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/ExtractPaediatricNutritionAssessment | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractPaediatricNutritionAssessment | |||
The anthropometry is the part of this form that has to be a time series, so every measurement becomes its own Observation under its real LOINC code – birth weight 8339-4, weight 29463-7, height 8302-2, head circumference 9843-4, MUAC 56072-2 – rather than components of a panel nobody can plot. Admission and discharge weight are both 29463-7 and are told apart by their code text, because they are the same measurement taken twice and a growth chart should show them on one line. The two Z-score-style derivations the form computes are decimals with the unit attached by the map. The nutritional diagnosis becomes a Condition and the prescription a CarePlan, so a child discharged on a feeding regimen leaves with a plan and not a paragraph.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPaediatricNutritionAssessment' /// name = 'ExtractPaediatricNutritionAssessment' /// title = 'Paediatric Nutrition Assessment Extraction' /// status = 'active' /// description = 'The anthropometry is the part of this form that has to be a time series, so every measurement becomes its own Observation under its real LOINC code -- birth weight 8339-4, weight 29463-7, height 8302-2, head circumference 9843-4, MUAC 56072-2 -- rather than components of a panel nobody can plot. Admission and discharge weight are both 29463-7 and are told apart by their code text, because they are the same measurement taken twice and a growth chart should show them on one line. The two Z-score-style derivations the form computes are decimals with the unit attached by the map. The nutritional diagnosis becomes a Condition and the prescription a CarePlan, so a child discharged on a feeding regimen leaves with a plan and not a paragraph.' 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/Condition" alias Condition as target uses "http://hl7.org/fhir/StructureDefinition/CarePlan" alias CarePlan as target group ExtractPaediatricNutritionAssessment(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // ── Anthropometry ─────────────────────────────────────────────────────── qr.item as g where (linkId = 'anthropometry') then { g.item as it where ((linkId = 'anthropometry/birth-weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8339-4' "cd"; it -> cg.display = 'Birth weight Measured' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8339_4"; g.item as it where ((linkId = 'anthropometry/admission-weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29463-7' "cd"; it -> cg.display = 'Body weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; it -> obs.note as n, n.text = 'Weight on admission' "note"; } "measure_29463_7"; g.item as it where ((linkId = 'anthropometry/height') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8302-2' "cd"; it -> cg.display = 'Body height' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_8302_2"; g.item as it where ((linkId = 'anthropometry/head-circumference') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '9843-4' "cd"; it -> cg.display = 'Head Occipital-frontal circumference' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_9843_4"; g.item as it where ((linkId = 'anthropometry/muac') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '56072-2' "cd"; it -> cg.display = 'Circumference Mid upper arm - right' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_56072_2"; g.item as it where ((linkId = 'anthropometry/discharge-weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29463-7' "cd"; it -> cg.display = 'Body weight' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; it -> obs.note as n, n.text = 'Weight on discharge' "note"; } "measure_29463_72"; // The two derivations. Decimals, because a calculatedExpression on this // engine cannot produce a unit-bearing Quantity -- `decimal * 1 'kg/m2'` // is rejected as incompatible operand types in both orders -- so the form // computes the number and the map gives it its unit. Safe here because the // unit is fixed by the form and not chosen by whoever fills it in. g.item as it where ((linkId = 'anthropometry/weight-for-age-z') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '77606-2' "cd"; it -> cg.display = 'Weight-for-length Per age and sex' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = create('Quantity') as q then { v -> q.value = v "qValue"; v -> q.unit = 'standard deviation' "qUnit"; v -> q.system = 'http://unitsofmeasure.org' "qSystem"; v -> q.code = '1' "qCode"; } "quantity"; }; it -> obs.note as n, n.text = 'Weight-for-age Z score as computed on the assessment form' "note"; } "measureq_77606_2"; g.item as it where ((linkId = 'anthropometry/weight-for-height-ratio') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetVitalSignsCategory(qr, obs) "category"; it -> obs.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 = 'nutrition-weight-for-height-ratio' "cd"; it -> cg.display = 'Weight-for-height ratio' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = create('Quantity') as q then { v -> q.value = v "qValue"; v -> q.unit = 'ratio' "qUnit"; v -> q.system = 'http://unitsofmeasure.org' "qSystem"; v -> q.code = '1' "qCode"; } "quantity"; }; } "measureq_nutrition_assessment"; g.item as it where ((linkId = 'anthropometry/clinical') and answer.value.exists()) -> 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"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '29545-1' "cd"; it -> cg.display = 'Physical findings note' "dsp"; } "coding"; it -> cc.text = 'Clinical findings on nutritional examination' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_29545_1"; } "anthropometryGroup"; // ── Feeding history ───────────────────────────────────────────────────── qr.item as g where (linkId = 'nutrition-history') then { g.item as it where ((linkId = 'nutrition-history/breast-feeding') and answer.value.exists()) -> 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"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '63895-7' "cd"; it -> cg.display = 'Breastfeeding status' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_63895_7"; g.item as it where ((linkId = 'nutrition-history/age-other-foods-introduced') and answer.value.exists()) -> 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"; it -> obs.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 = 'nutrition-age-other-foods-were-introduced' "cd"; it -> cg.display = 'Age other foods were introduced' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_nutrition_assessment"; g.item as it where ((linkId = 'nutrition-history/usual-and-current-intake') and answer.value.exists()) -> 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"; it -> obs.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 = 'nutrition-usual-and-current-dietary-intake' "cd"; it -> cg.display = 'Usual and current dietary intake' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_nutrition_usual_and_current_dietary_intake"; g.item as it where ((linkId = 'nutrition-history/diet-history') and answer.value.exists()) -> 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"; it -> obs.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 = 'nutrition-diet-history' "cd"; it -> cg.display = 'Diet history' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_nutrition_diet_history"; } "nutritionHistoryGroup"; // ── Family and psychosocial history ───────────────────────────────────── // One Observation with the family facts as components. Together, because // these are read as a picture of the household and not one at a time: a // fifteen-year-old mother with four other children is the finding, and no // single component says it. qr.item as g where ((linkId = 'family-history') and item.answer.value.exists()) -> 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"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'nutrition-family-and-psychosocial-history' "cd"; g -> cg.display = 'Family and psychosocial history' "dsp"; } "coding"; } "code"; g.item as it where ((linkId = 'family-history/child-birth-order') 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 = 'nutrition-birth-order-of-the-child' "cd"; it -> cg.display = 'Birth order of the child' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nutrition_birth_order_of_the_child"; g.item as it where ((linkId = 'family-history/parents-marital-status') 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 = 'nutrition-marital-status-of-the-parents' "cd"; it -> cg.display = 'Marital status of the parents' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_nutrition_marital_status_of_the_parents"; g.item as it where ((linkId = 'family-history/ages-of-siblings') 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 = 'nutrition-ages-of-siblings' "cd"; it -> cg.display = 'Ages of siblings' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nutrition_ages_of_siblings"; g.item as it where ((linkId = 'family-history/mothers-age') 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 = 'nutrition-age-of-the-mother' "cd"; it -> cg.display = 'Age of the mother' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nutrition_age_of_the_mother"; g.item as it where ((linkId = 'family-history/mothers-occupation') 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 = 'nutrition-occupation-of-the-mother' "cd"; it -> cg.display = 'Occupation of the mother' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nutrition_occupation_of_the_mother"; g.item as it where ((linkId = 'family-history/fathers-age') 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 = 'nutrition-age-of-the-father' "cd"; it -> cg.display = 'Age of the father' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nutrition_age_of_the_father"; g.item as it where ((linkId = 'family-history/fathers-occupation') 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 = 'nutrition-occupation-of-the-father' "cd"; it -> cg.display = 'Occupation of the father' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_nutrition_occupation_of_the_father"; g.item as it where (linkId = 'family-history/other-psychosocial') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note"; } "familyHistoryObservation"; qr.item as it where ((linkId = 'social-economic-education-status') and answer.value.exists()) -> 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"; it -> obs.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 = 'nutrition-social-economic-and-education-status' "cd"; it -> cg.display = 'Social, economic and education status' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_nutrition_social_economic_and_education_status"; qr.item as it where ((linkId = 'medical-history') and answer.value.exists()) -> 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"; it -> obs.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '11348-0' "cd"; it -> cg.display = 'History of Past illness note' "dsp"; } "coding"; it -> cc.text = 'Medical history on the nutrition assessment' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_11348_0"; qr.item as g where (linkId = 'context') then { g.item as it where ((linkId = 'context/residence') and answer.value.exists()) -> 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"; it -> obs.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 = 'nutrition-residence-of-the-child' "cd"; it -> cg.display = 'Residence of the child' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_nutrition_residence_of_the_child"; } "contextGroup"; // ── The nutritional diagnosis ─────────────────────────────────────────── // A Condition and not an Observation. Severe acute malnutrition is a // diagnosis a child is treated for and discharged from, which is exactly // what a Condition tracks and an Observation does not. qr.item as g where (linkId = 'assessment') then { g.item as it where ((linkId = 'assessment/nutritional-diagnosis') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Condition') as cond then { qr -> cond, entry then BuildConditionBase(qr, cond, entry) "base"; it -> cond.clinicalStatus as cs then { it -> cs.coding as cg then { it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "sys"; it -> cg.code = 'active' "cd"; it -> cg.display = 'Active' "dsp"; } "coding"; } "clinicalStatus"; it -> cond.category as cat then { it -> cat.coding as cg then { it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "sys"; it -> cg.code = 'problem-list-item' "cd"; it -> cg.display = 'Problem List Item' "dsp"; } "coding"; } "category"; it.answer first as a then { a.value as txt -> cond.code as cc, cc.text = txt "codeText"; }; qr.authored as t -> cond.recordedDate = t "recordedDate"; qr.encounter as e -> cond.encounter = e; qr.item as ctx where (linkId = 'context') then { ctx.item as dx where ((linkId = 'context/diagnosis') and answer.value.exists()) then { dx.answer first as a then { a.value as txt -> cond.note as n, n.text = txt "admittingDiagnosisNote"; }; } "diagnosisRule"; } "contextGroupForCondition"; // R5 dropped Condition.asserter and .recorder for .participant, which // carries the actor and what part they played. Writing asserter fails at // transform time with "invalid property 'asserter' on type Condition". g.item as ab where ((linkId = 'assessment/assessed-by') and answer.value.exists()) then { ab.answer first as a then { a.value as ref -> cond.participant as part then { ref -> part.actor = ref "actor"; ref -> part.function as fn then { ref -> fn.coding as fcg then { ref -> fcg.system = 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' "sys"; ref -> fcg.code = 'author' "cd"; ref -> fcg.display = 'Author' "dsp"; } "coding"; } "function"; } "participant"; }; } "asserterRule"; } "nutritionalDiagnosis"; // ── The prescription ────────────────────────────────────────────────── g.item as it where ((linkId = 'assessment/prescription') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('CarePlan') as plan then { qr -> plan, entry then BuildCarePlanBase(qr, plan, entry) "base"; it -> plan.status = 'active' "status"; it -> plan.intent = 'plan' "intent"; it -> plan.title = 'Nutrition prescription' "title"; qr.authored as t -> plan.created = t "created"; qr.encounter as e -> plan.encounter = e; it -> plan.category as cat then { it -> cat.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '75303-8' "cd"; it -> cg.display = 'Nutrition assessment Narrative' "dsp"; } "coding"; } "category"; it.answer first as a then { a.value as txt -> plan.description = txt "description"; }; g.item as ab where ((linkId = 'assessment/assessed-by') and answer.value.exists()) then { ab.answer first as a then { a.value as ref -> plan.contributor = ref "contributor"; }; } "contributorRule"; g.item as ao where ((linkId = 'assessment/assessed-on') and answer.value.exists()) then { ao.answer first as a then { a.value as v -> plan.period as per, per.start = cast(v, 'dateTime') "periodStart"; }; } "assessedOnRule"; g.item as rm where ((linkId = 'assessment/remarks') and answer.value.exists()) then { rm.answer first as a then { a.value as txt -> plan.note as n, n.text = txt "remarksNote"; }; } "remarksRule"; } "nutritionCarePlan"; } "assessmentGroup"; } // ───────────────────────────────────────────────────────────────────────────── // 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 SetVitalSignsCategory(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 = 'vital-signs' "categoryCode"; qr -> coding.display = 'Vital Signs' "categoryDisplay"; } "categoryCoding"; } "category"; } group BuildConditionBase(source qr : QR, target r : Condition, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetConditionFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Condition' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetConditionFullUrl(source r : Condition, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Condition/', id) "assignFullUrl"; } group BuildCarePlanBase(source qr : QR, target r : CarePlan, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetCarePlanFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'CarePlan' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetCarePlanFullUrl(source r : CarePlan, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/CarePlan/', 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-nutrition-assessment' "provenanceCode"; qr -> t.display = 'Paediatric nutrition assessment form' "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"; }