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 |
<StructureMap xmlns="http://hl7.org/fhir">
<id value="ExtractMedicalReport"/>
<text>
<status value="generated"/>
<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">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractMedicalReport'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractMedicalReport'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Medical Report Extraction'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'active'</span>
<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>
<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>
<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>
<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>
<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>
<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>
<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"> {
</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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>comp.status = <span style="color: blue">'final'</span> <i>"status"</i><span style="color: navy">;</span>
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>
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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"type"</i><span style="color: navy">;</span>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">The doctor who signed it is the author, and the form's own signature</span>
<span style="color: navy">// </span><span style="color: green">block is what says so -- not qr.source, which is whoever keyed it in.</span>
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"> {
</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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"authorRule"</i><span style="color: navy">;</span>
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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"purposeRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"signOffGroup"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── The admission the report is about ─────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Composition.event.period is a Period of dateTimes and the form asks for</span>
<span style="color: navy">// </span><span style="color: green">dates, hence the casts: a DateType into a dateTime element fails at</span>
<span style="color: navy">// </span><span style="color: green">transform time rather than at compile time.</span>
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"> {
</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"> {
</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"> {
</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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"admittedRule"</i><span style="color: navy">;</span>
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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"dischargedRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"period"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"event"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"stayGroup"</i><span style="color: navy">;</span>
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"> {
</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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"sectionObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"section_clinical_summary"</i><span style="color: navy">;</span>
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"> {
</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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"sectionObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"section_past_medical_surgical_history"</i><span style="color: navy">;</span>
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"> {
</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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"sectionObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"section_investigations"</i><span style="color: navy">;</span>
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"> {
</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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"sectionObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"section_interventions"</i><span style="color: navy">;</span>
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"> {
</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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"sectionObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"section_treatment"</i><span style="color: navy">;</span>
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"> {
</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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
<span style="color: navy">}</span> <i>"sectionObservation"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"section_discharge_instructions_and_medications"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"medicalReportComposition"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── The diagnoses ───────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">One Condition per line. Where the writer picked a Condition the patient</span>
<span style="color: navy">// </span><span style="color: green">already has, the reference travels as evidence rather than forking the</span>
<span style="color: navy">// </span><span style="color: green">problem list -- a report written for an insurer should not add a second</span>
<span style="color: navy">// </span><span style="color: green">copy of a diagnosis that is already on the record.</span>
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"> {
</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"> {
</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"> {
</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>
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"> {
</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"> {
</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>
it<span style="color: navy"><b> -> </b></span>cg.code = <span style="color: blue">'active'</span> <i>"cd"</i><span style="color: navy">;</span>
it<span style="color: navy"><b> -> </b></span>cg.display = <span style="color: blue">'Active'</span> <i>"dsp"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"clinicalStatus"</i><span style="color: navy">;</span>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
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>
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>
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"> {
</span> ex.answer first<b> as </b><span style="color: maroon">ea</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"existingRule"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"diagnosisCondition"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"diagnosisRows"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"diagnosisGroup"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">── The wards ───────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Observations rather than anything on the Composition. Which ward a patient</span>
<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>
<span style="color: navy">// </span><span style="color: green">gets asked in aggregate, and there is nowhere on a Composition to put it</span>
<span style="color: navy">// </span><span style="color: green">where a query would find it.</span>
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"> {
</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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"narr_discharge_ward_of_admission"</i><span style="color: navy">;</span>
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"> {
</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>
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>
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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"narr_discharge_ward_of_discharge"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"wardGroup"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Shared scaffolding. Repeated in each map rather than imported: the transform</span>
<span style="color: navy">// </span><span style="color: green">engine resolves `imports` against whatever StructureMaps happen to be on the</span>
<span style="color: navy">// </span><span style="color: green">server, and a form that stops extracting because a shared map was not</span>
<span style="color: navy">// </span><span style="color: green">uploaded is a worse failure than a duplicated group.</span>
<span style="color: navy">// </span><span style="color: green">Two notes on what the publisher's StructureMap validator says about this file.</span>
<span style="color: navy">// </span><span style="color: green">Source parameters below are left untyped on purpose. Writing `: Element` makes</span>
<span style="color: navy">// </span><span style="color: green">the validator compare QuestionnaireResponse.item against the literal 'Element'</span>
<span style="color: navy">// </span><span style="color: green">and report them as incompatible with each other, which is noise, not a finding.</span>
<span style="color: navy">// </span><span style="color: green">`evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were</span>
<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>
<span style="color: navy">// </span><span style="color: green">outright -- it wants a parameter, a comma, then the FHIRPath -- so the</span>
<span style="color: navy">// </span><span style="color: green">publisher is objecting to what its own compiler emits. Two arguments is the</span>
<span style="color: navy">// </span><span style="color: green">only form that compiles, and it is what the R5 transform engine executes.</span>
<span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<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"> {
</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>
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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'Observation'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs.status = <span style="color: blue">'final'</span> <i>"status"</i><span style="color: navy">;</span>
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>
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>
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>
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>
qr<b> where </b><span style="color: navy">(</span>source.exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span> <i>"performerFallback"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">A stored response's id already reads "QuestionnaireResponse/<id>", so it is</span>
<span style="color: navy">// </span><span style="color: green">a relative reference as it stands. The hasValue() guard is what stops an</span>
<span style="color: navy">// </span><span style="color: green">unsaved response -- one posted straight to $extract rather than saved first</span>
<span style="color: navy">// </span><span style="color: green">-- from writing "QuestionnaireResponse/null" into the record.</span>
qr.id<b> as </b><span style="color: maroon">qid</span><b> where </b><span style="color: navy">(</span>$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>
<span style="color: navy">}
</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"> {
</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>
<span style="color: navy">}
</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>
<span style="color: navy">// </span><span style="color: green">untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its</span>
<span style="color: navy">// </span><span style="color: green">typed property name fails at transform time on HAPI R5 with "Attempt to read</span>
<span style="color: navy">// </span><span style="color: green">invalid property ... on QuestionnaireResponse.item.answer".</span>
<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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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"> {
</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>
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>
<span style="color: navy">}</span> <i>"codedValue"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"componentAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</span> it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span> <i>"componentAnswer"</i><span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</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"> {
</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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>coding.code = <span style="color: blue">'survey'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>coding.display = <span style="color: blue">'Survey'</span> <i>"categoryDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"categoryCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
<span style="color: navy">}
</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"> {
</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>
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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'Composition'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}
</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"> {
</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>
<span style="color: navy">}
</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"> {
</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>
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>
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"> {
</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>
qr<span style="color: navy"><b> -> </b></span>request.url = <span style="color: blue">'Condition'</span> <i>"requestUrl"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"entryRequest"</i><span style="color: navy">;</span>
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>
<span style="color: navy">}
</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"> {
</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>
<span style="color: navy">}
</span><span style="color: navy">// </span><span style="color: green">── Provenance and tenancy ───────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Two tags on everything this map creates. The first says which questionnaire</span>
<span style="color: navy">// </span><span style="color: green">produced it, so a form that reopens mid-admission recalls its own earlier</span>
<span style="color: navy">// </span><span style="color: green">entries and not another form's. The second copies the tenant tags off the</span>
<span style="color: navy">// </span><span style="color: green">response, because nothing else on the path puts them there.</span>
<span style="color: navy">// </span><span style="color: green">The code is the form's document type, not the questionnaire's id: every</span>
<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>
<span style="color: navy">// </span><span style="color: green">here would tie the tag to whichever environment stamped it.</span>
<span style="color: navy">// </span><span style="color: green">── Provenance and tenancy ───────────────────────────────────────────────────</span>
<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"> {
</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"> {
</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"> {
</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>
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>
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>
<span style="color: navy">}</span> <i>"provenanceTag"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"provenanceMeta"</i><span style="color: navy">;</span>
<span style="color: navy">// </span><span style="color: green">Every tag the response carries, onto the resource. `meta` is 0..1, so this</span>
<span style="color: navy">// </span><span style="color: green">lands on the same meta the rule above created rather than a second one.</span>
qr.meta<b> as </b><span style="color: maroon">qm</span><b> then</b><span style="color: navy"> {
</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>
<span style="color: navy">}</span> <i>"tenantTags"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span></pre></div>
</text>
<url
value="https://fhir.slade360.co.ke/fhir/StructureMap/ExtractMedicalReport"/>
<version value="0.1.0"/>
<name value="ExtractMedicalReport"/>
<title value="Medical Report Extraction"/>
<status value="active"/>
<date value="2026-09-14T06:31:13+00:00"/>
<publisher value="Kathurima Kimathi"/>
<contact>
<name value="Kathurima Kimathi"/>
<telecom>
<system value="url"/>
<value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
</telecom>
<telecom>
<system value="email"/>
<value value="kathurimakimathi415@gmail.com"/>
</telecom>
</contact>
<contact>
<name value="Oscar John"/>
<telecom>
<system value="email"/>
<value value="oscarjohnotieno@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<contact>
<name value="Kennedy Omondi"/>
<telecom>
<system value="email"/>
<value value="kennankole@gmail.com"/>
<use value="work"/>
</telecom>
</contact>
<description
value="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
value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
<mode value="source"/>
<alias value="QR"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
<mode value="target"/>
<alias value="Bundle"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mode value="target"/>
<alias value="Observation"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Composition"/>
<mode value="target"/>
<alias value="Composition"/>
</structure>
<structure>
<url value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mode value="target"/>
<alias value="Condition"/>
</structure>
<group>
<name value="ExtractMedicalReport"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="bundle"/>
<type value="Bundle"/>
<mode value="target"/>
</input>
<rule>
<name value="setBundleType"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="bundle"/>
<element value="type"/>
<transform value="copy"/>
<parameter>
<valueString value="transaction"/>
</parameter>
</target>
</rule>
<rule>
<name value="medicalReportComposition"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="entry"/>
</target>
<target>
<context value="entry"/>
<element value="resource"/>
<variable value="comp"/>
<transform value="create"/>
<parameter>
<valueString value="Composition"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="comp"/>
</target>
<target>
<context value="entry"/>
</target>
<dependent>
<name value="BuildCompositionBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="comp"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="status"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="comp"/>
<element value="status"/>
<transform value="copy"/>
<parameter>
<valueString value="final"/>
</parameter>
</target>
</rule>
<rule>
<name value="title"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="comp"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Medical report"/>
</parameter>
</target>
</rule>
<rule>
<name value="date"/>
<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
</source>
<target>
<context value="comp"/>
<element value="date"/>
<transform value="copy"/>
<parameter>
<valueId value="t"/>
</parameter>
</target>
</rule>
<rule>
<name value="encounter"/>
<source>
<context value="qr"/>
<element value="encounter"/>
<variable value="e"/>
</source>
<target>
<context value="comp"/>
<element value="encounter"/>
<transform value="copy"/>
<parameter>
<valueId value="e"/>
</parameter>
</target>
</rule>
<rule>
<name value="type"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="comp"/>
<element value="type"/>
<variable value="tp"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="tp"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="34133-9"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Summary of episode note"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="comp"/>
<element value="category"/>
<variable value="cat"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cat"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="https://fhir.slade360.co.ke/fhir/CodeSystem/document-type-codesystem"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="medical-report"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Medical report"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="signOffGroup"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'sign-off'"/>
</source>
<rule>
<name value="authorRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'sign-off/doctor') and answer.value.exists()"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="author"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="ref"/>
</source>
<target>
<context value="comp"/>
<element value="author"/>
<transform value="copy"/>
<parameter>
<valueId value="ref"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="purposeRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'sign-off/purpose') and answer.value.exists()"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="purposeNote"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="comp"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<documentation
value="The doctor who signed it is the author, and the form's own signature
block is what says so -- not qr.source, which is whoever keyed it in."/>
</rule>
<rule>
<name value="stayGroup"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'stay'"/>
</source>
<rule>
<name value="event"/>
<source>
<context value="g"/>
</source>
<target>
<context value="comp"/>
<element value="event"/>
<variable value="ev"/>
</target>
<rule>
<name value="period"/>
<source>
<context value="g"/>
</source>
<target>
<context value="ev"/>
<element value="period"/>
<variable value="per"/>
</target>
<rule>
<name value="admittedRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'stay/admitted-on') and answer.value.exists()"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="start"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="v"/>
</source>
<target>
<context value="per"/>
<element value="start"/>
<transform value="cast"/>
<parameter>
<valueId value="v"/>
</parameter>
<parameter>
<valueString value="dateTime"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="dischargedRule"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'stay/discharged-on') and answer.value.exists()"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="end"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="v"/>
</source>
<target>
<context value="per"/>
<element value="end"/>
<transform value="cast"/>
<parameter>
<valueId value="v"/>
</parameter>
<parameter>
<valueString value="dateTime"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</rule>
</rule>
<documentation
value="── The admission the report is about ─────────────────────────────────
Composition.event.period is a Period of dateTimes and the form asks for
dates, hence the casts: a DateType into a dateTime element fails at
transform time rather than at compile time."/>
</rule>
<rule>
<name value="section_clinical_summary"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'clinical-summary') and answer.value.exists()"/>
</source>
<target>
<context value="comp"/>
<element value="section"/>
<variable value="sec"/>
</target>
<rule>
<name value="title"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Clinical summary"/>
</parameter>
</target>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="code"/>
<variable value="sc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11329-0"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="History general Narrative - Reported"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="sectionObservation"/>
<source>
<context value="it"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="sentry"/>
</target>
<target>
<context value="sentry"/>
<element value="resource"/>
<variable value="sobs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<target>
<context value="sentry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
<parameter>
<valueId value="sentry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sobs"/>
<element value="code"/>
<variable value="scc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="coding"/>
<variable value="scg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11329-0"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString
value="History general Narrative - Reported"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="codeText"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString
value="Clinical summary on the Medical report"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="text"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="sobs"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="linkEntry"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="entry"/>
<variable value="sref"/>
<transform value="create"/>
<parameter>
<valueString value="Reference"/>
</parameter>
</target>
<target>
<context value="sref"/>
<element value="reference"/>
<transform value="reference"/>
<parameter>
<valueId value="sobs"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="section_past_medical_surgical_history"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'past-medical-surgical-history') and answer.value.exists()"/>
</source>
<target>
<context value="comp"/>
<element value="section"/>
<variable value="sec"/>
</target>
<rule>
<name value="title"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Past medical and surgical history"/>
</parameter>
</target>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="code"/>
<variable value="sc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11348-0"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="History of Past illness note"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="sectionObservation"/>
<source>
<context value="it"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="sentry"/>
</target>
<target>
<context value="sentry"/>
<element value="resource"/>
<variable value="sobs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<target>
<context value="sentry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
<parameter>
<valueId value="sentry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sobs"/>
<element value="code"/>
<variable value="scc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="coding"/>
<variable value="scg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="11348-0"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="History of Past illness note"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="codeText"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString
value="Past medical and surgical history on the Medical report"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="text"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="sobs"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="linkEntry"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="entry"/>
<variable value="sref"/>
<transform value="create"/>
<parameter>
<valueString value="Reference"/>
</parameter>
</target>
<target>
<context value="sref"/>
<element value="reference"/>
<transform value="reference"/>
<parameter>
<valueId value="sobs"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="section_investigations"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'investigations') and answer.value.exists()"/>
</source>
<target>
<context value="comp"/>
<element value="section"/>
<variable value="sec"/>
</target>
<rule>
<name value="title"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Investigations"/>
</parameter>
</target>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="code"/>
<variable value="sc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="30954-2"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString
value="Relevant diagnostic tests/laboratory data note"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="sectionObservation"/>
<source>
<context value="it"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="sentry"/>
</target>
<target>
<context value="sentry"/>
<element value="resource"/>
<variable value="sobs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<target>
<context value="sentry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
<parameter>
<valueId value="sentry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sobs"/>
<element value="code"/>
<variable value="scc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="coding"/>
<variable value="scg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="30954-2"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString
value="Relevant diagnostic tests/laboratory data note"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="codeText"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString value="Investigations on the Medical report"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="text"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="sobs"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="linkEntry"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="entry"/>
<variable value="sref"/>
<transform value="create"/>
<parameter>
<valueString value="Reference"/>
</parameter>
</target>
<target>
<context value="sref"/>
<element value="reference"/>
<transform value="reference"/>
<parameter>
<valueId value="sobs"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="section_interventions"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'interventions') and answer.value.exists()"/>
</source>
<target>
<context value="comp"/>
<element value="section"/>
<variable value="sec"/>
</target>
<rule>
<name value="title"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Interventions"/>
</parameter>
</target>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="code"/>
<variable value="sc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="62387-6"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Interventions Narrative"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="sectionObservation"/>
<source>
<context value="it"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="sentry"/>
</target>
<target>
<context value="sentry"/>
<element value="resource"/>
<variable value="sobs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<target>
<context value="sentry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
<parameter>
<valueId value="sentry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sobs"/>
<element value="code"/>
<variable value="scc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="coding"/>
<variable value="scg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="62387-6"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Interventions Narrative"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="codeText"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString value="Interventions on the Medical report"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="text"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="sobs"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="linkEntry"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="entry"/>
<variable value="sref"/>
<transform value="create"/>
<parameter>
<valueString value="Reference"/>
</parameter>
</target>
<target>
<context value="sref"/>
<element value="reference"/>
<transform value="reference"/>
<parameter>
<valueId value="sobs"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="section_treatment"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'treatment') and answer.value.exists()"/>
</source>
<target>
<context value="comp"/>
<element value="section"/>
<variable value="sec"/>
</target>
<rule>
<name value="title"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Treatment"/>
</parameter>
</target>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="code"/>
<variable value="sc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="18776-5"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Plan of care note"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="sectionObservation"/>
<source>
<context value="it"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="sentry"/>
</target>
<target>
<context value="sentry"/>
<element value="resource"/>
<variable value="sobs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<target>
<context value="sentry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
<parameter>
<valueId value="sentry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sobs"/>
<element value="code"/>
<variable value="scc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="coding"/>
<variable value="scg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="18776-5"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Plan of care note"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="codeText"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueString value="Treatment on the Medical report"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="answer"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
</source>
<rule>
<name value="text"/>
<source>
<context value="a"/>
<element value="value"/>
<variable value="txt"/>
</source>
<target>
<context value="sobs"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="txt"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="linkEntry"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="entry"/>
<variable value="sref"/>
<transform value="create"/>
<parameter>
<valueString value="Reference"/>
</parameter>
</target>
<target>
<context value="sref"/>
<element value="reference"/>
<transform value="reference"/>
<parameter>
<valueId value="sobs"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="section_discharge_instructions_and_medications"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition
value="(linkId = 'discharge-instructions-and-medications') and answer.value.exists()"/>
</source>
<target>
<context value="comp"/>
<element value="section"/>
<variable value="sec"/>
</target>
<rule>
<name value="title"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="title"/>
<transform value="copy"/>
<parameter>
<valueString value="Discharge instructions and medications"/>
</parameter>
</target>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sec"/>
<element value="code"/>
<variable value="sc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sc"/>
<element value="coding"/>
<variable value="cg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString value="http://loinc.org"/>
</parameter>
</target>
</rule>
<rule>
<name value="cd"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="8653-8"/>
</parameter>
</target>
</rule>
<rule>
<name value="dsp"/>
<source>
<context value="it"/>
</source>
<target>
<context value="cg"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Hospital Discharge instructions"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="sectionObservation"/>
<source>
<context value="it"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="sentry"/>
</target>
<target>
<context value="sentry"/>
<element value="resource"/>
<variable value="sobs"/>
<transform value="create"/>
<parameter>
<valueString value="Observation"/>
</parameter>
</target>
<rule>
<name value="base"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<target>
<context value="sentry"/>
</target>
<dependent>
<name value="BuildObsBase"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
<parameter>
<valueId value="sentry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="sobs"/>
</target>
<dependent>
<name value="SetSurveyCategory"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="sobs"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="code"/>
<source>
<context value="it"/>
</source>
<target>
<context value="sobs"/>
<element value="code"/>
<variable value="scc"/>
</target>
<rule>
<name value="coding"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scc"/>
<element value="coding"/>
<variable value="scg"/>
</target>
<rule>
<name value="sys"/>
<source>
<context value="it"/>
</source>
<target>
<context value="scg"/>
<element value="system"/>
<transform value="copy"/>
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<documentation
value="── The diagnoses ───────────────────────────────────────────────────────
One Condition per line. Where the writer picked a Condition the patient
already has, the reference travels as evidence rather than forking the
problem list -- a report written for an insurer should not add a second
copy of a diagnosis that is already on the record."/>
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<documentation
value="── The wards ───────────────────────────────────────────────────────────
Observations rather than anything on the Composition. Which ward a patient
was admitted to and which one they left from is a fact about the stay that
gets asked in aggregate, and there is nowhere on a Composition to put it
where a query would find it."/>
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<documentation
value="─────────────────────────────────────────────────────────────────────────────
Shared scaffolding. Repeated in each map rather than imported: the transform
engine resolves `imports` against whatever StructureMaps happen to be on the
server, and a form that stops extracting because a shared map was not
uploaded is a worse failure than a duplicated group.
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value="The two answer shapes a component can carry. Both read the answer through the
untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its
typed property name fails at transform time on HAPI R5 with "Attempt to read
invalid property ... on QuestionnaireResponse.item.answer"."/>
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<target>
<context value="cat"/>
<element value="coding"/>
<variable value="coding"/>
</target>
<rule>
<name value="categorySystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="survey"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="coding"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Survey"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</group>
<group>
<name value="BuildCompositionBase"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<type value="Composition"/>
<mode value="target"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="responseProvenance"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
</target>
<dependent>
<name value="SetResponseProvenance"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="r"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="idAndFullUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="id"/>
<transform value="uuid"/>
</target>
<dependent>
<name value="SetCompositionFullUrl"/>
<parameter>
<valueId value="r"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
</target>
<rule>
<name value="requestMethod"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
</parameter>
</target>
</rule>
<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="Composition"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="r"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetCompositionFullUrl"/>
<input>
<name value="r"/>
<type value="Composition"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="r"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="https://fhir.slade360.co.ke/fhir/Composition/"/>
</parameter>
<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="BuildConditionBase"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<type value="Condition"/>
<mode value="target"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="responseProvenance"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
</target>
<dependent>
<name value="SetResponseProvenance"/>
<parameter>
<valueId value="qr"/>
</parameter>
<parameter>
<valueId value="r"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="idAndFullUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="id"/>
<transform value="uuid"/>
</target>
<dependent>
<name value="SetConditionFullUrl"/>
<parameter>
<valueId value="r"/>
</parameter>
<parameter>
<valueId value="entry"/>
</parameter>
</dependent>
</rule>
<rule>
<name value="entryRequest"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="entry"/>
<element value="request"/>
<variable value="request"/>
</target>
<rule>
<name value="requestMethod"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="method"/>
<transform value="copy"/>
<parameter>
<valueString value="POST"/>
</parameter>
</target>
</rule>
<rule>
<name value="requestUrl"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="request"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="Condition"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
</source>
<target>
<context value="r"/>
<element value="subject"/>
<transform value="copy"/>
<parameter>
<valueId value="s"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetConditionFullUrl"/>
<input>
<name value="r"/>
<type value="Condition"/>
<mode value="source"/>
</input>
<input>
<name value="entry"/>
<mode value="target"/>
</input>
<rule>
<name value="assignFullUrl"/>
<source>
<context value="r"/>
<element value="id"/>
<variable value="id"/>
</source>
<target>
<context value="entry"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="https://fhir.slade360.co.ke/fhir/Condition/"/>
</parameter>
<parameter>
<valueId value="id"/>
</parameter>
</target>
</rule>
</group>
<group>
<name value="SetResponseProvenance"/>
<documentation
value="── Provenance and tenancy ───────────────────────────────────────────────────
Two tags on everything this map creates. The first says which questionnaire
produced it, so a form that reopens mid-admission recalls its own earlier
entries and not another form's. The second copies the tenant tags off the
response, because nothing else on the path puts them there.
The code is the form's document type, not the questionnaire's id: every
environment mints its own ids, and there is only one set of maps, so an id
here would tie the tag to whichever environment stamped it.
── Provenance and tenancy ───────────────────────────────────────────────────"/>
<input>
<name value="qr"/>
<type value="QR"/>
<mode value="source"/>
</input>
<input>
<name value="r"/>
<mode value="target"/>
</input>
<rule>
<name value="provenanceMeta"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="r"/>
<element value="meta"/>
<variable value="m"/>
</target>
<rule>
<name value="provenanceTag"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="m"/>
<element value="tag"/>
<variable value="t"/>
</target>
<rule>
<name value="provenanceSystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://slade360edi.com/questionnaire-provenance"/>
</parameter>
</target>
</rule>
<rule>
<name value="provenanceCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="medical-report"/>
</parameter>
</target>
</rule>
<rule>
<name value="provenanceDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="t"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Medical report"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="tenantTags"/>
<source>
<context value="qr"/>
<element value="meta"/>
<variable value="qm"/>
</source>
<rule>
<name value="copyTag"/>
<source>
<context value="qm"/>
<element value="tag"/>
<variable value="qt"/>
</source>
<target>
<context value="r"/>
<element value="meta"/>
<variable value="m"/>
</target>
<target>
<context value="m"/>
<element value="tag"/>
<transform value="copy"/>
<parameter>
<valueId value="qt"/>
</parameter>
</target>
</rule>
<documentation
value="Every tag the response carries, onto the resource. `meta` is 0..1, so this
lands on the same meta the rule above created rather than a second one."/>
</rule>
</group>
</StructureMap>