SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build
SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
| Active as of 2026-09-14 |
{
"resourceType" : "StructureMap",
"id" : "ExtractMedicalReport",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractMedicalReport</b></p><a name=\"ExtractMedicalReport\"> </a><a name=\"hcExtractMedicalReport\"> </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/ExtractMedicalReport'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractMedicalReport'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Medical Report 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\">'A medical report is written once, read as a whole, and handed to whoever asked for it -- an insurer, a court, another hospital -- so it extracts as a Composition under LOINC 34133-9 with one section per printed heading, plus a Condition per diagnosis line so the report does not become the only place the diagnosis is written down. Each section names an Observation carrying its text: Narrative.div is an XhtmlType this engine cannot build from FML, and referencing an Observation is the better shape anyway, because the text becomes something a query can reach rather than a blob inside a document. The stay itself lands in Composition.event.period, which is what makes the report answer \\'when was this admission\\'.'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/questionnaireresponse.html\" title=\"QuestionnaireResponse\">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style=\"color: navy\">" </span><b>alias </b>QR <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/bundle.html\" title=\"Bundle\">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style=\"color: navy\">" </span><b>alias </b>Bundle <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/observation.html\" title=\"Observation\">http://hl7.org/fhir/StructureDefinition/Observation</a><span style=\"color: navy\">" </span><b>alias </b>Observation <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/composition.html\" title=\"Composition\">http://hl7.org/fhir/StructureDefinition/Composition</a><span style=\"color: navy\">" </span><b>alias </b>Composition <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> "</span><a href=\"http://hl7.org/fhir/R5/condition.html\" title=\"Condition\">http://hl7.org/fhir/StructureDefinition/Condition</a><span style=\"color: navy\">" </span><b>alias </b>Condition <b>as </b><b>target</b>\r\n\r\n<b>group </b>ExtractMedicalReport<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">bundle</span><span style=\"color: navy\"> : </span>Bundle<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>bundle.type = <span style=\"color: blue\">'transaction'</span> <i>"setBundleType"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'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> -> </b></span> comp<span style=\"color: navy\">, </span> entry<b> then </b>BuildCompositionBase<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>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.status = <span style=\"color: blue\">'final'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.title = <span style=\"color: blue\">'Medical report'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span>comp.date = <span style=\"color: maroon\">t</span> <i>"date"</i><span style=\"color: navy\">;</span>\r\n qr.encounter<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\"><b> -> </b></span>comp.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.type<b> as </b><span style=\"color: maroon\">tp</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>tp.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'34133-9'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Summary of episode note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"type"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>comp.category<b> as </b><span style=\"color: maroon\">cat</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cat.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/document-type-codesystem'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'medical-report'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Medical report'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">The doctor who signed it is the author, and the form's own signature</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">block is what says so -- not qr.source, which is whoever keyed it in.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'sign-off'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'sign-off/doctor') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><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\">ref</span><span style=\"color: navy\"><b> -> </b></span>comp.author = <span style=\"color: maroon\">ref</span> <i>"author"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"authorRule"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'sign-off/purpose') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><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\">txt</span><span style=\"color: navy\"><b> -> </b></span> comp.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"purposeNote"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"purposeRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"signOffGroup"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── The admission the report is about ─────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Composition.event.period is a Period of dateTimes and the form asks for</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">dates, hence the casts: a DateType into a dateTime element fails at</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">transform time rather than at compile time.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'stay'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g<span style=\"color: navy\"><b> -> </b></span>comp.event<b> as </b><span style=\"color: maroon\">ev</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g<span style=\"color: navy\"><b> -> </b></span>ev.period<b> as </b><span style=\"color: maroon\">per</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'stay/admitted-on') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><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> -> </b></span>per.start = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'dateTime'</span><span style=\"color: navy\">)</span> <i>"start"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"admittedRule"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'stay/discharged-on') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><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> -> </b></span>per.end = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">v</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'dateTime'</span><span style=\"color: navy\">)</span> <i>"end"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"dischargedRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"period"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"event"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"stayGroup"</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 = 'clinical-summary') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </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> -> </b></span>sec.title = <span style=\"color: blue\">'Clinical summary'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec.code<b> as </b><span style=\"color: maroon\">sc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'11329-0'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'History general Narrative - Reported'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">, </span> sentry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">sobs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> sobs<span style=\"color: navy\">, </span> sentry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sobs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sobs.code<b> as </b><span style=\"color: maroon\">scc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scc.coding<b> as </b><span style=\"color: maroon\">scg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.code = <span style=\"color: blue\">'11329-0'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.display = <span style=\"color: blue\">'History general Narrative - Reported'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scc.text = <span style=\"color: blue\">'Clinical summary on the Medical report'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> sobs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> sec.entry = <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\">sref</span><span style=\"color: navy\">, </span> sref.reference = <b>reference</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"linkEntry"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"section_clinical_summary"</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 = 'past-medical-surgical-history') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </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> -> </b></span>sec.title = <span style=\"color: blue\">'Past medical and surgical history'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec.code<b> as </b><span style=\"color: maroon\">sc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'11348-0'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'History of Past illness note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">, </span> sentry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">sobs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> sobs<span style=\"color: navy\">, </span> sentry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sobs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sobs.code<b> as </b><span style=\"color: maroon\">scc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scc.coding<b> as </b><span style=\"color: maroon\">scg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.code = <span style=\"color: blue\">'11348-0'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.display = <span style=\"color: blue\">'History of Past illness note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scc.text = <span style=\"color: blue\">'Past medical and surgical history on the Medical report'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> sobs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> sec.entry = <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\">sref</span><span style=\"color: navy\">, </span> sref.reference = <b>reference</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"linkEntry"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"section_past_medical_surgical_history"</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 = 'investigations') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </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> -> </b></span>sec.title = <span style=\"color: blue\">'Investigations'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec.code<b> as </b><span style=\"color: maroon\">sc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'30954-2'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Relevant diagnostic tests/laboratory data note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">, </span> sentry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">sobs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> sobs<span style=\"color: navy\">, </span> sentry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sobs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sobs.code<b> as </b><span style=\"color: maroon\">scc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scc.coding<b> as </b><span style=\"color: maroon\">scg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.code = <span style=\"color: blue\">'30954-2'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.display = <span style=\"color: blue\">'Relevant diagnostic tests/laboratory data note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scc.text = <span style=\"color: blue\">'Investigations on the Medical report'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> sobs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> sec.entry = <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\">sref</span><span style=\"color: navy\">, </span> sref.reference = <b>reference</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"linkEntry"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"section_investigations"</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 = 'interventions') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </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> -> </b></span>sec.title = <span style=\"color: blue\">'Interventions'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec.code<b> as </b><span style=\"color: maroon\">sc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'62387-6'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Interventions Narrative'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">, </span> sentry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">sobs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> sobs<span style=\"color: navy\">, </span> sentry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sobs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sobs.code<b> as </b><span style=\"color: maroon\">scc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scc.coding<b> as </b><span style=\"color: maroon\">scg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.code = <span style=\"color: blue\">'62387-6'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.display = <span style=\"color: blue\">'Interventions Narrative'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scc.text = <span style=\"color: blue\">'Interventions on the Medical report'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> sobs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> sec.entry = <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\">sref</span><span style=\"color: navy\">, </span> sref.reference = <b>reference</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"linkEntry"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"section_interventions"</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 = 'treatment') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </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> -> </b></span>sec.title = <span style=\"color: blue\">'Treatment'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec.code<b> as </b><span style=\"color: maroon\">sc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'18776-5'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Plan of care note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">, </span> sentry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">sobs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> sobs<span style=\"color: navy\">, </span> sentry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sobs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sobs.code<b> as </b><span style=\"color: maroon\">scc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scc.coding<b> as </b><span style=\"color: maroon\">scg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.code = <span style=\"color: blue\">'18776-5'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.display = <span style=\"color: blue\">'Plan of care note'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scc.text = <span style=\"color: blue\">'Treatment on the Medical report'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> sobs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> sec.entry = <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\">sref</span><span style=\"color: navy\">, </span> sref.reference = <b>reference</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"linkEntry"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"section_treatment"</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 = 'discharge-instructions-and-medications') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </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> -> </b></span>sec.title = <span style=\"color: blue\">'Discharge instructions and medications'</span> <i>"title"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sec.code<b> as </b><span style=\"color: maroon\">sc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>sc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'8653-8'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Hospital Discharge instructions'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">, </span> sentry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">sobs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> sobs<span style=\"color: navy\">, </span> sentry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sentry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>sobs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>sobs.code<b> as </b><span style=\"color: maroon\">scc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scc.coding<b> as </b><span style=\"color: maroon\">scg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>scg.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.code = <span style=\"color: blue\">'8653-8'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scg.display = <span style=\"color: blue\">'Hospital Discharge instructions'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>scc.text = <span style=\"color: blue\">'Discharge instructions and medications on the Medical report'</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> sobs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span> sec.entry = <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\">sref</span><span style=\"color: navy\">, </span> sref.reference = <b>reference</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">sobs</span><span style=\"color: navy\">)</span> <i>"linkEntry"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sectionObservation"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"section_discharge_instructions_and_medications"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"medicalReportComposition"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── The diagnoses ───────────────────────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">One Condition per line. Where the writer picked a Condition the patient</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">already has, the reference travels as evidence rather than forking the</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">problem list -- a report written for an insurer should not add a second</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">copy of a diagnosis that is already on the record.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'diagnosis'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g.item<b> as </b><span style=\"color: maroon\">d</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'diagnosis/entry'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> d.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'diagnosis/entry/text') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Condition'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cond</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> cond<span style=\"color: navy\">, </span> entry<b> then </b>BuildConditionBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">cond</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cond.clinicalStatus<b> as </b><span style=\"color: maroon\">cs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cs.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/condition-clinical'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'active'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Active'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"clinicalStatus"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cond.category<b> as </b><span style=\"color: maroon\">cat</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cat.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/condition-category'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'encounter-diagnosis'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Encounter Diagnosis'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> cond.code<b> as </b><span style=\"color: maroon\">cc</span><span style=\"color: navy\">, </span> cc.text = <span style=\"color: maroon\">txt</span> <i>"codeText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span>cond.recordedDate = <span style=\"color: maroon\">t</span> <i>"recordedDate"</i><span style=\"color: navy\">;</span>\r\n qr.encounter<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\"><b> -> </b></span>cond.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n d.item<b> as </b><span style=\"color: maroon\">ex</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'diagnosis/entry/condition') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ex.answer first<b> as </b><span style=\"color: maroon\">ea</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ea.value<b> as </b><span style=\"color: maroon\">existing</span><span style=\"color: navy\"><b> -> </b></span> cond.evidence<b> as </b><span style=\"color: maroon\">ev</span><span style=\"color: navy\">, </span> ev.reference = <span style=\"color: maroon\">existing</span> <i>"evidenceReference"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"existingRule"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diagnosisCondition"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diagnosisRows"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diagnosisGroup"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">── The wards ───────────────────────────────────────────────────────────</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Observations rather than anything on the Composition. Which ward a patient</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">was admitted to and which one they left from is a fact about the stay that</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">gets asked in aggregate, and there is nowhere on a Composition to put it</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">where a query would find it.</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'stay'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'stay/ward-of-admission') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> obs<span style=\"color: navy\">, </span> entry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>obs.code<b> as </b><span style=\"color: maroon\">cc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'discharge-ward-of-admission'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Ward of admission'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> obs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"narr_discharge_ward_of_admission"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'stay/ward-of-discharge') and answer.value.exists()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span> obs<span style=\"color: navy\">, </span> entry<b> then </b>BuildObsBase<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"base"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetSurveyCategory<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>obs.code<b> as </b><span style=\"color: maroon\">cc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cc.coding<b> as </b><span style=\"color: maroon\">cg</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it<span style=\"color: navy\"><b> -> </b></span>cg.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>"sys"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.code = <span style=\"color: blue\">'discharge-ward-of-discharge'</span> <i>"cd"</i><span style=\"color: navy\">;</span>\r\n it<span style=\"color: navy\"><b> -> </b></span>cg.display = <span style=\"color: blue\">'Ward of discharge'</span> <i>"dsp"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"coding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n 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\">txt</span><span style=\"color: navy\"><b> -> </b></span> obs.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">txt</span> <i>"text"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"narr_discharge_ward_of_discharge"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"wardGroup"</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 scaffolding. Repeated in each map rather than imported: the transform</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">engine resolves `imports` against whatever StructureMaps happen to be on the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">server, and a form that stops extracting because a shared map was not</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">uploaded is a worse failure than a duplicated group.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">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\">`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">found". 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</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">publisher is objecting to what its own compiler emits. Two arguments is the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">only form that compiles, and it is what the R5 transform engine executes.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<b>group </b>BuildObsBase<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>SetResponseProvenance<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"responseProvenance"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetObservationFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"idAndFullUrl"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>entry.request<b> as </b><span style=\"color: maroon\">request</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>"requestMethod"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Observation'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.status = <span style=\"color: blue\">'final'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>obs.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n qr.encounter<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\"><b> -> </b></span>obs.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">t</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n qr.source<b> as </b><span style=\"color: maroon\">src</span><span style=\"color: navy\"><b> -> </b></span>obs.performer = <span style=\"color: maroon\">src</span> <i>"performerFromSource"</i><span style=\"color: navy\">;</span>\r\n qr<b> where </b><span style=\"color: navy\">(</span>source.exists().not()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr.author<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -> </b></span>obs.performer = <span style=\"color: maroon\">a</span> <i>"performerFromAuthor"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"performerFallback"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">A stored response's id already reads "QuestionnaireResponse/<id>", so it is</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">a relative reference as it stands. The hasValue() guard is what stops an</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">unsaved response -- one posted straight to $extract rather than saved first</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">-- from writing "QuestionnaireResponse/null" into the record.</span>\r\n qr.id<b> as </b><span style=\"color: maroon\">qid</span><b> where </b><span style=\"color: navy\">(</span>$this.hasValue()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ref</span><span style=\"color: navy\">, </span> ref.reference = <span style=\"color: maroon\">qid</span> <i>"linkQuestionnaireResponse"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetObservationFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> obs.id<b> as </b><span style=\"color: maroon\">id</span><span style=\"color: navy\"><b> -> </b></span>entry.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/Observation/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>"assignFullUrl"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">The two answer shapes a component can carry. Both read the answer through the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">typed property name fails at transform time on HAPI R5 with "Attempt to read</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">invalid property ... on QuestionnaireResponse.item.answer".</span>\r\n<b>group </b>SetComponentCodedValue<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">it</span>, <b>target</b> <span style=\"color: maroon\">comp</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span> a.value<b> as </b><span style=\"color: maroon\">cv</span><span style=\"color: navy\"><b> -> </b></span>comp.value = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cc</span><b> then</b><span style=\"color: navy\"> {\r\n</span> cv<span style=\"color: navy\"><b> -> </b></span>cc.coding = <span style=\"color: maroon\">cv</span> <i>"valueCoding"</i><span style=\"color: navy\">;</span>\r\n cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -> </b></span>cc.text = <span style=\"color: maroon\">d</span> <i>"valueText"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codedValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"componentAnswer"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetComponentValue<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">it</span>, <b>target</b> <span style=\"color: maroon\">comp</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> -> </b></span>comp.value = <span style=\"color: maroon\">v</span> <i>"plainValue"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"componentAnswer"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetSurveyCategory<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs.category<b> as </b><span style=\"color: maroon\">cat</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cat.coding<b> as </b><span style=\"color: maroon\">coding</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>coding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>"categorySystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.code = <span style=\"color: blue\">'survey'</span> <i>"categoryCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>coding.display = <span style=\"color: blue\">'Survey'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>BuildCompositionBase<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\">r</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> -> </b></span>r<b> then </b>SetResponseProvenance<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">r</span><span style=\"color: navy\">)</span> <i>"responseProvenance"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>r.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\">r</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"idAndFullUrl"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>entry.request<b> as </b><span style=\"color: maroon\">request</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>"requestMethod"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Composition'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>r.subject = <span style=\"color: maroon\">s</span><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\">r</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> r.id<b> as </b><span style=\"color: maroon\">id</span><span style=\"color: navy\"><b> -> </b></span>entry.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/Composition/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>"assignFullUrl"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>BuildConditionBase<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\">r</span><span style=\"color: navy\"> : </span>Condition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>r<b> then </b>SetResponseProvenance<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">r</span><span style=\"color: navy\">)</span> <i>"responseProvenance"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>r.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetConditionFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">r</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>"idAndFullUrl"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>entry.request<b> as </b><span style=\"color: maroon\">request</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>"requestMethod"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>request.url = <span style=\"color: blue\">'Condition'</span> <i>"requestUrl"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"entryRequest"</i><span style=\"color: navy\">;</span>\r\n qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -> </b></span>r.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetConditionFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">r</span><span style=\"color: navy\"> : </span>Condition, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> r.id<b> as </b><span style=\"color: maroon\">id</span><span style=\"color: navy\"><b> -> </b></span>entry.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/Condition/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>"assignFullUrl"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">── Provenance and tenancy ───────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Two tags on everything this map creates. The first says which questionnaire</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">produced it, so a form that reopens mid-admission recalls its own earlier</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">entries and not another form's. The second copies the tenant tags off the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">response, because nothing else on the path puts them there.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">The code is the form's document type, not the questionnaire's id: every</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">environment mints its own ids, and there is only one set of maps, so an id</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">here would tie the tag to whichever environment stamped it.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">── Provenance and tenancy ───────────────────────────────────────────────────</span>\r\n<b>group </b>SetResponseProvenance<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\">r</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>r.meta<b> as </b><span style=\"color: maroon\">m</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>m.tag<b> as </b><span style=\"color: maroon\">t</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>t.system = <span style=\"color: blue\">'http://slade360edi.com/questionnaire-provenance'</span> <i>"provenanceSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>t.code = <span style=\"color: blue\">'medical-report'</span> <i>"provenanceCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>t.display = <span style=\"color: blue\">'Medical report'</span> <i>"provenanceDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"provenanceTag"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"provenanceMeta"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">Every tag the response carries, onto the resource. `meta` is 0..1, so this</span>\r\n <span style=\"color: navy\">// </span><span style=\"color: green\">lands on the same meta the rule above created rather than a second one.</span>\r\n qr.meta<b> as </b><span style=\"color: maroon\">qm</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qm.tag<b> as </b><span style=\"color: maroon\">qt</span><span style=\"color: navy\"><b> -> </b></span> r.meta<b> as </b><span style=\"color: maroon\">m</span><span style=\"color: navy\">, </span> m.tag = <span style=\"color: maroon\">qt</span> <i>"copyTag"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"tenantTags"</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/ExtractMedicalReport",
"version" : "0.1.0",
"name" : "ExtractMedicalReport",
"title" : "Medical Report 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" : "A medical report is written once, read as a whole, and handed to whoever asked for it -- an insurer, a court, another hospital -- so it extracts as a Composition under LOINC 34133-9 with one section per printed heading, plus a Condition per diagnosis line so the report does not become the only place the diagnosis is written down. Each section names an Observation carrying its text: Narrative.div is an XhtmlType this engine cannot build from FML, and referencing an Observation is the better shape anyway, because the text becomes something a query can reach rather than a blob inside a document. The stay itself lands in Composition.event.period, which is what makes the report answer 'when was this admission'.",
"structure" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"mode" : "source",
"alias" : "QR"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
"mode" : "target",
"alias" : "Bundle"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Observation",
"mode" : "target",
"alias" : "Observation"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Composition",
"mode" : "target",
"alias" : "Composition"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Condition",
"mode" : "target",
"alias" : "Condition"
}
],
"group" : [
{
"name" : "ExtractMedicalReport",
"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" : "medicalReportComposition",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "comp",
"transform" : "create",
"parameter" : [
{
"valueString" : "Composition"
}
]
}
],
"rule" : [
{
"name" : "base",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "comp"
},
{
"context" : "entry"
}
],
"dependent" : [
{
"name" : "BuildCompositionBase",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "comp"
},
{
"valueId" : "entry"
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