{ "resourceType" : "StructureMap", "id" : "ExtractMOH510ImmunisationRegister", "text" : { "status" : "generated", "div" : "

Generated Narrative: StructureMap ExtractMOH510ImmunisationRegister

\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractMOH510ImmunisationRegister'\r\n/// name = 'ExtractMOH510ImmunisationRegister'\r\n/// title = 'MOH 510 Immunisation Permanent Register Extraction'\r\n/// status = 'active'\r\n/// description = 'Extracts a transaction Bundle from a QuestionnaireResponse to the Kenya MOH 510 Immunisation Permanent Register: guardian RelatedPersons, growth-monitoring Observations, one Immunization per antigen dose for sections L-Y/AA-AB/AD, Vitamin A MedicationAdministrations for section Z, danger-signs and education Observations, and an Appointment for the next scheduled visit. It creates no Patient, Encounter or EpisodeOfCare -- the register is launched from inside a visit the EMR has already opened, so all three arrive as context on the QuestionnaireResponse and are referenced rather than minted. QuestionnaireResponse.subject and .encounter are therefore both required.'\r\n/// experimental = true\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\nuses "http://hl7.org/fhir/StructureDefinition/RelatedPerson" alias RelatedPerson as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Immunization" alias Immunization as target\r\nuses "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" alias MedicationAdministration as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Appointment" alias Appointment as target\r\n\r\ngroup ExtractMOH510ImmunisationRegister(source qr : QR, target bundle : Bundle) {\r\n  qr -> bundle.type = 'transaction' "setBundleType";\r\n  // ---------------------------------------------------------------- A-K\r\n  qr.item as gReg where (linkId = 'IMM-group-registration') then {\r\n    // No Patient is emitted. The child is registered before the register entry\r\n    // is filled, so the patient already exists and arrives as\r\n    // QuestionnaireResponse.subject -- every resource below references it.\r\n    // Sections C (child number), D (name), E (sex), F (date of birth) and\r\n    // J (address) are the paper form transcribing demographics the EMR already\r\n    // holds, so they are deliberately not extracted: creating a Patient here\r\n    // would mint a duplicate record, and a blind PUT would clobber fields the\r\n    // form does not carry. Reconciling them belongs in registration, not here.\r\n    // This makes QuestionnaireResponse.subject mandatory for extraction --\r\n    // without it Immunization.patient (1..1) cannot be populated.\r\n    gReg.item as itH where (linkId = 'IMM-RG-H-father-name') then {\r\n      itH.answer first as aH then {\r\n        aH ->  bundle.entry as eFat,  eFat.resource = create('RelatedPerson') as fat then {\r\n          qr ->  fat,  eFat then BuildRelatedPerson(qr, itH, fat, eFat) "fatherBase";\r\n          qr -> fat.relationship as relF then {\r\n            qr -> relF.coding as relFc then {\r\n              qr -> relFc.system = 'http://terminology.hl7.org/CodeSystem/v3-RoleCode' "fatRelSystem";\r\n              qr -> relFc.code = 'FTH' "fatRelCode";\r\n              qr -> relFc.display = 'father' "fatRelDisplay";\r\n            } "fatherRelCoding";\r\n          } "fatherRelationship";\r\n          aH.value as v -> fat.name as nF then {\r\n            v -> nF.text = v "fatherNameText";\r\n          } "fatherName";\r\n          gReg.item as itKf where (linkId = '42077-8') then {\r\n            itKf.answer first as aKf then {\r\n              aKf.value as v -> fat.telecom as tcF then {\r\n                qr -> tcF.system = 'phone' "fatPhoneSystem";\r\n                v -> tcF.value = v "fatPhoneValue";\r\n              } "fatherTelecom";\r\n            } "fatherPhoneAnswer";\r\n          } "fatherPhoneRule";\r\n        } "fatherResource";\r\n      } "fatherAnswer";\r\n    } "fatherRule";\r\n    gReg.item as itI where (linkId = 'IMM-RG-I-mother-name') then {\r\n      itI.answer first as aI then {\r\n        aI ->  bundle.entry as eMot,  eMot.resource = create('RelatedPerson') as mot then {\r\n          qr ->  mot,  eMot then BuildRelatedPerson(qr, itI, mot, eMot) "motherBase";\r\n          qr -> mot.relationship as relM then {\r\n            qr -> relM.coding as relMc then {\r\n              qr -> relMc.system = 'http://terminology.hl7.org/CodeSystem/v3-RoleCode' "motRelSystem";\r\n              qr -> relMc.code = 'MTH' "motRelCode";\r\n              qr -> relMc.display = 'mother' "motRelDisplay";\r\n            } "motherRelCoding";\r\n          } "motherRelationship";\r\n          aI.value as v -> mot.name as nM then {\r\n            v -> nM.text = v "motherNameText";\r\n          } "motherName";\r\n          gReg.item as itKm where (linkId = '42077-8') then {\r\n            itKm.answer first as aKm then {\r\n              aKm.value as v -> mot.telecom as tcM then {\r\n                qr -> tcM.system = 'phone' "motPhoneSystem";\r\n                v -> tcM.value = v "motPhoneValue";\r\n              } "motherTelecom";\r\n            } "motherPhoneAnswer";\r\n          } "motherPhoneRule";\r\n        } "motherResource";\r\n      } "motherAnswer";\r\n    } "motherRule";\r\n  } "registrationGroup";\r\n  // ------------------------------------------------------ Growth monitoring\r\n  qr.item as gGrow where (linkId = 'IMM-group-growth') then {\r\n    gGrow.item as itW where (linkId = 'IMM-GM-Q1-weight') then {\r\n      itW.answer first as aW then {\r\n        aW ->  bundle.entry as eW,  eW.resource = create('Observation') as obW then {\r\n          qr ->  obW,  eW then BuildObsBase(qr, obW, eW) "weightBase";\r\n          qr -> obW then VitalSignsCategory(qr, obW) "weightCategory";\r\n          qr -> obW.code as cdW then {\r\n            qr -> cdW.coding as ccW then {\r\n              qr -> ccW.system = 'http://loinc.org' "wSystem";\r\n              qr -> ccW.code = '29463-7' "wCode";\r\n              qr -> ccW.display = 'Body weight' "wDisplay";\r\n            } "weightCodeCoding";\r\n          } "weightCode";\r\n          aW.value as dv -> obW.value = create('Quantity') as qW then {\r\n            dv -> qW.value = dv "wQtyValue";\r\n            qr -> qW.system = 'http://unitsofmeasure.org' "wQtySystem";\r\n            qr -> qW.code = 'kg' "wQtyCode";\r\n            qr -> qW.unit = 'kilogram' "wQtyUnit";\r\n          } "weightValue";\r\n        } "weightObservation";\r\n      } "weightAnswer";\r\n    } "weightRule";\r\n    gGrow.item as itH2 where (linkId = 'IMM-GM-Q2-height') then {\r\n      itH2.answer first as aH2 then {\r\n        aH2 ->  bundle.entry as eH2,  eH2.resource = create('Observation') as obH2 then {\r\n          qr ->  obH2,  eH2 then BuildObsBase(qr, obH2, eH2) "heightBase";\r\n          qr -> obH2 then VitalSignsCategory(qr, obH2) "heightCategory";\r\n          qr -> obH2.code as cdH2 then {\r\n            qr -> cdH2.coding as ccH2 then {\r\n              qr -> ccH2.system = 'http://loinc.org' "hSystem";\r\n              qr -> ccH2.code = '8302-2' "hCode";\r\n              qr -> ccH2.display = 'Body height' "hDisplay";\r\n            } "heightCodeCoding";\r\n          } "heightCode";\r\n          aH2.value as dv -> obH2.value = create('Quantity') as qH2 then {\r\n            dv -> qH2.value = dv "hQtyValue";\r\n            qr -> qH2.system = 'http://unitsofmeasure.org' "hQtySystem";\r\n            qr -> qH2.code = 'cm' "hQtyCode";\r\n            qr -> qH2.unit = 'centimeter' "hQtyUnit";\r\n          } "heightValue";\r\n        } "heightObservation";\r\n      } "heightAnswer";\r\n    } "heightRule";\r\n    gGrow.item as itMu where (linkId = 'IMM-GM-Q3-muac') then {\r\n      itMu.answer first as aMu then {\r\n        aMu ->  bundle.entry as eMu,  eMu.resource = create('Observation') as obMu then {\r\n          qr ->  obMu,  eMu then BuildObsBase(qr, obMu, eMu) "muacBase";\r\n          qr -> obMu then VitalSignsCategory(qr, obMu) "muacCategory";\r\n          qr -> obMu.code as cdMu then {\r\n            qr -> cdMu.coding as ccMu then {\r\n              qr -> ccMu.system = 'http://loinc.org' "muSystem";\r\n              qr -> ccMu.code = '9847-5' "muCode";\r\n              qr -> ccMu.display = 'Circumference site' "muDisplay";\r\n            } "muacCodeCoding";\r\n          } "muacCode";\r\n          qr -> obMu then SetCodedValue(itMu, obMu) "muacValue";\r\n        } "muacObservation";\r\n      } "muacAnswer";\r\n    } "muacRule";\r\n    gGrow.item as itWfa where (linkId = 'IMM-GM-Q4-weight-category') then {\r\n      itWfa.answer first as aWfa then {\r\n        aWfa ->  bundle.entry as eWfa,  eWfa.resource = create('Observation') as obWfa then {\r\n          qr ->  obWfa,  eWfa then BuildObsBase(qr, obWfa, eWfa) "wfaBase";\r\n          qr -> obWfa then VitalSignsCategory(qr, obWfa) "wfaCategory";\r\n          qr -> obWfa.code as cdWfa then {\r\n            qr -> cdWfa.coding as ccWfa then {\r\n              qr -> ccWfa.system = 'http://loinc.org' "wfaSystem";\r\n              qr -> ccWfa.code = '77606-2' "wfaCode";\r\n              qr -> ccWfa.display = 'Weight-for-age percentile' "wfaDisplay";\r\n            } "wfaCodeCoding";\r\n          } "wfaCode";\r\n          qr -> obWfa then SetCodedValue(itWfa, obWfa) "wfaValue";\r\n        } "wfaObservation";\r\n      } "wfaAnswer";\r\n    } "wfaRule";\r\n    gGrow.item as itHfa where (linkId = 'IMM-GM-Q5-height-category') then {\r\n      itHfa.answer first as aHfa then {\r\n        aHfa ->  bundle.entry as eHfa,  eHfa.resource = create('Observation') as obHfa then {\r\n          qr ->  obHfa,  eHfa then BuildObsBase(qr, obHfa, eHfa) "hfaBase";\r\n          qr -> obHfa then VitalSignsCategory(qr, obHfa) "hfaCategory";\r\n          qr -> obHfa.code as cdHfa then {\r\n            qr -> cdHfa.coding as ccHfa then {\r\n              qr -> ccHfa.system = 'http://loinc.org' "hfaSystem";\r\n              qr -> ccHfa.code = '59576-9' "hfaCode";\r\n              qr -> ccHfa.display = 'Height-for-age percentile' "hfaDisplay";\r\n            } "hfaCodeCoding";\r\n          } "hfaCode";\r\n          qr -> obHfa then SetCodedValue(itHfa, obHfa) "hfaValue";\r\n        } "hfaObservation";\r\n      } "hfaAnswer";\r\n    } "hfaRule";\r\n  } "growthGroup";\r\n  // ------------------------------------------------------------- L-Y vaccines\r\n  qr.item as gVax where (linkId = 'IMM-group-vaccines') then {\r\n    gVax.item as itL where (linkId = 'IMM-VAX-L-bcg') then {\r\n      itL.answer first as aL then {\r\n        aL ->  bundle.entry as eL,  eL.resource = create('Immunization') as imL then {\r\n          qr ->  imL,  eL then BuildImm(qr, itL, aL, imL, eL) "bcgBase";\r\n          qr -> imL.vaccineCode as vcL then {\r\n            qr -> vcL.coding as vccL then {\r\n              qr -> vccL.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "bcgSystem";\r\n              qr -> vccL.code = 'bcg' "bcgCode";\r\n              qr -> vccL.display = 'BCG' "bcgDisplay";\r\n            } "bcgCoding";\r\n            qr -> vcL.text = 'BCG' "bcgText";\r\n          } "bcgVaccineCode";\r\n          qr -> imL.protocolApplied as paL then {\r\n            qr -> paL.series = 'BCG' "bcgSeries";\r\n            qr -> paL.doseNumber = '1' "bcgDose";\r\n          } "bcgProtocol";\r\n        } "bcgImmunization";\r\n      } "bcgAnswer";\r\n    } "bcgRule";\r\n    gVax.item as itM where (linkId = 'IMM-VAX-M-polio-birth') then {\r\n      itM.answer first as aM then {\r\n        aM ->  bundle.entry as eM,  eM.resource = create('Immunization') as imM then {\r\n          qr ->  imM,  eM then BuildImm(qr, itM, aM, imM, eM) "opv0Base";\r\n          qr -> imM.vaccineCode as vcM then {\r\n            qr -> vcM.coding as vccM then {\r\n              qr -> vccM.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "opv0System";\r\n              qr -> vccM.code = 'bopv' "opv0Code";\r\n              qr -> vccM.display = 'Bivalent oral poliovirus vaccine' "opv0Display";\r\n            } "opv0Coding";\r\n            qr -> vcM.text = 'Polio birth dose (bOPV)' "opv0Text";\r\n          } "opv0VaccineCode";\r\n          qr -> imM.protocolApplied as paM then {\r\n            qr -> paM.series = 'Polio (bOPV)' "opv0Series";\r\n            qr -> paM.doseNumber = '0' "opv0Dose";\r\n          } "opv0Protocol";\r\n        } "opv0Immunization";\r\n      } "opv0Answer";\r\n    } "opv0Rule";\r\n    gVax.item as itN where (linkId = 'IMM-VAX-N-opv1') then {\r\n      itN.answer first as aN then {\r\n        aN ->  bundle.entry as eN,  eN.resource = create('Immunization') as imN then {\r\n          qr ->  imN,  eN then BuildImm(qr, itN, aN, imN, eN) "opv1Base";\r\n          qr -> imN.vaccineCode as vcN then {\r\n            qr -> vcN.coding as vccN then {\r\n              qr -> vccN.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "opv1System";\r\n              qr -> vccN.code = 'bopv' "opv1Code";\r\n              qr -> vccN.display = 'Bivalent oral poliovirus vaccine' "opv1Display";\r\n            } "opv1Coding";\r\n            qr -> vcN.text = 'OPV 1' "opv1Text";\r\n          } "opv1VaccineCode";\r\n          qr -> imN.protocolApplied as paN then {\r\n            qr -> paN.series = 'Polio (bOPV)' "opv1Series";\r\n            qr -> paN.doseNumber = '1' "opv1Dose";\r\n          } "opv1Protocol";\r\n        } "opv1Immunization";\r\n      } "opv1Answer";\r\n    } "opv1Rule";\r\n    gVax.item as itO where (linkId = 'IMM-VAX-O-opv2') then {\r\n      itO.answer first as aO then {\r\n        aO ->  bundle.entry as eO,  eO.resource = create('Immunization') as imO then {\r\n          qr ->  imO,  eO then BuildImm(qr, itO, aO, imO, eO) "opv2Base";\r\n          qr -> imO.vaccineCode as vcO then {\r\n            qr -> vcO.coding as vccO then {\r\n              qr -> vccO.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "opv2System";\r\n              qr -> vccO.code = 'bopv' "opv2Code";\r\n              qr -> vccO.display = 'Bivalent oral poliovirus vaccine' "opv2Display";\r\n            } "opv2Coding";\r\n            qr -> vcO.text = 'OPV 2' "opv2Text";\r\n          } "opv2VaccineCode";\r\n          qr -> imO.protocolApplied as paO then {\r\n            qr -> paO.series = 'Polio (bOPV)' "opv2Series";\r\n            qr -> paO.doseNumber = '2' "opv2Dose";\r\n          } "opv2Protocol";\r\n        } "opv2Immunization";\r\n      } "opv2Answer";\r\n    } "opv2Rule";\r\n    gVax.item as itP where (linkId = 'IMM-VAX-P-opv3') then {\r\n      itP.answer first as aP then {\r\n        aP ->  bundle.entry as eP,  eP.resource = create('Immunization') as imP then {\r\n          qr ->  imP,  eP then BuildImm(qr, itP, aP, imP, eP) "opv3Base";\r\n          qr -> imP.vaccineCode as vcP then {\r\n            qr -> vcP.coding as vccP then {\r\n              qr -> vccP.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "opv3System";\r\n              qr -> vccP.code = 'bopv' "opv3Code";\r\n              qr -> vccP.display = 'Bivalent oral poliovirus vaccine' "opv3Display";\r\n            } "opv3Coding";\r\n            qr -> vcP.text = 'OPV 3' "opv3Text";\r\n          } "opv3VaccineCode";\r\n          qr -> imP.protocolApplied as paP then {\r\n            qr -> paP.series = 'Polio (bOPV)' "opv3Series";\r\n            qr -> paP.doseNumber = '3' "opv3Dose";\r\n          } "opv3Protocol";\r\n        } "opv3Immunization";\r\n      } "opv3Answer";\r\n    } "opv3Rule";\r\n    // IPV carries its own antigen code: the questionnaire reuses the OPV LOINC\r\n    // code for both, which would collapse two distinct vaccines into one.\r\n    gVax.item as itQ where (linkId = 'IMM-VAX-Q-ipv') then {\r\n      itQ.answer first as aQ then {\r\n        aQ ->  bundle.entry as eQ,  eQ.resource = create('Immunization') as imQ then {\r\n          qr ->  imQ,  eQ then BuildImm(qr, itQ, aQ, imQ, eQ) "ipvBase";\r\n          qr -> imQ.vaccineCode as vcQ then {\r\n            qr -> vcQ.coding as vccQ then {\r\n              qr -> vccQ.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "ipvSystem";\r\n              qr -> vccQ.code = 'ipv' "ipvCode";\r\n              qr -> vccQ.display = 'Inactivated poliovirus vaccine' "ipvDisplay";\r\n            } "ipvCoding";\r\n            qr -> vcQ.text = 'IPV' "ipvText";\r\n          } "ipvVaccineCode";\r\n          qr -> imQ.protocolApplied as paQ then {\r\n            qr -> paQ.series = 'Polio (IPV)' "ipvSeries";\r\n            qr -> paQ.doseNumber = '1' "ipvDose";\r\n          } "ipvProtocol";\r\n        } "ipvImmunization";\r\n      } "ipvAnswer";\r\n    } "ipvRule";\r\n    gVax.item as itR where (linkId = 'IMM-VAX-R-penta1') then {\r\n      itR.answer first as aR then {\r\n        aR ->  bundle.entry as eR,  eR.resource = create('Immunization') as imR then {\r\n          qr ->  imR,  eR then BuildImm(qr, itR, aR, imR, eR) "penta1Base";\r\n          qr -> imR.vaccineCode as vcR then {\r\n            qr -> vcR.coding as vccR then {\r\n              qr -> vccR.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "penta1System";\r\n              qr -> vccR.code = 'penta' "penta1Code";\r\n              qr -> vccR.display = 'DTP-HepB-Hib (pentavalent) vaccine' "penta1Display";\r\n            } "penta1Coding";\r\n            qr -> vcR.text = 'Pentavalent 1' "penta1Text";\r\n          } "penta1VaccineCode";\r\n          qr -> imR.protocolApplied as paR then {\r\n            qr -> paR.series = 'Pentavalent' "penta1Series";\r\n            qr -> paR.doseNumber = '1' "penta1Dose";\r\n          } "penta1Protocol";\r\n        } "penta1Immunization";\r\n      } "penta1Answer";\r\n    } "penta1Rule";\r\n    gVax.item as itS where (linkId = 'IMM-VAX-S-penta2') then {\r\n      itS.answer first as aS then {\r\n        aS ->  bundle.entry as eS,  eS.resource = create('Immunization') as imS then {\r\n          qr ->  imS,  eS then BuildImm(qr, itS, aS, imS, eS) "penta2Base";\r\n          qr -> imS.vaccineCode as vcS then {\r\n            qr -> vcS.coding as vccS then {\r\n              qr -> vccS.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "penta2System";\r\n              qr -> vccS.code = 'penta' "penta2Code";\r\n              qr -> vccS.display = 'DTP-HepB-Hib (pentavalent) vaccine' "penta2Display";\r\n            } "penta2Coding";\r\n            qr -> vcS.text = 'Pentavalent 2' "penta2Text";\r\n          } "penta2VaccineCode";\r\n          qr -> imS.protocolApplied as paS then {\r\n            qr -> paS.series = 'Pentavalent' "penta2Series";\r\n            qr -> paS.doseNumber = '2' "penta2Dose";\r\n          } "penta2Protocol";\r\n        } "penta2Immunization";\r\n      } "penta2Answer";\r\n    } "penta2Rule";\r\n    gVax.item as itT where (linkId = 'IMM-VAX-T-penta3') then {\r\n      itT.answer first as aT then {\r\n        aT ->  bundle.entry as eT,  eT.resource = create('Immunization') as imT then {\r\n          qr ->  imT,  eT then BuildImm(qr, itT, aT, imT, eT) "penta3Base";\r\n          qr -> imT.vaccineCode as vcT then {\r\n            qr -> vcT.coding as vccT then {\r\n              qr -> vccT.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "penta3System";\r\n              qr -> vccT.code = 'penta' "penta3Code";\r\n              qr -> vccT.display = 'DTP-HepB-Hib (pentavalent) vaccine' "penta3Display";\r\n            } "penta3Coding";\r\n            qr -> vcT.text = 'Pentavalent 3' "penta3Text";\r\n          } "penta3VaccineCode";\r\n          qr -> imT.protocolApplied as paT then {\r\n            qr -> paT.series = 'Pentavalent' "penta3Series";\r\n            qr -> paT.doseNumber = '3' "penta3Dose";\r\n          } "penta3Protocol";\r\n        } "penta3Immunization";\r\n      } "penta3Answer";\r\n    } "penta3Rule";\r\n    gVax.item as itU where (linkId = 'IMM-VAX-U-pcv1') then {\r\n      itU.answer first as aU then {\r\n        aU ->  bundle.entry as eU,  eU.resource = create('Immunization') as imU then {\r\n          qr ->  imU,  eU then BuildImm(qr, itU, aU, imU, eU) "pcv1Base";\r\n          qr -> imU.vaccineCode as vcU then {\r\n            qr -> vcU.coding as vccU then {\r\n              qr -> vccU.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "pcv1System";\r\n              qr -> vccU.code = 'pcv10' "pcv1Code";\r\n              qr -> vccU.display = 'Pneumococcal conjugate vaccine (PCV10)' "pcv1Display";\r\n            } "pcv1Coding";\r\n            qr -> vcU.text = 'PCV10 1' "pcv1Text";\r\n          } "pcv1VaccineCode";\r\n          qr -> imU.protocolApplied as paU then {\r\n            qr -> paU.series = 'PCV10' "pcv1Series";\r\n            qr -> paU.doseNumber = '1' "pcv1Dose";\r\n          } "pcv1Protocol";\r\n        } "pcv1Immunization";\r\n      } "pcv1Answer";\r\n    } "pcv1Rule";\r\n    gVax.item as itV where (linkId = 'IMM-VAX-V-pcv2') then {\r\n      itV.answer first as aV then {\r\n        aV ->  bundle.entry as eV,  eV.resource = create('Immunization') as imV then {\r\n          qr ->  imV,  eV then BuildImm(qr, itV, aV, imV, eV) "pcv2Base";\r\n          qr -> imV.vaccineCode as vcV then {\r\n            qr -> vcV.coding as vccV then {\r\n              qr -> vccV.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "pcv2System";\r\n              qr -> vccV.code = 'pcv10' "pcv2Code";\r\n              qr -> vccV.display = 'Pneumococcal conjugate vaccine (PCV10)' "pcv2Display";\r\n            } "pcv2Coding";\r\n            qr -> vcV.text = 'PCV10 2' "pcv2Text";\r\n          } "pcv2VaccineCode";\r\n          qr -> imV.protocolApplied as paV then {\r\n            qr -> paV.series = 'PCV10' "pcv2Series";\r\n            qr -> paV.doseNumber = '2' "pcv2Dose";\r\n          } "pcv2Protocol";\r\n        } "pcv2Immunization";\r\n      } "pcv2Answer";\r\n    } "pcv2Rule";\r\n    gVax.item as itW2 where (linkId = 'IMM-VAX-W-pcv3') then {\r\n      itW2.answer first as aW2 then {\r\n        aW2 ->  bundle.entry as eW2,  eW2.resource = create('Immunization') as imW2 then {\r\n          qr ->  imW2,  eW2 then BuildImm(qr, itW2, aW2, imW2, eW2) "pcv3Base";\r\n          qr -> imW2.vaccineCode as vcW2 then {\r\n            qr -> vcW2.coding as vccW2 then {\r\n              qr -> vccW2.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "pcv3System";\r\n              qr -> vccW2.code = 'pcv10' "pcv3Code";\r\n              qr -> vccW2.display = 'Pneumococcal conjugate vaccine (PCV10)' "pcv3Display";\r\n            } "pcv3Coding";\r\n            qr -> vcW2.text = 'PCV10 3' "pcv3Text";\r\n          } "pcv3VaccineCode";\r\n          qr -> imW2.protocolApplied as paW2 then {\r\n            qr -> paW2.series = 'PCV10' "pcv3Series";\r\n            qr -> paW2.doseNumber = '3' "pcv3Dose";\r\n          } "pcv3Protocol";\r\n        } "pcv3Immunization";\r\n      } "pcv3Answer";\r\n    } "pcv3Rule";\r\n    gVax.item as itX where (linkId = 'IMM-VAX-X-rota1') then {\r\n      itX.answer first as aX then {\r\n        aX ->  bundle.entry as eX,  eX.resource = create('Immunization') as imX then {\r\n          qr ->  imX,  eX then BuildImm(qr, itX, aX, imX, eX) "rota1Base";\r\n          qr -> imX.vaccineCode as vcX then {\r\n            qr -> vcX.coding as vccX then {\r\n              qr -> vccX.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "rota1System";\r\n              qr -> vccX.code = 'rota' "rota1Code";\r\n              qr -> vccX.display = 'Rotavirus vaccine' "rota1Display";\r\n            } "rota1Coding";\r\n            qr -> vcX.text = 'Rota 1' "rota1Text";\r\n          } "rota1VaccineCode";\r\n          qr -> imX.protocolApplied as paX then {\r\n            qr -> paX.series = 'Rotavirus' "rota1Series";\r\n            qr -> paX.doseNumber = '1' "rota1Dose";\r\n          } "rota1Protocol";\r\n        } "rota1Immunization";\r\n      } "rota1Answer";\r\n    } "rota1Rule";\r\n    gVax.item as itY where (linkId = 'IMM-VAX-Y-rota2') then {\r\n      itY.answer first as aY then {\r\n        aY ->  bundle.entry as eY,  eY.resource = create('Immunization') as imY then {\r\n          qr ->  imY,  eY then BuildImm(qr, itY, aY, imY, eY) "rota2Base";\r\n          qr -> imY.vaccineCode as vcY then {\r\n            qr -> vcY.coding as vccY then {\r\n              qr -> vccY.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "rota2System";\r\n              qr -> vccY.code = 'rota' "rota2Code";\r\n              qr -> vccY.display = 'Rotavirus vaccine' "rota2Display";\r\n            } "rota2Coding";\r\n            qr -> vcY.text = 'Rota 2' "rota2Text";\r\n          } "rota2VaccineCode";\r\n          qr -> imY.protocolApplied as paY then {\r\n            qr -> paY.series = 'Rotavirus' "rota2Series";\r\n            qr -> paY.doseNumber = '2' "rota2Dose";\r\n          } "rota2Protocol";\r\n        } "rota2Immunization";\r\n      } "rota2Answer";\r\n    } "rota2Rule";\r\n  } "vaccineGroup";\r\n  // ------------------------------------------------- Z Vitamin A supplements\r\n  qr.item as gSup where (linkId = 'IMM-group-supplementation') then {\r\n    gSup.item as itZ where (linkId = '55876-9') then {\r\n      itZ.answer first as aZ then {\r\n        aZ ->  bundle.entry as eZ,  eZ.resource = create('MedicationAdministration') as maZ then {\r\n          qr ->  maZ,  eZ then BuildMedAdmin(qr, itZ, aZ, maZ, eZ) "vitA100Base";\r\n          qr -> maZ.medication as mcrZ then {\r\n            qr -> mcrZ.concept as mccZ then {\r\n              qr -> mccZ.coding as mcoZ then {\r\n                qr -> mcoZ.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-supplement' "vitA100System";\r\n                qr -> mcoZ.code = 'vitamin-a-100000' "vitA100Code";\r\n                qr -> mcoZ.display = 'Vitamin A 100,000 IU' "vitA100Display";\r\n              } "vitA100Coding";\r\n              qr -> mccZ.text = 'Vitamin A 100,000 IU (6-11 months)' "vitA100Text";\r\n            } "vitA100Concept";\r\n          } "vitA100Medication";\r\n          qr -> maZ.dosage as dosZ then {\r\n            qr -> dosZ.dose as dqZ then {\r\n              qr -> dqZ.value = 100000 "vitA100DoseValue";\r\n              qr -> dqZ.system = 'http://unitsofmeasure.org' "vitA100DoseSystem";\r\n              qr -> dqZ.code = '[IU]' "vitA100DoseCode";\r\n              qr -> dqZ.unit = 'international unit' "vitA100DoseUnit";\r\n            } "vitA100Dose";\r\n          } "vitA100Dosage";\r\n        } "vitA100Resource";\r\n      } "vitA100Answer";\r\n    } "vitA100Rule";\r\n    gSup.item as itZ2 where (linkId = '0v8mpdt') then {\r\n      itZ2.answer first as aZ2 then {\r\n        aZ2 ->  bundle.entry as eZ2,  eZ2.resource = create('MedicationAdministration') as maZ2 then {\r\n          qr ->  maZ2,  eZ2 then BuildMedAdmin(qr, itZ2, aZ2, maZ2, eZ2) "vitA200Base";\r\n          qr -> maZ2.medication as mcrZ2 then {\r\n            qr -> mcrZ2.concept as mccZ2 then {\r\n              qr -> mccZ2.coding as mcoZ2 then {\r\n                qr -> mcoZ2.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-supplement' "vitA200System";\r\n                qr -> mcoZ2.code = 'vitamin-a-200000' "vitA200Code";\r\n                qr -> mcoZ2.display = 'Vitamin A 200,000 IU' "vitA200Display";\r\n              } "vitA200Coding";\r\n              qr -> mccZ2.text = 'Vitamin A 200,000 IU (12 months onwards)' "vitA200Text";\r\n            } "vitA200Concept";\r\n          } "vitA200Medication";\r\n          qr -> maZ2.dosage as dosZ2 then {\r\n            qr -> dosZ2.dose as dqZ2 then {\r\n              qr -> dqZ2.value = 200000 "vitA200DoseValue";\r\n              qr -> dqZ2.system = 'http://unitsofmeasure.org' "vitA200DoseSystem";\r\n              qr -> dqZ2.code = '[IU]' "vitA200DoseCode";\r\n              qr -> dqZ2.unit = 'international unit' "vitA200DoseUnit";\r\n            } "vitA200Dose";\r\n          } "vitA200Dosage";\r\n        } "vitA200Resource";\r\n      } "vitA200Answer";\r\n    } "vitA200Rule";\r\n  } "supplementationGroup";\r\n  // ------------------------------------------------------ AA-AB MR1 + Yellow Fever\r\n  qr.item as gMrYf where (linkId = 'IMM-group-mr-yf') then {\r\n    gMrYf.item as itAa where (linkId = 'IMM-VAX-AA-mr1') then {\r\n      itAa.answer first as aAa then {\r\n        aAa ->  bundle.entry as eAa,  eAa.resource = create('Immunization') as imAa then {\r\n          qr ->  imAa,  eAa then BuildImm(qr, itAa, aAa, imAa, eAa) "mr1Base";\r\n          qr -> imAa.vaccineCode as vcAa then {\r\n            qr -> vcAa.coding as vccAa then {\r\n              qr -> vccAa.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "mr1System";\r\n              qr -> vccAa.code = 'mr' "mr1Code";\r\n              qr -> vccAa.display = 'Measles-rubella vaccine' "mr1Display";\r\n            } "mr1Coding";\r\n            qr -> vcAa.text = 'MR 1' "mr1Text";\r\n          } "mr1VaccineCode";\r\n          qr -> imAa.protocolApplied as paAa then {\r\n            qr -> paAa.series = 'Measles-Rubella' "mr1Series";\r\n            qr -> paAa.doseNumber = '1' "mr1Dose";\r\n          } "mr1Protocol";\r\n        } "mr1Immunization";\r\n      } "mr1Answer";\r\n    } "mr1Rule";\r\n    gMrYf.item as itAb where (linkId = 'IMM-VAX-AB-yf') then {\r\n      itAb.answer first as aAb then {\r\n        aAb ->  bundle.entry as eAb,  eAb.resource = create('Immunization') as imAb then {\r\n          qr ->  imAb,  eAb then BuildImm(qr, itAb, aAb, imAb, eAb) "yfBase";\r\n          qr -> imAb.vaccineCode as vcAb then {\r\n            qr -> vcAb.coding as vccAb then {\r\n              qr -> vccAb.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "yfSystem";\r\n              qr -> vccAb.code = 'yf' "yfCode";\r\n              qr -> vccAb.display = 'Yellow fever vaccine' "yfDisplay";\r\n            } "yfCoding";\r\n            qr -> vcAb.text = 'Yellow Fever' "yfText";\r\n          } "yfVaccineCode";\r\n          qr -> imAb.protocolApplied as paAb then {\r\n            qr -> paAb.series = 'Yellow Fever' "yfSeries";\r\n            qr -> paAb.doseNumber = '1' "yfDose";\r\n          } "yfProtocol";\r\n        } "yfImmunization";\r\n      } "yfAnswer";\r\n    } "yfRule";\r\n  } "mrYfGroup";\r\n  // ------------------------------------------------------------- AC FIC date\r\n  qr.item as gFic where (linkId = 'IMM-group-fic') then {\r\n    gFic.item as itAc where (linkId = 'IMM-FIC-AC-date') then {\r\n      itAc.answer first as aAc then {\r\n        aAc ->  bundle.entry as eAc,  eAc.resource = create('Observation') as obAc then {\r\n          qr ->  obAc,  eAc then BuildObsBase(qr, obAc, eAc) "ficBase";\r\n          qr -> obAc then SurveyCategory(qr, obAc) "ficCategory";\r\n          qr -> obAc.code as cdAc then {\r\n            qr -> cdAc.coding as ccAc then {\r\n              qr -> ccAc.system = 'http://loinc.org' "ficSystem";\r\n              qr -> ccAc.code = '11369-6' "ficCode";\r\n              qr -> ccAc.display = 'Immunisation completion status' "ficDisplay";\r\n            } "ficCodeCoding";\r\n            qr -> cdAc.text = 'Fully Immunised Child (FIC) completion date' "ficCodeText";\r\n          } "ficCode";\r\n          aAc.value as dv -> obAc.value = cast(dv, 'dateTime') "ficValue";\r\n        } "ficObservation";\r\n      } "ficAnswer";\r\n    } "ficRule";\r\n  } "ficGroup";\r\n  // ------------------------------------------------------------------ AD MR2\r\n  qr.item as gMr2 where (linkId = 'IMM-group-mr2') then {\r\n    gMr2.item as itAd where (linkId = 'IMM-VAX-AD-mr2') then {\r\n      itAd.answer first as aAd then {\r\n        aAd ->  bundle.entry as eAd,  eAd.resource = create('Immunization') as imAd then {\r\n          qr ->  imAd,  eAd then BuildImm(qr, itAd, aAd, imAd, eAd) "mr2Base";\r\n          qr -> imAd.vaccineCode as vcAd then {\r\n            qr -> vcAd.coding as vccAd then {\r\n              qr -> vccAd.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/kepi-antigen' "mr2System";\r\n              qr -> vccAd.code = 'mr' "mr2Code";\r\n              qr -> vccAd.display = 'Measles-rubella vaccine' "mr2Display";\r\n            } "mr2Coding";\r\n            qr -> vcAd.text = 'MR 2' "mr2Text";\r\n          } "mr2VaccineCode";\r\n          qr -> imAd.protocolApplied as paAd then {\r\n            qr -> paAd.series = 'Measles-Rubella' "mr2Series";\r\n            qr -> paAd.doseNumber = '2' "mr2Dose";\r\n          } "mr2Protocol";\r\n        } "mr2Immunization";\r\n      } "mr2Answer";\r\n    } "mr2Rule";\r\n  } "mr2Group";\r\n  // ------------------------------------------------------------- Danger signs\r\n  qr.item as gDs where (linkId = 'IMM-group-danger-signs') then {\r\n    gDs.item as itD1 where (linkId = 'IMM-DS-Q1-fever') then {\r\n      itD1.answer first as aD1 then {\r\n        aD1 ->  bundle.entry as eD1,  eD1.resource = create('Observation') as obD1 then {\r\n          qr ->  obD1,  eD1 then BuildObsBase(qr, obD1, eD1) "feverBase";\r\n          qr -> obD1 then SurveyCategory(qr, obD1) "feverCategory";\r\n          qr -> obD1.code as cdD1 then {\r\n            qr -> cdD1.coding as ccD1 then {\r\n              qr -> ccD1.system = 'http://loinc.org' "feverSystem";\r\n              qr -> ccD1.code = '8310-5' "feverCode";\r\n              qr -> ccD1.display = 'Body temperature' "feverDisplay";\r\n            } "feverCodeCoding";\r\n            qr -> cdD1.text = 'Fever reported' "feverCodeText";\r\n          } "feverCode";\r\n          qr -> obD1 then SetCodedValue(itD1, obD1) "feverValue";\r\n        } "feverObservation";\r\n      } "feverAnswer";\r\n    } "feverRule";\r\n    gDs.item as itD2 where (linkId = 'IMM-DS-Q2-feeding') then {\r\n      itD2.answer first as aD2 then {\r\n        aD2 ->  bundle.entry as eD2,  eD2.resource = create('Observation') as obD2 then {\r\n          qr ->  obD2,  eD2 then BuildObsBase(qr, obD2, eD2) "feedingBase";\r\n          qr -> obD2 then SurveyCategory(qr, obD2) "feedingCategory";\r\n          qr -> obD2.code as cdD2 then {\r\n            qr -> cdD2.coding as ccD2 then {\r\n              qr -> ccD2.system = 'http://loinc.org' "feedingSystem";\r\n              qr -> ccD2.code = '75890-1' "feedingCode";\r\n              qr -> ccD2.display = 'Feeding status' "feedingDisplay";\r\n            } "feedingCodeCoding";\r\n            // Polarity is inverted relative to the other danger signs: "Yes"\r\n            // here is reassuring, not alarming.\r\n            qr -> cdD2.text = 'Child is feeding' "feedingCodeText";\r\n          } "feedingCode";\r\n          qr -> obD2 then SetCodedValue(itD2, obD2) "feedingValue";\r\n        } "feedingObservation";\r\n      } "feedingAnswer";\r\n    } "feedingRule";\r\n    gDs.item as itD3 where (linkId = 'IMM-DS-Q3-convulsions') then {\r\n      itD3.answer first as aD3 then {\r\n        aD3 ->  bundle.entry as eD3,  eD3.resource = create('Observation') as obD3 then {\r\n          qr ->  obD3,  eD3 then BuildObsBase(qr, obD3, eD3) "convulsionsBase";\r\n          qr -> obD3 then SurveyCategory(qr, obD3) "convulsionsCategory";\r\n          qr -> obD3.code as cdD3 then {\r\n            qr -> cdD3.coding as ccD3 then {\r\n              qr -> ccD3.system = 'http://loinc.org' "convulsionsSystem";\r\n              qr -> ccD3.code = '31398-4' "convulsionsCode";\r\n              qr -> ccD3.display = 'Convulsions' "convulsionsDisplay";\r\n            } "convulsionsCodeCoding";\r\n          } "convulsionsCode";\r\n          qr -> obD3 then SetCodedValue(itD3, obD3) "convulsionsValue";\r\n        } "convulsionsObservation";\r\n      } "convulsionsAnswer";\r\n    } "convulsionsRule";\r\n    gDs.item as itD4 where (linkId = 'IMM-DS-Q4-cough') then {\r\n      itD4.answer first as aD4 then {\r\n        aD4 ->  bundle.entry as eD4,  eD4.resource = create('Observation') as obD4 then {\r\n          qr ->  obD4,  eD4 then BuildObsBase(qr, obD4, eD4) "coughBase";\r\n          qr -> obD4 then SurveyCategory(qr, obD4) "coughCategory";\r\n          qr -> obD4.code as cdD4 then {\r\n            qr -> cdD4.coding as ccD4 then {\r\n              qr -> ccD4.system = 'http://loinc.org' "coughSystem";\r\n              qr -> ccD4.code = '28238-4' "coughCode";\r\n              qr -> ccD4.display = 'Cough' "coughDisplay";\r\n            } "coughCodeCoding";\r\n          } "coughCode";\r\n          qr -> obD4 then SetCodedValue(itD4, obD4) "coughValue";\r\n        } "coughObservation";\r\n      } "coughAnswer";\r\n    } "coughRule";\r\n    // The questionnaire declares this SNOMED CT concept id under the LOINC\r\n    // system; emitted here against the SNOMED CT system it actually belongs to.\r\n    gDs.item as itD5 where (linkId = 'IMM-DS-Q5-diarrhoea') then {\r\n      itD5.answer first as aD5 then {\r\n        aD5 ->  bundle.entry as eD5,  eD5.resource = create('Observation') as obD5 then {\r\n          qr ->  obD5,  eD5 then BuildObsBase(qr, obD5, eD5) "diarrhoeaBase";\r\n          qr -> obD5 then SurveyCategory(qr, obD5) "diarrhoeaCategory";\r\n          qr -> obD5.code as cdD5 then {\r\n            qr -> cdD5.coding as ccD5 then {\r\n              qr -> ccD5.system = 'http://snomed.info/sct' "diarrhoeaSystem";\r\n              qr -> ccD5.code = '28229008' "diarrhoeaCode";\r\n              qr -> ccD5.display = 'Diarrhoea' "diarrhoeaDisplay";\r\n            } "diarrhoeaCodeCoding";\r\n          } "diarrhoeaCode";\r\n          qr -> obD5 then SetCodedValue(itD5, obD5) "diarrhoeaValue";\r\n        } "diarrhoeaObservation";\r\n      } "diarrhoeaAnswer";\r\n    } "diarrhoeaRule";\r\n    gDs.item as itD6 where (linkId = 'IMM-DS-Q6-vomiting') then {\r\n      itD6.answer first as aD6 then {\r\n        aD6 ->  bundle.entry as eD6,  eD6.resource = create('Observation') as obD6 then {\r\n          qr ->  obD6,  eD6 then BuildObsBase(qr, obD6, eD6) "vomitingBase";\r\n          qr -> obD6 then SurveyCategory(qr, obD6) "vomitingCategory";\r\n          qr -> obD6.code as cdD6 then {\r\n            qr -> cdD6.coding as ccD6 then {\r\n              qr -> ccD6.system = 'http://snomed.info/sct' "vomitingSystem";\r\n              qr -> ccD6.code = '21522001' "vomitingCode";\r\n              qr -> ccD6.display = 'Vomiting' "vomitingDisplay";\r\n            } "vomitingCodeCoding";\r\n          } "vomitingCode";\r\n          qr -> obD6 then SetCodedValue(itD6, obD6) "vomitingValue";\r\n        } "vomitingObservation";\r\n      } "vomitingAnswer";\r\n    } "vomitingRule";\r\n    gDs.item as itD7 where (linkId = 'IMM-DS-Q7-notes') then {\r\n      itD7.answer first as aD7 then {\r\n        aD7 ->  bundle.entry as eD7,  eD7.resource = create('Observation') as obD7 then {\r\n          qr ->  obD7,  eD7 then BuildObsBase(qr, obD7, eD7) "dsNotesBase";\r\n          qr -> obD7 then SurveyCategory(qr, obD7) "dsNotesCategory";\r\n          qr -> obD7.code as cdD7 then {\r\n            qr -> cdD7.coding as ccD7 then {\r\n              qr -> ccD7.system = 'http://loinc.org' "dsNotesSystem";\r\n              qr -> ccD7.code = '48767-8' "dsNotesCode";\r\n              qr -> ccD7.display = 'Annotation comment' "dsNotesDisplay";\r\n            } "dsNotesCodeCoding";\r\n            qr -> cdD7.text = 'Danger signs clinical notes' "dsNotesCodeText";\r\n          } "dsNotesCode";\r\n          aD7.value as v -> obD7.value = v "dsNotesValue";\r\n        } "dsNotesObservation";\r\n      } "dsNotesAnswer";\r\n    } "dsNotesRule";\r\n  } "dangerSignsGroup";\r\n  // ---------------------------------------------------------- Patient education\r\n  qr.item as gEd where (linkId = 'IMM-group-education') then {\r\n    gEd.item as itE1 where (linkId = 'IMM-ED-Q1-education-given') then {\r\n      itE1.answer first as aE1 then {\r\n        aE1 ->  bundle.entry as eE1,  eE1.resource = create('Observation') as obE1 then {\r\n          qr ->  obE1,  eE1 then BuildObsBase(qr, obE1, eE1) "eduGivenBase";\r\n          qr -> obE1 then SurveyCategory(qr, obE1) "eduGivenCategory";\r\n          qr -> obE1.code as cdE1 then {\r\n            qr -> cdE1.coding as ccE1 then {\r\n              qr -> ccE1.system = 'http://loinc.org' "eduGivenSystem";\r\n              qr -> ccE1.code = '61144-2' "eduGivenCode";\r\n              qr -> ccE1.display = 'Patient education provided' "eduGivenDisplay";\r\n            } "eduGivenCodeCoding";\r\n          } "eduGivenCode";\r\n          qr -> obE1 then SetCodedValue(itE1, obE1) "eduGivenValue";\r\n        } "eduGivenObservation";\r\n      } "eduGivenAnswer";\r\n    } "eduGivenRule";\r\n    gEd.item as itE2 where (linkId = 'IMM-ED-Q2-topics') then {\r\n      itE2.answer first as aE2 then {\r\n        aE2 ->  bundle.entry as eE2,  eE2.resource = create('Observation') as obE2 then {\r\n          qr ->  obE2,  eE2 then BuildObsBase(qr, obE2, eE2) "eduTopicsBase";\r\n          qr -> obE2 then SurveyCategory(qr, obE2) "eduTopicsCategory";\r\n          qr -> obE2.code as cdE2 then {\r\n            qr -> cdE2.coding as ccE2 then {\r\n              qr -> ccE2.system = 'http://loinc.org' "eduTopicsSystem";\r\n              qr -> ccE2.code = '61144-2' "eduTopicsCode";\r\n              qr -> ccE2.display = 'Education topics covered' "eduTopicsDisplay";\r\n            } "eduTopicsCodeCoding";\r\n            qr -> cdE2.text = 'Education topics covered' "eduTopicsCodeText";\r\n          } "eduTopicsCode";\r\n          aE2.value as v -> obE2.value = v "eduTopicsValue";\r\n        } "eduTopicsObservation";\r\n      } "eduTopicsAnswer";\r\n    } "eduTopicsRule";\r\n    gEd.item as itE3 where (linkId = 'IMM-ED-Q3-next-visit') then {\r\n      itE3.answer first as aE3 then {\r\n        aE3 ->  bundle.entry as eE3,  eE3.resource = create('Observation') as obE3 then {\r\n          qr ->  obE3,  eE3 then BuildObsBase(qr, obE3, eE3) "nextVisitToldBase";\r\n          qr -> obE3 then SurveyCategory(qr, obE3) "nextVisitToldCategory";\r\n          qr -> obE3.code as cdE3 then {\r\n            qr -> cdE3.coding as ccE3 then {\r\n              qr -> ccE3.system = 'http://loinc.org' "nextVisitToldSystem";\r\n              qr -> ccE3.code = '57177-3' "nextVisitToldCode";\r\n              qr -> ccE3.display = 'Follow-up plan' "nextVisitToldDisplay";\r\n            } "nextVisitToldCodeCoding";\r\n            qr -> cdE3.text = 'Next visit date communicated to caregiver' "nextVisitToldCodeText";\r\n          } "nextVisitToldCode";\r\n          qr -> obE3 then SetCodedValue(itE3, obE3) "nextVisitToldValue";\r\n        } "nextVisitToldObservation";\r\n      } "nextVisitToldAnswer";\r\n    } "nextVisitToldRule";\r\n    // Appointment.start is an instant, so a date-only answer is carried on\r\n    // requestedPeriod instead.\r\n    gEd.item as itE4 where (linkId = 'IMM-ED-Q4-next-visit-date') then {\r\n      itE4.answer first as aE4 then {\r\n        aE4 ->  bundle.entry as eE4,  eE4.resource = create('Appointment') as appt then {\r\n          // One proposed appointment per (child, requested date).\r\n          aE4.value as dvAp -> appt.identifier as idAp then {\r\n            qr -> idAp.system = 'https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell' "apptCellSystem";\r\n            dvAp -> idAp.value = append('IMM-ED-Q4-next-visit-date@', dvAp) "apptCellValue";\r\n          } "apptCellIdentifier";\r\n          qr.subject as subjAp then {\r\n            subjAp.reference as prefAp then {\r\n              aE4.value as dvAp2 -> eE4.request as rqAp then {\r\n                qr -> rqAp.method = 'POST' "apptReqMethod";\r\n                qr -> rqAp.url = 'Appointment' "apptReqUrl";\r\n                qr -> rqAp.ifNoneExist = append('actor=', prefAp, '&identifier=https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell|IMM-ED-Q4-next-visit-date@', dvAp2) "apptIfNoneExist";\r\n              } "apptReq";\r\n            } "apptPatientRef";\r\n          } "apptSubject";\r\n          qr -> appt.id = uuid() "apptId";\r\n          qr -> appt.status = 'proposed' "apptStatus";\r\n          qr -> appt.description = 'Next scheduled immunisation visit (MOH 510)' "apptDescription";\r\n          qr.subject as s -> appt.subject = s "apptSubject";\r\n          qr -> appt.participant as prt then {\r\n            qr -> prt.status = 'needs-action' "apptParticipantStatus";\r\n            qr.subject as s -> prt.actor = s "apptParticipantActor";\r\n          } "apptParticipant";\r\n          aE4.value as dv -> appt.requestedPeriod as rp then {\r\n            dv -> rp.start = cast(dv, 'dateTime') "apptRequestedStart";\r\n          } "apptRequestedPeriod";\r\n        } "appointmentResource";\r\n      } "nextVisitDateAnswer";\r\n    } "nextVisitDateRule";\r\n  } "educationGroup";\r\n  // ---------------------------------------------------------------- AE Remarks\r\n  qr.item as gRem where (linkId = 'IMM-group-remarks') then {\r\n    gRem.item as itAe where (linkId = '48767-8') then {\r\n      itAe.answer first as aAe then {\r\n        aAe ->  bundle.entry as eAe,  eAe.resource = create('Observation') as obAe then {\r\n          qr ->  obAe,  eAe then BuildObsBase(qr, obAe, eAe) "remarksBase";\r\n          qr -> obAe then SurveyCategory(qr, obAe) "remarksCategory";\r\n          qr -> obAe.code as cdAe then {\r\n            qr -> cdAe.coding as ccAe then {\r\n              qr -> ccAe.system = 'http://loinc.org' "remarksSystem";\r\n              qr -> ccAe.code = '48767-8' "remarksCode";\r\n              qr -> ccAe.display = 'Annotation comment' "remarksDisplay";\r\n            } "remarksCodeCoding";\r\n            qr -> cdAe.text = 'MOH 510 register remarks' "remarksCodeText";\r\n          } "remarksCode";\r\n          aAe.value as v -> obAe.value = v "remarksValue";\r\n        } "remarksObservation";\r\n      } "remarksAnswer";\r\n    } "remarksRule";\r\n  } "remarksGroup";\r\n}\r\n\r\n// ---------------------------------------------------------------- helper groups\r\n// Plain POST, deliberately not a conditional create. These are per-visit facts,\r\n// so the key would have to be (cell, visit) -- and qr.authored carries a\r\n// "+03:00" offset that cannot go into an ifNoneExist query string unencoded.\r\n// Consequence: extracting the SAME response twice duplicates its Observations.\r\n// Populate never fills these sections, so the populate/extract loop is\r\n// unaffected; only a repeated submission of one response is.\r\ngroup BuildObsBase(source qr : QR, target obs : Observation, target entry) {\r\n  qr -> entry.request as rq then {\r\n    qr -> rq.method = 'POST' "obsReqMethod";\r\n    qr -> rq.url = 'Observation' "obsReqUrl";\r\n  } "obsReq";\r\n  qr -> obs.id = uuid() "obsId";\r\n  qr -> obs.status = 'final' "obsStatus";\r\n  qr.subject as s -> obs.subject = s "obsSubject";\r\n  qr.encounter as e -> obs.encounter = e "obsEncounter";\r\n  qr.authored as t -> obs.effective = t "obsEffective";\r\n  // qr.id is already type-qualified ("QuestionnaireResponse/1008") when the\r\n  // response is read from the server, so prepending the type -- or using\r\n  // reference() -- yields a doubled reference.\r\n  qr.id as qid -> obs.derivedFrom = create('Reference') as dr then {\r\n    qid -> dr.reference = qid "obsDerivedRef";\r\n  } "obsDerivedFrom";\r\n}\r\n\r\n// A register cell -- (child, column) -- is the natural key for everything below.\r\n// The paper form has exactly one BCG box per child, so re-submitting a\r\n// pre-populated form must not add a second one. Each resource therefore carries\r\n// its linkId as a business identifier and is emitted as a conditional create.\r\ngroup BuildImm(source qr : QR, source it, source a, target imm : Immunization, target entry) {\r\n  it.linkId as lk -> imm.identifier as idc then {\r\n    qr -> idc.system = 'https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell' "immCellSystem";\r\n    lk -> idc.value = lk "immCellValue";\r\n  } "immCellIdentifier";\r\n  qr.subject as subjImm then {\r\n    subjImm.reference as pref then {\r\n      it.linkId as lk2 -> entry.request as rq then {\r\n        qr -> rq.method = 'POST' "immReqMethod";\r\n        qr -> rq.url = 'Immunization' "immReqUrl";\r\n        qr -> rq.ifNoneExist = append('patient=', pref, '&identifier=https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell|', lk2) "immIfNoneExist";\r\n      } "immReq";\r\n    } "immPatientRef";\r\n  } "immSubject";\r\n  qr -> imm.id = uuid() "immId";\r\n  qr -> imm.status = 'completed' "immStatus";\r\n  // Register entries are transcribed from the child's card, so the recording\r\n  // facility is not necessarily the administering one.\r\n  qr -> imm.primarySource = false "immPrimarySource";\r\n  qr.subject as s -> imm.patient = s "immPatient";\r\n  qr.encounter as e -> imm.encounter = e "immEncounter";\r\n  a.value as dv -> imm.occurrence = cast(dv, 'dateTime') "immOccurrence";\r\n}\r\n\r\ngroup BuildMedAdmin(source qr : QR, source it, source a, target ma : MedicationAdministration, target entry) {\r\n  it.linkId as lk -> ma.identifier as idc then {\r\n    qr -> idc.system = 'https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell' "maCellSystem";\r\n    lk -> idc.value = lk "maCellValue";\r\n  } "maCellIdentifier";\r\n  qr.subject as subjMa then {\r\n    subjMa.reference as pref then {\r\n      it.linkId as lk2 -> entry.request as rq then {\r\n        qr -> rq.method = 'POST' "maReqMethod";\r\n        qr -> rq.url = 'MedicationAdministration' "maReqUrl";\r\n        qr -> rq.ifNoneExist = append('subject=', pref, '&identifier=https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell|', lk2) "maIfNoneExist";\r\n      } "maReq";\r\n    } "maPatientRef";\r\n  } "maSubject";\r\n  qr -> ma.id = uuid() "maId";\r\n  qr -> ma.status = 'completed' "maStatus";\r\n  qr.subject as s -> ma.subject = s "maSubject";\r\n  qr.encounter as e -> ma.encounter = e "maEncounter";\r\n  a.value as dv -> ma.occurence = cast(dv, 'dateTime') "maOccurence";\r\n}\r\n\r\ngroup BuildRelatedPerson(source qr : QR, source it, target rp : RelatedPerson, target entry) {\r\n  it.linkId as lk -> rp.identifier as idc then {\r\n    qr -> idc.system = 'https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell' "rpCellSystem";\r\n    lk -> idc.value = lk "rpCellValue";\r\n  } "rpCellIdentifier";\r\n  qr.subject as subjRp then {\r\n    subjRp.reference as pref then {\r\n      it.linkId as lk2 -> entry.request as rq then {\r\n        qr -> rq.method = 'POST' "rpReqMethod";\r\n        qr -> rq.url = 'RelatedPerson' "rpReqUrl";\r\n        qr -> rq.ifNoneExist = append('patient=', pref, '&identifier=https://fhir.slade360.co.ke/fhir/Identifier/moh510-register-cell|', lk2) "rpIfNoneExist";\r\n      } "rpReq";\r\n    } "rpPatientRef";\r\n  } "rpSubject";\r\n  qr -> rp.id = uuid() "rpId";\r\n  qr -> rp.active = true "rpActive";\r\n  qr.subject as s -> rp.patient = s "rpPatient";\r\n}\r\n\r\ngroup VitalSignsCategory(source qr : QR, target obs : Observation) {\r\n  qr -> obs.category as cat then {\r\n    qr -> cat.coding as c then {\r\n      qr -> c.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "vsCatSystem";\r\n      qr -> c.code = 'vital-signs' "vsCatCode";\r\n      qr -> c.display = 'Vital Signs' "vsCatDisplay";\r\n    } "vsCatCoding";\r\n  } "vsCat";\r\n}\r\n\r\ngroup SurveyCategory(source qr : QR, target obs : Observation) {\r\n  qr -> obs.category as cat then {\r\n    qr -> cat.coding as c then {\r\n      qr -> c.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "svCatSystem";\r\n      qr -> c.code = 'survey' "svCatCode";\r\n      qr -> c.display = 'Survey' "svCatDisplay";\r\n    } "svCatCoding";\r\n  } "svCat";\r\n}\r\n\r\ngroup SetCodedValue(source it : Element, target obs : Observation) {\r\n  it.answer as a -> obs.value = create('CodeableConcept') as c then {\r\n    a.value as coding -> c.coding = coding as nc "copyCoding";\r\n  } "setCodedValue";\r\n}\r\n\r\n
" }, "url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractMOH510ImmunisationRegister", "version" : "0.1.0", "name" : "ExtractMOH510ImmunisationRegister", "title" : "MOH 510 Immunisation Permanent Register Extraction", "status" : "active", "experimental" : true, "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" : "Extracts a transaction Bundle from a QuestionnaireResponse to the Kenya MOH 510 Immunisation Permanent Register: guardian RelatedPersons, growth-monitoring Observations, one Immunization per antigen dose for sections L-Y/AA-AB/AD, Vitamin A MedicationAdministrations for section Z, danger-signs and education Observations, and an Appointment for the next scheduled visit. It creates no Patient, Encounter or EpisodeOfCare -- the register is launched from inside a visit the EMR has already opened, so all three arrive as context on the QuestionnaireResponse and are referenced rather than minted. QuestionnaireResponse.subject and .encounter are therefore both required.", "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/RelatedPerson", "mode" : "target", "alias" : "RelatedPerson" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "target", "alias" : "Observation" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Immunization", "mode" : "target", "alias" : "Immunization" }, { "url" : "http://hl7.org/fhir/StructureDefinition/MedicationAdministration", "mode" : "target", "alias" : "MedicationAdministration" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Appointment", "mode" : "target", "alias" : "Appointment" }], "group" : [{ "name" : "ExtractMOH510ImmunisationRegister", "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" : "registrationGroup", "source" : [{ "context" : "qr", "element" : "item", "variable" : "gReg", "condition" : "linkId = 'IMM-group-registration'" }], "rule" : [{ "name" : "fatherRule", "source" : [{ "context" : "gReg", "element" : "item", "variable" : "itH", "condition" : "linkId = 'IMM-RG-H-father-name'" }], "rule" : [{ "name" : "fatherAnswer", "source" : [{ "context" : "itH", "element" : "answer", "listMode" : "first", "variable" : "aH" }], "rule" : [{ "name" : "fatherResource", "source" : [{ "context" : "aH" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "eFat" }, { "context" : "eFat", "element" : "resource", "variable" : "fat", "transform" : "create", "parameter" : [{ "valueString" : "RelatedPerson" }] }], "rule" : [{ "name" : "fatherBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "fat" }, { "context" : "eFat" }], "dependent" : [{ "name" : "BuildRelatedPerson", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "itH" }, { "valueId" : "fat" }, { "valueId" : "eFat" }] }] }, { "name" : "fatherRelationship", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "fat", "element" : "relationship", "variable" : "relF" }], "rule" : [{ "name" : "fatherRelCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "relF", "element" : "coding", "variable" : "relFc" }], "rule" : [{ "name" : "fatRelSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "relFc", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode" }] }] }, { "name" : "fatRelCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "relFc", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "FTH" }] }] }, { "name" : "fatRelDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "relFc", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "father" }] }] }] }] }, { "name" : "fatherName", "source" : [{ "context" : "aH", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "fat", "element" : "name", "variable" : "nF" }], "rule" : [{ "name" : "fatherNameText", "source" : [{ "context" : "v" }], "target" : [{ "context" : "nF", "element" : "text", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }, { "name" : "fatherPhoneRule", "source" : [{ "context" : "gReg", "element" : "item", "variable" : "itKf", "condition" : "linkId = '42077-8'" }], "rule" : [{ "name" : "fatherPhoneAnswer", "source" : [{ "context" : "itKf", "element" : "answer", "listMode" : "first", "variable" : "aKf" }], "rule" : [{ "name" : "fatherTelecom", "source" : [{ "context" : "aKf", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "fat", "element" : "telecom", "variable" : "tcF" }], "rule" : [{ "name" : "fatPhoneSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "tcF", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "phone" }] }] }, { "name" : "fatPhoneValue", "source" : [{ "context" : "v" }], "target" : [{ "context" : "tcF", "element" : "value", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }] }] }] }] }], "documentation" : "No Patient is emitted. The child is registered before the register entry\r\nis filled, so the patient already exists and arrives as\r\nQuestionnaireResponse.subject -- every resource below references it.\r\nSections C (child number), D (name), E (sex), F (date of birth) and\r\nJ (address) are the paper form transcribing demographics the EMR already\r\nholds, so they are deliberately not extracted: creating a Patient here\r\nwould mint a duplicate record, and a blind PUT would clobber fields the\r\nform does not carry. 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"context" : "qr" }], "target" : [{ "context" : "c", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "vital-signs" }] }] }, { "name" : "vsCatDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "c", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Vital Signs" }] }] }] }] }] }, { "name" : "SurveyCategory", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "obs", "type" : "Observation", "mode" : "target" }], "rule" : [{ "name" : "svCat", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "svCatCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "cat", "element" : "coding", "variable" : "c" }], "rule" : [{ "name" : "svCatSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "c", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category" }] }] }, { "name" : "svCatCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "c", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "survey" }] }] }, { "name" : "svCatDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "c", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Survey" }] }] }] }] }] }, { "name" : "SetCodedValue", "input" : [{ "name" : "it", "type" : "Element", "mode" : "source" }, { "name" : "obs", "type" : "Observation", "mode" : "target" }], "rule" : [{ "name" : "setCodedValue", "source" : [{ "context" : "it", "element" : "answer", "variable" : "a" }], "target" : [{ "context" : "obs", "element" : "value", "variable" : "c", "transform" : "create", "parameter" : [{ "valueString" : "CodeableConcept" }] }], "rule" : [{ "name" : "copyCoding", "source" : [{ "context" : "a", "element" : "value", "variable" : "coding" }], "target" : [{ "context" : "c", "element" : "coding", "variable" : "nc", "transform" : "copy", "parameter" : [{ "valueId" : "coding" }] }] }] }] }] }