<b> as </b><span style=\"color: maroon\">risk</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>risk.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>"riskSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'high'</span> <i>"riskCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'High likelihood'</span> <i>"riskDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"riskCoding"</i><span style=\"color: navy\">;</span>\r\n itS<span style=\"color: navy\"><b> -> </b></span>risk<b> then </b>AddAnswerCodingAndText<span style=\"color: navy\">(</span><span style=\"color: maroon\">itS</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">risk</span><span style=\"color: navy\">)</span> <i>"answerCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"qualitativeRisk"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"prediction"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"selfHarmActivePlanRule"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itS</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'selfHarm') and (answer.value.ofType(Coding).code = 'self-harm-recent-act')<span style=\"color: navy\">)</span><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\">'RiskAssessment'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ra</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> ra<span style=\"color: navy\">, </span> entry<b> then </b>BuildRiskBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">ra</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"riskBase"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ra.prediction<b> as </b><span style=\"color: maroon\">pred</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>pred.outcome<b> as </b><span style=\"color: maroon\">outcome</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>outcome.text = <span style=\"color: blue\">'Self-harm'</span> <i>"outcomeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"outcome"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>pred.qualitativeRisk<b> as </b><span style=\"color: maroon\">risk</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>risk.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>"riskSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'high'</span> <i>"riskCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'High likelihood'</span> <i>"riskDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"riskCoding"</i><span style=\"color: navy\">;</span>\r\n itS<span style=\"color: navy\"><b> -> </b></span>risk<b> then </b>AddAnswerCodingAndText<span style=\"color: navy\">(</span><span style=\"color: maroon\">itS</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">risk</span><span style=\"color: navy\">)</span> <i>"answerCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"qualitativeRisk"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"prediction"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"selfHarmRecentActRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── Safeguarding ───────────────────────────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Flag has no element that points back at the response it came from, so this</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">is the one resource the map emits with no link home. Category `safety` is</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">what makes it show up wherever the ward surfaces safety flags.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itSg</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'safeguarding') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> itSg.answer first<b> as </b><span style=\"color: maroon\">aSg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> aSg<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entryF</span><span style=\"color: navy\">, </span> entryF.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Flag'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">flag</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>flag.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetFlagFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">flag</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entryF</span><span style=\"color: navy\">)</span> <i>"idAndFullUrl"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>entryF.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\">'Flag'</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>flag.status = <span style=\"color: blue\">'active'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>flag.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\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/flag-category'</span> <i>"categorySystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'safety'</span> <i>"categoryCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Safety'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">The concern as written. Flag.code is 1..1 and there is no code system</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">for "what a nurse is worried about", so the wording is the concept.</span>\r\n aSg.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>flag.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>"flagCode"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>flag.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><span style=\"color: navy\"><b> -> </b></span>flag.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>flag.period<b> as </b><span style=\"color: maroon\">period</span><b> then</b><span style=\"color: navy\"> {\r\n</span> t<span style=\"color: navy\"><b> -> </b></span>period.start = <span style=\"color: maroon\">t</span> <i>"periodStart"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"period"</i><span style=\"color: navy\">;</span>\r\n qr.author<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -> </b></span>flag.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.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><span style=\"color: navy\"><b> -> </b></span>flag.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 <span style=\"color: navy\">}</span> <i>"flag"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"safeguardingAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"safeguardingRule"</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\">The chosen answer, coding and wording intact, alongside the risk-probability</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">code. risk-probability has five concepts and the form has four answers, so</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">two of them share `high`; the answer coding is what tells them apart.</span>\r\n<b>group </b>AddAnswerCodingAndText<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">it</span>, <b>target</b> <span style=\"color: maroon\">risk</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\">cv</span><span style=\"color: navy\"><b> -> </b></span>risk.coding = <span style=\"color: maroon\">cv</span> <i>"answerCoding"</i><span style=\"color: navy\">;</span>\r\n a.value<b> as </b><span style=\"color: maroon\">cv</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>risk.text = <span style=\"color: maroon\">d</span> <i>"answerText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"answerDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><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 scaffolding. Repeated in each map rather than imported: the transform</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">engine resolves `imports` against whatever StructureMaps happen to be on the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">server, and a form that stops extracting because a shared map was not</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">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\">Source parameters are left untyped on purpose. Writing `: Element` makes the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">publisher's StructureMap validator compare QuestionnaireResponse.item against</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">the literal 'Element' and report them as incompatible with each other, which is</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">noise, not a finding. Untyped, it says only that it cannot check the paths.</span>\r\n<b>group </b>BuildObsBase<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\">obs</span><span style=\"color: navy\"> : </span>Observation, <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>obs.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetObservationFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">obs</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\">'Observation'</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>obs.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><span style=\"color: navy\"><b> -> </b></span>obs.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><span style=\"color: navy\"><b> -> </b></span>obs.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>obs.effective = <span style=\"color: maroon\">t</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n qr.source<b> as </b><span style=\"color: maroon\">src</span><span style=\"color: navy\"><b> -> </b></span>obs.performer = <span style=\"color: maroon\">src</span> <i>"performerFromSource"</i><span style=\"color: navy\">;</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>source.exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.author<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -> </b></span>obs.performer = <span style=\"color: maroon\">a</span> <i>"performerFromAuthor"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"performerFallback"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.derivedFrom = <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>"derivedFromRef"</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><span style=\"color: navy\">// </span><span style=\"color: green\">No Observation to stand on here -- the self-harm answer is a judgement, not a</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">measurement -- so basis carries the response alone, and "What was said" comes</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">through as the assessment's note.</span>\r\n<b>group </b>BuildRiskBase<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\">ra</span><span style=\"color: navy\"> : </span>RiskAssessment, <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>ra.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetRiskAssessmentFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">ra</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\">'RiskAssessment'</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>ra.status = <span style=\"color: blue\">'final'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ra.code<b> as </b><span style=\"color: maroon\">code</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>code.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>"codeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'self-harm-risk'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Risk of self-harm'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>code.text = <span style=\"color: blue\">'Risk of self-harm'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>ra.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><span style=\"color: navy\"><b> -> </b></span>ra.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>ra.occurrence = <span style=\"color: maroon\">t</span> <i>"occurrence"</i><span style=\"color: navy\">;</span>\r\n qr.author<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -> </b></span>ra.performer = <span style=\"color: maroon\">a</span> <i>"performerFromAuthor"</i><span style=\"color: navy\">;</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>author.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><span style=\"color: navy\"><b> -> </b></span>ra.performer = <span style=\"color: maroon\">src</span> <i>"performerFromSource"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"performerFallback"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>ra.basis = <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\">qref</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>qref.reference = <span style=\"color: maroon\">qid</span> <i>"basisQuestionnaireResponse"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"basisResponse"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">itD</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'selfHarmDetail') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> itD.answer first<b> as </b><span style=\"color: maroon\">aD</span><b> then</b><span style=\"color: navy\"> {\r\n</span> aD.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>ra.note<b> as </b><span style=\"color: maroon\">note</span><b> then</b><span style=\"color: navy\"> {\r\n</span> v<span style=\"color: navy\"><b> -> </b></span>note.text = <span style=\"color: maroon\">v</span> <i>"noteText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"note"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"detailAnswer"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"whatWasSaidRule"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetCodedValue<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">a</span>, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">cv</span><span style=\"color: navy\"><b> -> </b></span>obs.value = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>cc.coding = <span style=\"color: maroon\">cv</span> <i>"valueCoding"</i><span style=\"color: navy\">;</span>\r\n cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>cc.text = <span style=\"color: maroon\">d</span> <i>"valueText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codedValue"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetExamCategory<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\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs.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\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>"categorySystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'exam'</span> <i>"categoryCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Exam'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetObservationFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> obs.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/Observation/'</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><b>group </b>SetRiskAssessmentFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">ra</span><span style=\"color: navy\"> : </span>RiskAssessment, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> ra.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/RiskAssessment/'</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><b>group </b>SetFlagFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">flag</span><span style=\"color: navy\"> : </span>Flag, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> flag.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/Flag/'</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></pre></div>"
},
"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"
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]
},
{
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"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" : [
{
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"mode" : "source",
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{
"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" : [
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"name" : "qr",
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"mode" : "source"
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"type" : "Bundle",
"mode" : "target"
}
],
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{
"name" : "setBundleType",
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}
],
"target" : [
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"element" : "type",
"transform" : "copy",
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"valueString" : "transaction"
}
]
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]
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{
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{
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"condition" : "(linkId = 'mood') and answer.value.exists()"
}
],
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{
"name" : "moodAnswer",
"source" : [
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"context" : "itM",
"element" : "answer",
"listMode" : "first",
"variable" : "aM"
}
],
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"name" : "moodObservation",
"source" : [
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}
],
"target" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "entryM"
},
{
"context" : "entryM",
"element" : "resource",
"variable" : "obsM",
"transform" : "create",
"parameter" : [
{
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{
"name" : "moodBase",
"source" : [
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"context" : "qr"
}
],
"target" : [
{
"context" : "obsM"
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{
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}
],
"dependent" : [
{
"name" : "BuildObsBase",
"parameter" : [
{
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{
"valueId" : "obsM"
},
{
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}
]
}
]
},
{
"name" : "moodCategory",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "obsM"
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],
"dependent" : [
{
"name" : "SetExamCategory",
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{
"valueId" : "qr"
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{
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{
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{
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"variable" : "coding"
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"source" : [
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],
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"context" : "coding",
"element" : "system",
"transform" : "copy",
"parameter" : [
{
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}
]
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{
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],
"target" : [
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"transform" : "copy",
"parameter" : [
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}
]
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]
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{
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}
],
"target" : [
{
"context" : "coding",
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"transform" : "copy",
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{
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}
]
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]
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{
"name" : "codeText",
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{
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}
],
"target" : [
{
"context" : "code",
"element" : "text",
"transform" : "copy",
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{
"valueString" : "Mood and affect"
}
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}
]
},
{
"name" : "moodValue",
"source" : [
{
"context" : "aM",
"element" : "value",
"variable" : "v"
}
],
"target" : [
{
"context" : "obsM",
"element" : "value",
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"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."
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"source" : [
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"element" : "answer",
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{
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"variable" : "obsC",
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{
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}
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},
{
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{
"valueId" : "qr"
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}
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}
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{
"name" : "SetExamCategory",
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{
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{
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"documentation" : "── Capacity to consent ────────────────────────────────────────────────────"
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}
],
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"element" : "text",
"transform" : "copy",
"parameter" : [
{
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]
}
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},
{
"name" : "qualitativeRisk",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
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}
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{
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