{
  "resourceType" : "StructureMap",
  "id" : "ExtractInpatientProgressNote",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractInpatientProgressNote</b></p><a name=\"ExtractInpatientProgressNote\"> </a><a name=\"hcExtractInpatientProgressNote\"> </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/ExtractInpatientProgressNote'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractInpatientProgressNote'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Inpatient Progress Note Extraction'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n<span style=\"color: #cc00cc\">/// <b>description</b> = </span><span style=\"color: blue\">'Turns a response to the inpatient progress note into a single Composition with one section per SOAP heading. Nothing here is a discrete clinical fact -- a progress note is a document -- so no Observation, Condition or Task is produced. The QuestionnaireResponse remains the signed record and the Composition points back at it through relatesTo.'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/questionnaireresponse.html\" title=\"QuestionnaireResponse\">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style=\"color: navy\">&quot; </span><b>alias </b>QR <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/bundle.html\" title=\"Bundle\">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style=\"color: navy\">&quot; </span><b>alias </b>Bundle <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/composition.html\" title=\"Composition\">http://hl7.org/fhir/StructureDefinition/Composition</a><span style=\"color: navy\">&quot; </span><b>alias </b>Composition <b>as </b><b>target</b>\r\n\r\n<b>group </b>ExtractInpatientProgressNote<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> -&gt; </b></span>bundle.type = <span style=\"color: blue\">'transaction'</span> <i>&quot;setBundleType&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Composition'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">comp</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr<span style=\"color: navy\"><b> -&gt; </b></span> comp<span style=\"color: navy\">, </span> entry<b> then </b>BuildNoteBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">comp</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;noteBase&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.name = <span style=\"color: blue\">'InpatientProgressNote'</span> <i>&quot;noteName&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.title = <span style=\"color: blue\">'Progress note'</span> <i>&quot;noteTitle&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.type<b> as </b><span style=\"color: maroon\">ty</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      qr<span style=\"color: navy\"><b> -&gt; </b></span>ty.coding<b> as </b><span style=\"color: maroon\">sghi</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>sghi.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem'</span> <i>&quot;sghiSystem&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>sghi.code = <span style=\"color: blue\">'progress-note'</span> <i>&quot;sghiCode&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>sghi.display = <span style=\"color: blue\">'Progress note'</span> <i>&quot;sghiDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;sghiCoding&quot;</i><span style=\"color: navy\">;</span>\r\n      qr<span style=\"color: navy\"><b> -&gt; </b></span>ty.coding<b> as </b><span style=\"color: maroon\">loinc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>loinc.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>&quot;loincSystem&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>loinc.code = <span style=\"color: blue\">'11506-3'</span> <i>&quot;loincCode&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>loinc.display = <span style=\"color: blue\">'Progress note'</span> <i>&quot;loincDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;loincCoding&quot;</i><span style=\"color: navy\">;</span>\r\n      qr<span style=\"color: navy\"><b> -&gt; </b></span>ty.text = <span style=\"color: blue\">'Progress note'</span> <i>&quot;typeText&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;noteType&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">// </span><span style=\"color: green\">Sections in the order the form asks for them, so the printed note reads</span>\r\n    <span style=\"color: navy\">// </span><span style=\"color: green\">the way it was written. The `answer.value.exists()` guard is not</span>\r\n    <span style=\"color: navy\">// </span><span style=\"color: green\">decoration: a section with a title and no content breaks cmp-1, and an</span>\r\n    <span style=\"color: navy\">// </span><span style=\"color: green\">unanswered optional item still arrives as an empty item.</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'subjective') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      it<span style=\"color: navy\"><b> -&gt; </b></span>sec.title = <span style=\"color: blue\">'Subjective'</span> <i>&quot;subjectiveTitle&quot;</i><span style=\"color: navy\">;</span>\r\n      it<span style=\"color: navy\"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>&quot;subjectiveText&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;subjectiveRule&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'objective') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      it<span style=\"color: navy\"><b> -&gt; </b></span>sec.title = <span style=\"color: blue\">'Objective'</span> <i>&quot;objectiveTitle&quot;</i><span style=\"color: navy\">;</span>\r\n      it<span style=\"color: navy\"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>&quot;objectiveText&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;objectiveRule&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'assessment') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      it<span style=\"color: navy\"><b> -&gt; </b></span>sec.title = <span style=\"color: blue\">'Assessment'</span> <i>&quot;assessmentTitle&quot;</i><span style=\"color: navy\">;</span>\r\n      it<span style=\"color: navy\"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>&quot;assessmentText&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;assessmentRule&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'plan') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.section<b> as </b><span style=\"color: maroon\">sec</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      it<span style=\"color: navy\"><b> -&gt; </b></span>sec.title = <span style=\"color: blue\">'Plan'</span> <i>&quot;planTitle&quot;</i><span style=\"color: navy\">;</span>\r\n      it<span style=\"color: navy\"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style=\"color: navy\">(</span><span style=\"color: maroon\">it</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span> <i>&quot;planText&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;planRule&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;composition&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Shared note scaffolding. Repeated in each note map rather than imported: the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">transform engine resolves `imports` against whatever StructureMaps happen to</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">be on the server, and a note that stops extracting because a shared map was</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">not uploaded is a worse failure than a duplicated group.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Two notes on what the publisher's StructureMap validator says about this file.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Source parameters below are left untyped on purpose. Writing `: Element` makes</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">the validator compare QuestionnaireResponse.item against the literal 'Element'</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">and report them as incompatible with each other, which is noise, not a finding.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Untyped, it says only that it cannot check the paths.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">`evaluate(context, expression)` is flagged as &quot;takes 1 parameter but 2 were</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">found&quot;. Leave it. The FML parser in the same jar refuses the one-argument form</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">outright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">is objecting to what its own compiler emits. Two arguments is the only form that</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">compiles, and it is what the R5 transform engine executes.</span>\r\n<b>group </b>BuildNoteBase<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">comp</span><span style=\"color: navy\"> : </span>Composition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetCompositionFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">comp</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;idAndFullUrl&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </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> -&gt; </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>&quot;requestMethod&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>request.url = <span style=\"color: blue\">'Composition'</span> <i>&quot;requestUrl&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;entryRequest&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.status = <span style=\"color: blue\">'final'</span> <i>&quot;status&quot;</i><span style=\"color: navy\">;</span>\r\n  qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n  qr.encounter<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Composition.date is 1..1. `authored` is only 0..1 on the response, so when a</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">client sends none the extraction time stands in. It is a poor substitute for</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">when the note was written, but a document with no date at all is worse, and</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">extraction happens moments after submission in practice.</span>\r\n  qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.date = <span style=\"color: maroon\">t</span> <i>&quot;date&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<b> where </b><span style=\"color: navy\">(</span>authored.exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.date = evaluate<span style=\"color: navy\">(</span>qr<span style=\"color: navy\">, </span>now()<span style=\"color: navy\">)</span> <i>&quot;dateFromExtractionTime&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;dateFallback&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Composition.author is 1..1 minimum. R5 QuestionnaireResponse carries both</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">`author` (who recorded the answers) and `source` (who supplied them); the</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">author is the one who wrote the note, so it wins, and `source` only stands</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">in when the client did not send an author. If the response carries neither,</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">the note comes out unauthored -- there is nothing on a QuestionnaireResponse</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">to invent one from, and guessing at who wrote a clinical note is not a thing</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">a map should do.</span>\r\n  qr.author<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -&gt; </b></span>comp.author = <span style=\"color: maroon\">a</span> <i>&quot;authorFromAuthor&quot;</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> -&gt; </b></span>comp.author = <span style=\"color: maroon\">src</span> <i>&quot;authorFromSource&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;authorFallback&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">The note is derived from the response, not a copy of it. relatesTo is the</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">only element on R5 Composition that can say so.</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>comp.relatesTo<b> as </b><span style=\"color: maroon\">rel</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr<span style=\"color: navy\"><b> -&gt; </b></span>rel.type = <span style=\"color: blue\">'derived-from'</span> <i>&quot;relatesToType&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>rel.resourceReference = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ref</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      <span style=\"color: navy\">// </span><span style=\"color: green\">`qr.id` already resolves to the type-qualified relative reference under</span>\r\n      <span style=\"color: navy\">// </span><span style=\"color: green\">this engine, so it is used unprefixed.</span>\r\n      qr.id<b> as </b><span style=\"color: maroon\">qid</span><span style=\"color: navy\"><b> -&gt; </b></span>ref.reference = <span style=\"color: maroon\">qid</span> <i>&quot;relatesToRef&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;relatesToTarget&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;linkQuestionnaireResponse&quot;</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 narrative half of a section. The title stays with the caller because a</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">group can only be invoked with variables, not string literals.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Two things here are deliberate. `create('xhtml')` rather than assigning the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">string straight to `div`: the engine hard-casts whatever it is given to</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">XhtmlType, so a plain string fails with a ClassCastException. And</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">`escape('html')` on the answer: a nurse writing &quot;sats &lt; 92% &amp; falling&quot; would</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">otherwise produce a div the server refuses to parse.</span>\r\n<b>group </b>AddSectionText<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">it</span>, <b>target</b> <span style=\"color: maroon\">sec</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    a.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -&gt; </b></span>sec.text<b> as </b><span style=\"color: maroon\">narrative</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      v<span style=\"color: navy\"><b> -&gt; </b></span>narrative.status = <span style=\"color: blue\">'generated'</span> <i>&quot;narrativeStatus&quot;</i><span style=\"color: navy\">;</span>\r\n      v<span style=\"color: navy\"><b> -&gt; </b></span>narrative.div = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'xhtml'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">xhtml</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        v<span style=\"color: navy\"><b> -&gt; </b></span>xhtml.value = evaluate<span style=\"color: navy\">(</span>a<span style=\"color: navy\">, </span>'&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;&lt;p&gt;' + value.toString().escape('html') + '&lt;/p&gt;&lt;/div&gt;'<span style=\"color: navy\">)</span> <i>&quot;narrativeDiv&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;narrativeXhtml&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;sectionText&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;sectionAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetCompositionFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">comp</span><span style=\"color: navy\"> : </span>Composition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  comp.id<b> as </b><span style=\"color: maroon\">id</span><span style=\"color: navy\"><b> -&gt; </b></span>entry.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/Composition/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>&quot;assignFullUrl&quot;</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/ExtractInpatientProgressNote",
  "version" : "0.1.0",
  "name" : "ExtractInpatientProgressNote",
  "title" : "Inpatient Progress Note 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" : "Turns a response to the inpatient progress note into a single Composition with one section per SOAP heading. Nothing here is a discrete clinical fact -- a progress note is a document -- so no Observation, Condition or Task is produced. The QuestionnaireResponse remains the signed record and the Composition points back at it through relatesTo.",
  "structure" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
    "mode" : "source",
    "alias" : "QR"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
    "mode" : "target",
    "alias" : "Bundle"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/Composition",
    "mode" : "target",
    "alias" : "Composition"
  }],
  "group" : [{
    "name" : "ExtractInpatientProgressNote",
    "input" : [{
      "name" : "qr",
      "type" : "QR",
      "mode" : "source"
    },
    {
      "name" : "bundle",
      "type" : "Bundle",
      "mode" : "target"
    }],
    "rule" : [{
      "name" : "setBundleType",
      "source" : [{
        "context" : "qr"
      }],
      "target" : [{
        "context" : "bundle",
        "element" : "type",
        "transform" : "copy",
        "parameter" : [{
          "valueString" : "transaction"
        }]
      }]
    },
    {
      "name" : "composition",
      "source" : [{
        "context" : "qr"
      }],
      "target" : [{
        "context" : "bundle",
        "element" : "entry",
        "variable" : "entry"
      },
      {
        "context" : "entry",
        "element" : "resource",
        "variable" : "comp",
        "transform" : "create",
        "parameter" : [{
          "valueString" : "Composition"
        }]
      }],
      "rule" : [{
        "name" : "noteBase",
        "source" : [{
          "context" : "qr"
        }],
        "target" : [{
          "context" : "comp"
        },
        {
          "context" : "entry"
        }],
        "dependent" : [{
          "name" : "BuildNoteBase",
          "parameter" : [{
            "valueId" : "qr"
          },
          {
            "valueId" : "comp"
          },
          {
            "valueId" : "entry"
          }]
        }]
      },
      {
        "name" : "noteName",
        "source" : [{
          "context" : "qr"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "name",
          "transform" : "copy",
          "parameter" : [{
            "valueString" : "InpatientProgressNote"
          }]
        }]
      },
      {
        "name" : "noteTitle",
        "source" : [{
          "context" : "qr"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "title",
          "transform" : "copy",
          "parameter" : [{
            "valueString" : "Progress note"
          }]
        }]
      },
      {
        "name" : "noteType",
        "source" : [{
          "context" : "qr"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "type",
          "variable" : "ty"
        }],
        "rule" : [{
          "name" : "sghiCoding",
          "source" : [{
            "context" : "qr"
          }],
          "target" : [{
            "context" : "ty",
            "element" : "coding",
            "variable" : "sghi"
          }],
          "rule" : [{
            "name" : "sghiSystem",
            "source" : [{
              "context" : "qr"
            }],
            "target" : [{
              "context" : "sghi",
              "element" : "system",
              "transform" : "copy",
              "parameter" : [{
                "valueString" : "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem"
              }]
            }]
          },
          {
            "name" : "sghiCode",
            "source" : [{
              "context" : "qr"
            }],
            "target" : [{
              "context" : "sghi",
              "element" : "code",
              "transform" : "copy",
              "parameter" : [{
                "valueString" : "progress-note"
              }]
            }]
          },
          {
            "name" : "sghiDisplay",
            "source" : [{
              "context" : "qr"
            }],
            "target" : [{
              "context" : "sghi",
              "element" : "display",
              "transform" : "copy",
              "parameter" : [{
                "valueString" : "Progress note"
              }]
            }]
          }]
        },
        {
          "name" : "loincCoding",
          "source" : [{
            "context" : "qr"
          }],
          "target" : [{
            "context" : "ty",
            "element" : "coding",
            "variable" : "loinc"
          }],
          "rule" : [{
            "name" : "loincSystem",
            "source" : [{
              "context" : "qr"
            }],
            "target" : [{
              "context" : "loinc",
              "element" : "system",
              "transform" : "copy",
              "parameter" : [{
                "valueString" : "http://loinc.org"
              }]
            }]
          },
          {
            "name" : "loincCode",
            "source" : [{
              "context" : "qr"
            }],
            "target" : [{
              "context" : "loinc",
              "element" : "code",
              "transform" : "copy",
              "parameter" : [{
                "valueString" : "11506-3"
              }]
            }]
          },
          {
            "name" : "loincDisplay",
            "source" : [{
              "context" : "qr"
            }],
            "target" : [{
              "context" : "loinc",
              "element" : "display",
              "transform" : "copy",
              "parameter" : [{
                "valueString" : "Progress note"
              }]
            }]
          }]
        },
        {
          "name" : "typeText",
          "source" : [{
            "context" : "qr"
          }],
          "target" : [{
            "context" : "ty",
            "element" : "text",
            "transform" : "copy",
            "parameter" : [{
              "valueString" : "Progress note"
            }]
          }]
        }]
      },
      {
        "name" : "subjectiveRule",
        "source" : [{
          "context" : "qr",
          "element" : "item",
          "variable" : "it",
          "condition" : "(linkId = 'subjective') and answer.value.exists()"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "section",
          "variable" : "sec"
        }],
        "rule" : [{
          "name" : "subjectiveTitle",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec",
            "element" : "title",
            "transform" : "copy",
            "parameter" : [{
              "valueString" : "Subjective"
            }]
          }]
        },
        {
          "name" : "subjectiveText",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec"
          }],
          "dependent" : [{
            "name" : "AddSectionText",
            "parameter" : [{
              "valueId" : "it"
            },
            {
              "valueId" : "sec"
            }]
          }]
        }],
        "documentation" : "Sections in the order the form asks for them, so the printed note reads\r\nthe way it was written. The `answer.value.exists()` guard is not\r\ndecoration: a section with a title and no content breaks cmp-1, and an\r\nunanswered optional item still arrives as an empty item."
      },
      {
        "name" : "objectiveRule",
        "source" : [{
          "context" : "qr",
          "element" : "item",
          "variable" : "it",
          "condition" : "(linkId = 'objective') and answer.value.exists()"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "section",
          "variable" : "sec"
        }],
        "rule" : [{
          "name" : "objectiveTitle",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec",
            "element" : "title",
            "transform" : "copy",
            "parameter" : [{
              "valueString" : "Objective"
            }]
          }]
        },
        {
          "name" : "objectiveText",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec"
          }],
          "dependent" : [{
            "name" : "AddSectionText",
            "parameter" : [{
              "valueId" : "it"
            },
            {
              "valueId" : "sec"
            }]
          }]
        }]
      },
      {
        "name" : "assessmentRule",
        "source" : [{
          "context" : "qr",
          "element" : "item",
          "variable" : "it",
          "condition" : "(linkId = 'assessment') and answer.value.exists()"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "section",
          "variable" : "sec"
        }],
        "rule" : [{
          "name" : "assessmentTitle",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec",
            "element" : "title",
            "transform" : "copy",
            "parameter" : [{
              "valueString" : "Assessment"
            }]
          }]
        },
        {
          "name" : "assessmentText",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec"
          }],
          "dependent" : [{
            "name" : "AddSectionText",
            "parameter" : [{
              "valueId" : "it"
            },
            {
              "valueId" : "sec"
            }]
          }]
        }]
      },
      {
        "name" : "planRule",
        "source" : [{
          "context" : "qr",
          "element" : "item",
          "variable" : "it",
          "condition" : "(linkId = 'plan') and answer.value.exists()"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "section",
          "variable" : "sec"
        }],
        "rule" : [{
          "name" : "planTitle",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec",
            "element" : "title",
            "transform" : "copy",
            "parameter" : [{
              "valueString" : "Plan"
            }]
          }]
        },
        {
          "name" : "planText",
          "source" : [{
            "context" : "it"
          }],
          "target" : [{
            "context" : "sec"
          }],
          "dependent" : [{
            "name" : "AddSectionText",
            "parameter" : [{
              "valueId" : "it"
            },
            {
              "valueId" : "sec"
            }]
          }]
        }]
      }]
    }]
  },
  {
    "name" : "BuildNoteBase",
    "documentation" : "─────────────────────────────────────────────────────────────────────────────\r\nShared note scaffolding. Repeated in each note map rather than imported: the\r\ntransform engine resolves `imports` against whatever StructureMaps happen to\r\nbe on the server, and a note that stops extracting because a shared map was\r\nnot uploaded is a worse failure than a duplicated group.\r\n─────────────────────────────────────────────────────────────────────────────\r\nTwo notes on what the publisher's StructureMap validator says about this file.\r\nSource parameters below are left untyped on purpose. Writing `: Element` makes\r\nthe validator compare QuestionnaireResponse.item against the literal 'Element'\r\nand report them as incompatible with each other, which is noise, not a finding.\r\nUntyped, it says only that it cannot check the paths.\r\n`evaluate(context, expression)` is flagged as \"takes 1 parameter but 2 were\r\nfound\". Leave it. The FML parser in the same jar refuses the one-argument form\r\noutright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher\r\nis objecting to what its own compiler emits. Two arguments is the only form that\r\ncompiles, and it is what the R5 transform engine executes.",
    "input" : [{
      "name" : "qr",
      "type" : "QR",
      "mode" : "source"
    },
    {
      "name" : "comp",
      "type" : "Composition",
      "mode" : "target"
    },
    {
      "name" : "entry",
      "mode" : "target"
    }],
    "rule" : [{
      "name" : "idAndFullUrl",
      "source" : [{
        "context" : "qr"
      }],
      "target" : [{
        "context" : "comp",
        "element" : "id",
        "transform" : "uuid"
      }],
      "dependent" : [{
        "name" : "SetCompositionFullUrl",
        "parameter" : [{
          "valueId" : "comp"
        },
        {
          "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" : "Composition"
          }]
        }]
      }]
    },
    {
      "name" : "status",
      "source" : [{
        "context" : "qr"
      }],
      "target" : [{
        "context" : "comp",
        "element" : "status",
        "transform" : "copy",
        "parameter" : [{
          "valueString" : "final"
        }]
      }]
    },
    {
      "name" : "subject",
      "source" : [{
        "context" : "qr",
        "element" : "subject",
        "variable" : "s"
      }],
      "target" : [{
        "context" : "comp",
        "element" : "subject",
        "transform" : "copy",
        "parameter" : [{
          "valueId" : "s"
        }]
      }]
    },
    {
      "name" : "encounter",
      "source" : [{
        "context" : "qr",
        "element" : "encounter",
        "variable" : "e"
      }],
      "target" : [{
        "context" : "comp",
        "element" : "encounter",
        "transform" : "copy",
        "parameter" : [{
          "valueId" : "e"
        }]
      }]
    },
    {
      "name" : "date",
      "source" : [{
        "context" : "qr",
        "element" : "authored",
        "variable" : "t"
      }],
      "target" : [{
        "context" : "comp",
        "element" : "date",
        "transform" : "copy",
        "parameter" : [{
          "valueId" : "t"
        }]
      }],
      "documentation" : "Composition.date is 1..1. `authored` is only 0..1 on the response, so when a\r\nclient sends none the extraction time stands in. It is a poor substitute for\r\nwhen the note was written, but a document with no date at all is worse, and\r\nextraction happens moments after submission in practice."
    },
    {
      "name" : "dateFallback",
      "source" : [{
        "context" : "qr",
        "condition" : "authored.exists().not()"
      }],
      "rule" : [{
        "name" : "dateFromExtractionTime",
        "source" : [{
          "context" : "qr"
        }],
        "target" : [{
          "context" : "comp",
          "element" : "date",
          "transform" : "evaluate",
          "parameter" : [{
            "valueId" : "qr"
          },
          {
            "valueString" : "now()"
          }]
        }]
      }]
    },
    {
      "name" : "authorFromAuthor",
      "source" : [{
        "context" : "qr",
        "element" : "author",
        "variable" : "a"
      }],
      "target" : [{
        "context" : "comp",
        "element" : "author",
        "transform" : "copy",
        "parameter" : [{
          "valueId" : "a"
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