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/ExtractPaediatricNebulizationChart | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractPaediatricNebulizationChart | |||
One MedicationAdministration per row. Unlike the tick-box charts in this set, this one records the drug, the amount and the time it was given – which is exactly what a MedicationAdministration needs in order to be an honest claim. The drug name and the amount travel as written: the hospital's formulary is not coded and a guessed code on a bronchodilator dose is the wrong place to be wrong.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPaediatricNebulizationChart' /// name = 'ExtractPaediatricNebulizationChart' /// title = 'Paediatric Nebulization Chart Extraction' /// status = 'active' /// description = 'One MedicationAdministration per row. Unlike the tick-box charts in this set, this one records the drug, the amount and the time it was given -- which is exactly what a MedicationAdministration needs in order to be an honest claim. The drug name and the amount travel as written: the hospital\'s formulary is not coded and a guessed code on a bronchodilator dose is the wrong place to be wrong.' 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/MedicationAdministration" alias MedicationAdministration as target group ExtractPaediatricNebulizationChart(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; qr.item as row where ((linkId = 'nebulisation') and item.where(linkId = 'nebulisation/drug').answer.value.exists()) -> bundle.entry as entry, entry.resource = create('MedicationAdministration') as ma then { qr -> ma, entry then BuildMedicationAdministrationBase(qr, ma, entry) "base"; row -> ma.status = 'completed' "status"; qr.encounter as e -> ma.encounter = e; row.item as it where (linkId = 'nebulisation/drug') then { it.answer first as a then { a.value as txt -> ma.medication as med, med.concept as mc, mc.text = txt "medicationText"; }; } "drugRule"; row.item as it where ((linkId = 'nebulisation/amount') and answer.value.exists()) then { it.answer first as a then { a.value as txt -> ma.dosage as dos, dos.text = txt "dosageText"; }; } "amountRule"; row.item as it where ((linkId = 'nebulisation/frequency') and answer.value.exists()) then { it.answer first as a then { a.value as txt -> ma.note as n, n.text = txt "frequencyNote"; }; } "frequencyRule"; row.item as it where ((linkId = 'nebulisation/at') and answer.value.exists()) then { it.answer first as a then { a.value as v -> ma.occurence = v "occurrence"; }; } "atRule"; row.item as it where ((linkId = 'nebulisation/given-by') and answer.value.exists()) then { it.answer first as a then { a.value as ref -> ma.performer as p, p.actor = create('CodeableReference') as cr, cr.reference = ref "performer"; }; } "givenByRule"; // The route. Every row on this chart is a nebulisation, so it is stated // rather than asked -- the sheet's title is the route. row -> ma.dosage as dos, dos.route as rt then { row -> rt.coding as cg then { row -> cg.system = 'http://snomed.info/sct' "sys"; row -> cg.code = '447694001' "cd"; row -> cg.display = 'Respiratory tract route' "dsp"; } "coding"; } "route"; } "nebulisationRow"; } // ───────────────────────────────────────────────────────────────────────────── // 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 BuildMedicationAdministrationBase(source qr : QR, target r : MedicationAdministration, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetMedicationAdministrationFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'MedicationAdministration' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; // The response's own time, as a floor. A row that names the time it was given // overwrites this; a form whose time column was taken off on review would // otherwise produce an administration with no time at all, which is not a // record of an administration. Same fallback BuildObsBase already applies. qr.authored as t -> r.occurence = t "occurrenceFallback"; } group SetMedicationAdministrationFullUrl(source r : MedicationAdministration, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/MedicationAdministration/', 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 = 'paediatric-nebulization-chart' "provenanceCode"; qr -> t.display = 'Paediatric nebulization 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"; }