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
| Official URL: https://fhir.slade360.co.ke/fhir/StructureMap/ExtractMilkFeedingChart | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractMilkFeedingChart | |||
A NutritionIntake per feed carrying what was given and how much, plus an Observation panel for the row's target, what was retained and the diaper. The retained volume is the point: the difference between given and retained is what says whether a baby is tolerating feeds, and a chart that only records what was offered cannot answer that.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractMilkFeedingChart' /// name = 'ExtractMilkFeedingChart' /// title = 'Milk Feeding Chart Extraction' /// status = 'active' /// description = 'A NutritionIntake per feed carrying what was given and how much, plus an Observation panel for the row\'s target, what was retained and the diaper. The retained volume is the point: the difference between given and retained is what says whether a baby is tolerating feeds, and a chart that only records what was offered cannot answer that.' uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target uses "http://hl7.org/fhir/StructureDefinition/NutritionIntake" alias NutritionIntake as target group ExtractMilkFeedingChart(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; qr.item as row where ((linkId = 'feed') and item.where(linkId = 'feed/amount-given').answer.value.exists()) then { // ── What was given ──────────────────────────────────────────────────── row -> bundle.entry as entry, entry.resource = create('NutritionIntake') as ni then { qr -> ni, entry then BuildNutritionIntakeBase(qr, ni, entry) "base"; row -> ni.status = 'completed' "status"; qr.encounter as e -> ni.encounter = e; row.item as it where ((linkId = 'feed/at') and answer.value.exists()) then { it.answer first as a then { a.value as v -> ni.occurrence = v "occurrence"; }; } "atRule"; // One rule, not three. NutritionIntake.consumedItem requires both `type` // and `nutritionProduct` at 1..1, and building the element from separate // rules produced a consumedItem carrying only an amount -- which // compiles, extracts, and then fails validation twice over. // `type` takes a local concept code. Its binding is example-strength and // the obvious candidate, diet-type#formula, does not resolve on this // server; a code that cannot be looked up is worse than one that says // exactly what the chart's column says. row -> ni.consumedItem as ci then { row -> ci.type as ct then { row -> ct.coding as cg then { row -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; row -> cg.code = 'feeding-milk-feed' "cd"; row -> cg.display = 'Milk feed' "dsp"; } "coding"; } "type"; row.item as it where ((linkId = 'feed/type') and answer.value.exists()) then { it.answer first as a then { a.value as cv -> ci.nutritionProduct = create('CodeableReference') as npr, npr.concept as npc then { cv -> npc.coding = cv "coding"; cv.display as d -> npc.text = d "text"; } "product"; }; } "typeRule"; // nutritionProduct is also 1..1, so where the chart's type column was // left blank it still has to say something. "Milk feed, type not // recorded" is the honest filler. row where (item.where(linkId = 'feed/type').answer.value.exists().not()) -> ci.nutritionProduct = create('CodeableReference') as npr, npr.concept as npc, npc.text = 'Milk feed, type not recorded on the chart' "productFallback"; row.item as it where ((linkId = 'feed/amount-given') and answer.value.ofType(Quantity).exists()) then { it.answer first as a then { a.value as v -> ci.amount = v "amount"; }; } "amountRule"; } "consumedItem"; row.item as it where ((linkId = 'feed/given-by') and answer.value.exists()) then { it.answer first as a then { a.value as ref -> ni.performer as p, p.actor = ref "performer"; }; } "byRule"; } "feedIntake"; // ── Target, retained and diaper ─────────────────────────────────────── row -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetSurveyCategory(qr, obs) "category"; row -> obs.code as cc then { row -> cc.coding as cg then { row -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; row -> cg.code = 'feeding-milk-feed-record' "cd"; row -> cg.display = 'Milk feed record' "dsp"; } "coding"; } "code"; row.item as it where ((linkId = 'feed/three-hourly-target') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'feeding-three-hourly-feed-target' "cd"; it -> cg.display = 'Three-hourly feed target' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_feeding_three_hourly_feed_target"; row.item as it where ((linkId = 'feed/amount-given') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'feeding-feed-volume-given' "cd"; it -> cg.display = 'Feed volume given' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_feeding_feed_volume_given"; row.item as it where ((linkId = 'feed/retained') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'feeding-feed-volume-retained' "cd"; it -> cg.display = 'Feed volume retained' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_feeding_feed_volume_retained"; row.item as diaper where (linkId = 'feed/diaper') then { diaper.item as it where ((linkId = 'feed/diaper/stool') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'feeding-passed-stool' "cd"; it -> cg.display = 'Passed stool' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_feeding_passed_stool"; diaper.item as it where ((linkId = 'feed/diaper/urine') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; it -> cg.code = 'feeding-passed-urine' "cd"; it -> cg.display = 'Passed urine' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_feeding_passed_urine"; } "FeedDiaperGroup"; row -> obs then SetFeedRowTime(row, obs) "rowTime"; } "feedObservation"; } "feedRows"; } // The row's own timestamp on everything extracted from that row. group SetFeedRowTime(source row, target obs : Observation) { row.item as it where ((linkId = 'feed/at') and answer.value.exists()) then { it.answer first as a then { a.value as v -> obs.effective = v "effective"; }; } "rowTimeRule"; row.item as it where ((linkId = 'feed/given-by') and answer.value.exists()) then { it.answer first as a then { a.value as ref -> obs.performer = ref "by"; }; } "rowByRule"; } // ───────────────────────────────────────────────────────────────────────────── // 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. // Two notes on what the publisher's StructureMap validator says about this file. // Source parameters below are left untyped on purpose. Writing `: Element` makes // the validator compare QuestionnaireResponse.item against the literal 'Element' // and report them as incompatible with each other, which is noise, not a finding. // `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were // found". Leave it. The FML parser in the same jar refuses the one-argument form // outright -- it wants a parameter, a comma, then the FHIRPath -- so the // publisher is objecting to what its own compiler emits. Two arguments is the // only form that compiles, and it is what the R5 transform engine executes. // ───────────────────────────────────────────────────────────────────────────── group BuildObsBase(source qr : QR, target obs : Observation, target entry) { qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance"; qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Observation' "requestUrl"; } "entryRequest"; qr -> obs.status = 'final' "status"; qr.subject as s -> obs.subject = s; qr.encounter as e -> obs.encounter = e; qr.authored as t -> obs.effective = t "effective"; qr.source as src -> obs.performer = src "performerFromSource"; qr where (source.exists().not()) then { qr.author as a -> obs.performer = a "performerFromAuthor"; } "performerFallback"; // A stored response's id already reads "QuestionnaireResponse/<id>", so it is // a relative reference as it stands. The hasValue() guard is what stops an // unsaved response -- one posted straight to $extract rather than saved first // -- from writing "QuestionnaireResponse/null" into the record. qr.id as qid where ($this.hasValue()) -> obs.derivedFrom = create('Reference') as ref, ref.reference = qid "linkQuestionnaireResponse"; } group SetObservationFullUrl(source obs : Observation, target entry) { obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl"; } // 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". group SetComponentCodedValue(source it, target comp) { it.answer first as a then { a.value as cv -> comp.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; } "componentAnswer"; } group SetComponentValue(source it, target comp) { it.answer first as a then { a.value as v -> comp.value = v "plainValue"; } "componentAnswer"; } group SetSurveyCategory(source qr : QR, target obs : Observation) { qr -> obs.category as cat then { qr -> cat.coding as coding then { qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem"; qr -> coding.code = 'survey' "categoryCode"; qr -> coding.display = 'Survey' "categoryDisplay"; } "categoryCoding"; } "category"; } group BuildNutritionIntakeBase(source qr : QR, target r : NutritionIntake, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetNutritionIntakeFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'NutritionIntake' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetNutritionIntakeFullUrl(source r : NutritionIntake, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/NutritionIntake/', id) "assignFullUrl"; } // ── 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 ─────────────────────────────────────────────────── group SetResponseProvenance(source qr : QR, target r) { qr -> r.meta as m then { qr -> m.tag as t then { qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem"; qr -> t.code = 'milk-feeding-chart' "provenanceCode"; qr -> t.display = 'Milk feeding chart' "provenanceDisplay"; } "provenanceTag"; } "provenanceMeta"; // 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. qr.meta as qm then { qm.tag as qt -> r.meta as m, m.tag = qt "copyTag"; } "tenantTags"; }