\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPaediatricNutritionAssessment'\r\n/// name = 'ExtractPaediatricNutritionAssessment'\r\n/// title = 'Paediatric Nutrition Assessment Extraction'\r\n/// status = 'active'\r\n/// 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.'\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as target\r\nuses "http://hl7.org/fhir/StructureDefinition/CarePlan" alias CarePlan as target\r\n\r\ngroup ExtractPaediatricNutritionAssessment(source qr : QR, target bundle : Bundle) {\r\n qr -> bundle.type = 'transaction' "setBundleType";\r\n // ── Anthropometry ───────────────────────────────────────────────────────\r\n qr.item as g where (linkId = 'anthropometry') then {\r\n g.item as it where ((linkId = 'anthropometry/birth-weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '8339-4' "cd";\r\n it -> cg.display = 'Birth weight Measured' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_8339_4";\r\n g.item as it where ((linkId = 'anthropometry/admission-weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '29463-7' "cd";\r\n it -> cg.display = 'Body weight' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n it -> obs.note as n, n.text = 'Weight on admission' "note";\r\n } "measure_29463_7";\r\n g.item as it where ((linkId = 'anthropometry/height') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '8302-2' "cd";\r\n it -> cg.display = 'Body height' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_8302_2";\r\n g.item as it where ((linkId = 'anthropometry/head-circumference') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '9843-4' "cd";\r\n it -> cg.display = 'Head Occipital-frontal circumference' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_9843_4";\r\n g.item as it where ((linkId = 'anthropometry/muac') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '56072-2' "cd";\r\n it -> cg.display = 'Circumference Mid upper arm - right' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_56072_2";\r\n g.item as it where ((linkId = 'anthropometry/discharge-weight') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '29463-7' "cd";\r\n it -> cg.display = 'Body weight' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n it -> obs.note as n, n.text = 'Weight on discharge' "note";\r\n } "measure_29463_72";\r\n // The two derivations. Decimals, because a calculatedExpression on this\r\n // engine cannot produce a unit-bearing Quantity -- `decimal * 1 'kg/m2'`\r\n // is rejected as incompatible operand types in both orders -- so the form\r\n // computes the number and the map gives it its unit. Safe here because the\r\n // unit is fixed by the form and not chosen by whoever fills it in.\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '77606-2' "cd";\r\n it -> cg.display = 'Weight-for-length Per age and sex' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = create('Quantity') as q then {\r\n v -> q.value = v "qValue";\r\n v -> q.unit = 'standard deviation' "qUnit";\r\n v -> q.system = 'http://unitsofmeasure.org' "qSystem";\r\n v -> q.code = '1' "qCode";\r\n } "quantity";\r\n };\r\n it -> obs.note as n, n.text = 'Weight-for-age Z score as computed on the assessment form' "note";\r\n } "measureq_77606_2";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetVitalSignsCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-weight-for-height-ratio' "cd";\r\n it -> cg.display = 'Weight-for-height ratio' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = create('Quantity') as q then {\r\n v -> q.value = v "qValue";\r\n v -> q.unit = 'ratio' "qUnit";\r\n v -> q.system = 'http://unitsofmeasure.org' "qSystem";\r\n v -> q.code = '1' "qCode";\r\n } "quantity";\r\n };\r\n } "measureq_nutrition_assessment";\r\n g.item as it where ((linkId = 'anthropometry/clinical') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '29545-1' "cd";\r\n it -> cg.display = 'Physical findings note' "dsp";\r\n } "coding";\r\n it -> cc.text = 'Clinical findings on nutritional examination' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_29545_1";\r\n } "anthropometryGroup";\r\n // ── Feeding history ─────────────────────────────────────────────────────\r\n qr.item as g where (linkId = 'nutrition-history') then {\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '63895-7' "cd";\r\n it -> cg.display = 'Breastfeeding status' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_63895_7";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-age-other-foods-were-introduced' "cd";\r\n it -> cg.display = 'Age other foods were introduced' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as v -> obs.value = v "set";\r\n };\r\n } "measure_nutrition_assessment";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-usual-and-current-dietary-intake' "cd";\r\n it -> cg.display = 'Usual and current dietary intake' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_nutrition_usual_and_current_dietary_intake";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-diet-history' "cd";\r\n it -> cg.display = 'Diet history' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_nutrition_diet_history";\r\n } "nutritionHistoryGroup";\r\n // ── Family and psychosocial history ─────────────────────────────────────\r\n // One Observation with the family facts as components. Together, because\r\n // these are read as a picture of the household and not one at a time: a\r\n // fifteen-year-old mother with four other children is the finding, and no\r\n // single component says it.\r\n qr.item as g where ((linkId = 'family-history') and item.answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n g -> obs.code as cc then {\r\n g -> cc.coding as cg then {\r\n g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n g -> cg.code = 'nutrition-family-and-psychosocial-history' "cd";\r\n g -> cg.display = 'Family and psychosocial history' "dsp";\r\n } "coding";\r\n } "code";\r\n g.item as it where ((linkId = 'family-history/child-birth-order') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-birth-order-of-the-child' "cd";\r\n it -> cg.display = 'Birth order of the child' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nutrition_birth_order_of_the_child";\r\n g.item as it where ((linkId = 'family-history/parents-marital-status') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-marital-status-of-the-parents' "cd";\r\n it -> cg.display = 'Marital status of the parents' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentCodedValue(it, comp) "value";\r\n } "comp_nutrition_marital_status_of_the_parents";\r\n g.item as it where ((linkId = 'family-history/ages-of-siblings') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-ages-of-siblings' "cd";\r\n it -> cg.display = 'Ages of siblings' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nutrition_ages_of_siblings";\r\n g.item as it where ((linkId = 'family-history/mothers-age') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-age-of-the-mother' "cd";\r\n it -> cg.display = 'Age of the mother' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nutrition_age_of_the_mother";\r\n g.item as it where ((linkId = 'family-history/mothers-occupation') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-occupation-of-the-mother' "cd";\r\n it -> cg.display = 'Occupation of the mother' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nutrition_occupation_of_the_mother";\r\n g.item as it where ((linkId = 'family-history/fathers-age') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-age-of-the-father' "cd";\r\n it -> cg.display = 'Age of the father' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nutrition_age_of_the_father";\r\n g.item as it where ((linkId = 'family-history/fathers-occupation') and answer.value.exists()) -> obs.component as comp then {\r\n it -> comp.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-occupation-of-the-father' "cd";\r\n it -> cg.display = 'Occupation of the father' "dsp";\r\n } "coding";\r\n } "code";\r\n it -> comp then SetComponentValue(it, comp) "value";\r\n } "comp_nutrition_occupation_of_the_father";\r\n g.item as it where (linkId = 'family-history/other-psychosocial') then {\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "note";\r\n } "familyHistoryObservation";\r\n 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 {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-social-economic-and-education-status' "cd";\r\n it -> cg.display = 'Social, economic and education status' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_nutrition_social_economic_and_education_status";\r\n qr.item as it where ((linkId = 'medical-history') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '11348-0' "cd";\r\n it -> cg.display = 'History of Past illness note' "dsp";\r\n } "coding";\r\n it -> cc.text = 'Medical history on the nutrition assessment' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_11348_0";\r\n qr.item as g where (linkId = 'context') then {\r\n g.item as it where ((linkId = 'context/residence') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Observation') as obs then {\r\n qr -> obs, entry then BuildObsBase(qr, obs, entry) "base";\r\n qr -> obs then SetSurveyCategory(qr, obs) "category";\r\n it -> obs.code as cc then {\r\n it -> cc.coding as cg then {\r\n it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";\r\n it -> cg.code = 'nutrition-residence-of-the-child' "cd";\r\n it -> cg.display = 'Residence of the child' "dsp";\r\n } "coding";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> obs.note as n, n.text = txt "text";\r\n };\r\n } "narr_nutrition_residence_of_the_child";\r\n } "contextGroup";\r\n // ── The nutritional diagnosis ───────────────────────────────────────────\r\n // A Condition and not an Observation. Severe acute malnutrition is a\r\n // diagnosis a child is treated for and discharged from, which is exactly\r\n // what a Condition tracks and an Observation does not.\r\n qr.item as g where (linkId = 'assessment') then {\r\n g.item as it where ((linkId = 'assessment/nutritional-diagnosis') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Condition') as cond then {\r\n qr -> cond, entry then BuildConditionBase(qr, cond, entry) "base";\r\n it -> cond.clinicalStatus as cs then {\r\n it -> cs.coding as cg then {\r\n it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "sys";\r\n it -> cg.code = 'active' "cd";\r\n it -> cg.display = 'Active' "dsp";\r\n } "coding";\r\n } "clinicalStatus";\r\n it -> cond.category as cat then {\r\n it -> cat.coding as cg then {\r\n it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "sys";\r\n it -> cg.code = 'problem-list-item' "cd";\r\n it -> cg.display = 'Problem List Item' "dsp";\r\n } "coding";\r\n } "category";\r\n it.answer first as a then {\r\n a.value as txt -> cond.code as cc, cc.text = txt "codeText";\r\n };\r\n qr.authored as t -> cond.recordedDate = t "recordedDate";\r\n qr.encounter as e -> cond.encounter = e;\r\n qr.item as ctx where (linkId = 'context') then {\r\n ctx.item as dx where ((linkId = 'context/diagnosis') and answer.value.exists()) then {\r\n dx.answer first as a then {\r\n a.value as txt -> cond.note as n, n.text = txt "admittingDiagnosisNote";\r\n };\r\n } "diagnosisRule";\r\n } "contextGroupForCondition";\r\n // R5 dropped Condition.asserter and .recorder for .participant, which\r\n // carries the actor and what part they played. Writing asserter fails at\r\n // transform time with "invalid property 'asserter' on type Condition".\r\n g.item as ab where ((linkId = 'assessment/assessed-by') and answer.value.exists()) then {\r\n ab.answer first as a then {\r\n a.value as ref -> cond.participant as part then {\r\n ref -> part.actor = ref "actor";\r\n ref -> part.function as fn then {\r\n ref -> fn.coding as fcg then {\r\n ref -> fcg.system = 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' "sys";\r\n ref -> fcg.code = 'author' "cd";\r\n ref -> fcg.display = 'Author' "dsp";\r\n } "coding";\r\n } "function";\r\n } "participant";\r\n };\r\n } "asserterRule";\r\n } "nutritionalDiagnosis";\r\n // ── The prescription ──────────────────────────────────────────────────\r\n g.item as it where ((linkId = 'assessment/prescription') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('CarePlan') as plan then {\r\n qr -> plan, entry then BuildCarePlanBase(qr, plan, entry) "base";\r\n it -> plan.status = 'active' "status";\r\n it -> plan.intent = 'plan' "intent";\r\n it -> plan.title = 'Nutrition prescription' "title";\r\n qr.authored as t -> plan.created = t "created";\r\n qr.encounter as e -> plan.encounter = e;\r\n it -> plan.category as cat then {\r\n it -> cat.coding as cg then {\r\n it -> cg.system = 'http://loinc.org' "sys";\r\n it -> cg.code = '75303-8' "cd";\r\n it -> cg.display = 'Nutrition assessment Narrative' "dsp";\r\n } "coding";\r\n } "category";\r\n it.answer first as a then {\r\n a.value as txt -> plan.description = txt "description";\r\n };\r\n g.item as ab where ((linkId = 'assessment/assessed-by') and answer.value.exists()) then {\r\n ab.answer first as a then {\r\n a.value as ref -> plan.contributor = ref "contributor";\r\n };\r\n } "contributorRule";\r\n g.item as ao where ((linkId = 'assessment/assessed-on') and answer.value.exists()) then {\r\n ao.answer first as a then {\r\n a.value as v -> plan.period as per, per.start = cast(v, 'dateTime') "periodStart";\r\n };\r\n } "assessedOnRule";\r\n g.item as rm where ((linkId = 'assessment/remarks') and answer.value.exists()) then {\r\n rm.answer first as a then {\r\n a.value as txt -> plan.note as n, n.text = txt "remarksNote";\r\n };\r\n } "remarksRule";\r\n } "nutritionCarePlan";\r\n } "assessmentGroup";\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Shared scaffolding. Repeated in each map rather than imported: the transform\r\n// engine resolves `imports` against whatever StructureMaps happen to be on the\r\n// server, and a form that stops extracting because a shared map was not\r\n// uploaded is a worse failure than a duplicated group.\r\n// Two notes on what the publisher's StructureMap validator says about this file.\r\n// Source parameters below are left untyped on purpose. Writing `: Element` makes\r\n// the validator compare QuestionnaireResponse.item against the literal 'Element'\r\n// and report them as incompatible with each other, which is noise, not a finding.\r\n// `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were\r\n// found". Leave it. The FML parser in the same jar refuses the one-argument form\r\n// outright -- it wants a parameter, a comma, then the FHIRPath -- so the\r\n// publisher is objecting to what its own compiler emits. Two arguments is the\r\n// only form that compiles, and it is what the R5 transform engine executes.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\ngroup BuildObsBase(source qr : QR, target obs : Observation, target entry) {\r\n qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance";\r\n qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'Observation' "requestUrl";\r\n } "entryRequest";\r\n qr -> obs.status = 'final' "status";\r\n qr.subject as s -> obs.subject = s;\r\n qr.encounter as e -> obs.encounter = e;\r\n qr.authored as t -> obs.effective = t "effective";\r\n qr.source as src -> obs.performer = src "performerFromSource";\r\n qr where (source.exists().not()) then {\r\n qr.author as a -> obs.performer = a "performerFromAuthor";\r\n } "performerFallback";\r\n // A stored response's id already reads "QuestionnaireResponse/<id>", so it is\r\n // a relative reference as it stands. The hasValue() guard is what stops an\r\n // unsaved response -- one posted straight to $extract rather than saved first\r\n // -- from writing "QuestionnaireResponse/null" into the record.\r\n qr.id as qid where ($this.hasValue()) -> obs.derivedFrom = create('Reference') as ref, ref.reference = qid "linkQuestionnaireResponse";\r\n}\r\n\r\ngroup SetObservationFullUrl(source obs : Observation, target entry) {\r\n obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl";\r\n}\r\n\r\n// The two answer shapes a component can carry. Both read the answer through the\r\n// untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its\r\n// typed property name fails at transform time on HAPI R5 with "Attempt to read\r\n// invalid property ... on QuestionnaireResponse.item.answer".\r\ngroup SetComponentCodedValue(source it, target comp) {\r\n it.answer first as a then {\r\n a.value as cv -> comp.value = create('CodeableConcept') as cc then {\r\n cv -> cc.coding = cv "valueCoding";\r\n cv.display as d -> cc.text = d "valueText";\r\n } "codedValue";\r\n } "componentAnswer";\r\n}\r\n\r\ngroup SetComponentValue(source it, target comp) {\r\n it.answer first as a then {\r\n a.value as v -> comp.value = v "plainValue";\r\n } "componentAnswer";\r\n}\r\n\r\ngroup SetSurveyCategory(source qr : QR, target obs : Observation) {\r\n qr -> obs.category as cat then {\r\n qr -> cat.coding as coding then {\r\n qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n qr -> coding.code = 'survey' "categoryCode";\r\n qr -> coding.display = 'Survey' "categoryDisplay";\r\n } "categoryCoding";\r\n } "category";\r\n}\r\n\r\ngroup SetVitalSignsCategory(source qr : QR, target obs : Observation) {\r\n qr -> obs.category as cat then {\r\n qr -> cat.coding as coding then {\r\n qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n qr -> coding.code = 'vital-signs' "categoryCode";\r\n qr -> coding.display = 'Vital Signs' "categoryDisplay";\r\n } "categoryCoding";\r\n } "category";\r\n}\r\n\r\ngroup BuildConditionBase(source qr : QR, target r : Condition, target entry) {\r\n qr -> r then SetResponseProvenance(qr, r) "responseProvenance";\r\n qr -> r.id = uuid() then SetConditionFullUrl(r, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'Condition' "requestUrl";\r\n } "entryRequest";\r\n qr.subject as s -> r.subject = s;\r\n}\r\n\r\ngroup SetConditionFullUrl(source r : Condition, target entry) {\r\n r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Condition/', id) "assignFullUrl";\r\n}\r\n\r\ngroup BuildCarePlanBase(source qr : QR, target r : CarePlan, target entry) {\r\n qr -> r then SetResponseProvenance(qr, r) "responseProvenance";\r\n qr -> r.id = uuid() then SetCarePlanFullUrl(r, entry) "idAndFullUrl";\r\n qr -> entry.request as request then {\r\n qr -> request.method = 'POST' "requestMethod";\r\n qr -> request.url = 'CarePlan' "requestUrl";\r\n } "entryRequest";\r\n qr.subject as s -> r.subject = s;\r\n}\r\n\r\ngroup SetCarePlanFullUrl(source r : CarePlan, target entry) {\r\n r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/CarePlan/', id) "assignFullUrl";\r\n}\r\n\r\n// ── Provenance and tenancy ───────────────────────────────────────────────────\r\n// Two tags on everything this map creates. The first says which questionnaire\r\n// produced it, so a form that reopens mid-admission recalls its own earlier\r\n// entries and not another form's. The second copies the tenant tags off the\r\n// response, because nothing else on the path puts them there.\r\n// The code is the form's document type, not the questionnaire's id: every\r\n// environment mints its own ids, and there is only one set of maps, so an id\r\n// here would tie the tag to whichever environment stamped it.\r\n// ── Provenance and tenancy ───────────────────────────────────────────────────\r\ngroup SetResponseProvenance(source qr : QR, target r) {\r\n qr -> r.meta as m then {\r\n qr -> m.tag as t then {\r\n qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem";\r\n qr -> t.code = 'paediatric-nutrition-assessment' "provenanceCode";\r\n qr -> t.display = 'Paediatric nutrition assessment form' "provenanceDisplay";\r\n } "provenanceTag";\r\n } "provenanceMeta";\r\n // Every tag the response carries, onto the resource. `meta` is 0..1, so this\r\n // lands on the same meta the rule above created rather than a second one.\r\n qr.meta as qm then {\r\n qm.tag as qt -> r.meta as m, m.tag = qt "copyTag";\r\n } "tenantTags";\r\n}\r\n\r\n "
},
"url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPaediatricNutritionAssessment",
"version" : "0.1.0",
"name" : "ExtractPaediatricNutritionAssessment",
"title" : "Paediatric Nutrition Assessment Extraction",
"status" : "active",
"date" : "2026-09-14T06:31:13+00:00",
"publisher" : "Kathurima Kimathi",
"contact" : [{
"name" : "Kathurima Kimathi",
"telecom" : [{
"system" : "url",
"value" : "https://www.linkedin.com/in/kathurima-kimathi/"
},
{
"system" : "email",
"value" : "kathurimakimathi415@gmail.com"
}]
},
{
"name" : "Oscar John",
"telecom" : [{
"system" : "email",
"value" : "oscarjohnotieno@gmail.com",
"use" : "work"
}]
},
{
"name" : "Kennedy Omondi",
"telecom" : [{
"system" : "email",
"value" : "kennankole@gmail.com",
"use" : "work"
}]
}],
"description" : "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.",
"structure" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"mode" : "source",
"alias" : "QR"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
"mode" : "target",
"alias" : "Bundle"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Observation",
"mode" : "target",
"alias" : "Observation"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Condition",
"mode" : "target",
"alias" : "Condition"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/CarePlan",
"mode" : "target",
"alias" : "CarePlan"
}],
"group" : [{
"name" : "ExtractPaediatricNutritionAssessment",
"input" : [{
"name" : "qr",
"type" : "QR",
"mode" : "source"
},
{
"name" : "bundle",
"type" : "Bundle",
"mode" : "target"
}],
"rule" : [{
"name" : "setBundleType",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "bundle",
"element" : "type",
"transform" : "copy",
"parameter" : [{
"valueString" : "transaction"
}]
}]
},
{
"name" : "anthropometryGroup",
"source" : [{
"context" : "qr",
"element" : "item",
"variable" : "g",
"condition" : "linkId = 'anthropometry'"
}],
"rule" : [{
"name" : "measure_8339_4",
"source" : [{
"context" : "g",
"element" : "item",
"variable" : "it",
"condition" : "(linkId = 'anthropometry/birth-weight') and answer.value.exists()"
}],
"target" : [{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [{
"valueString" : "Observation"
}]
}],
"rule" : [{
"name" : "base",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
},
{
"context" : "entry"
}],
"dependent" : [{
"name" : "BuildObsBase",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
},
{
"valueId" : "entry"
}]
}]
},
{
"name" : "category",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
}],
"dependent" : [{
"name" : "SetVitalSignsCategory",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
}]
}]
},
{
"name" : "code",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "obs",
"element" : "code",
"variable" : "cc"
}],
"rule" : [{
"name" : "coding",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cc",
"element" : "coding",
"variable" : "cg"
}],
"rule" : [{
"name" : "sys",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "system",
"transform" : "copy",
"parameter" : [{
"valueString" : "http://loinc.org"
}]
}]
},
{
"name" : "cd",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "code",
"transform" : "copy",
"parameter" : [{
"valueString" : "8339-4"
}]
}]
},
{
"name" : "dsp",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "display",
"transform" : "copy",
"parameter" : [{
"valueString" : "Birth weight Measured"
}]
}]
}]
}]
},
{
"name" : "answer",
"source" : [{
"context" : "it",
"element" : "answer",
"listMode" : "first",
"variable" : "a"
}],
"rule" : [{
"name" : "set",
"source" : [{
"context" : "a",
"element" : "value",
"variable" : "v"
}],
"target" : [{
"context" : "obs",
"element" : "value",
"transform" : "copy",
"parameter" : [{
"valueId" : "v"
}]
}]
}]
}]
},
{
"name" : "measure_29463_7",
"source" : [{
"context" : "g",
"element" : "item",
"variable" : "it",
"condition" : "(linkId = 'anthropometry/admission-weight') and answer.value.exists()"
}],
"target" : [{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [{
"valueString" : "Observation"
}]
}],
"rule" : [{
"name" : "base",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
},
{
"context" : "entry"
}],
"dependent" : [{
"name" : "BuildObsBase",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
},
{
"valueId" : "entry"
}]
}]
},
{
"name" : "category",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
}],
"dependent" : [{
"name" : "SetVitalSignsCategory",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
}]
}]
},
{
"name" : "code",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "obs",
"element" : "code",
"variable" : "cc"
}],
"rule" : [{
"name" : "coding",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cc",
"element" : "coding",
"variable" : "cg"
}],
"rule" : [{
"name" : "sys",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "system",
"transform" : "copy",
"parameter" : [{
"valueString" : "http://loinc.org"
}]
}]
},
{
"name" : "cd",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "code",
"transform" : "copy",
"parameter" : [{
"valueString" : "29463-7"
}]
}]
},
{
"name" : "dsp",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "display",
"transform" : "copy",
"parameter" : [{
"valueString" : "Body weight"
}]
}]
}]
}]
},
{
"name" : "answer",
"source" : [{
"context" : "it",
"element" : "answer",
"listMode" : "first",
"variable" : "a"
}],
"rule" : [{
"name" : "set",
"source" : [{
"context" : "a",
"element" : "value",
"variable" : "v"
}],
"target" : [{
"context" : "obs",
"element" : "value",
"transform" : "copy",
"parameter" : [{
"valueId" : "v"
}]
}]
}]
},
{
"name" : "note",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "obs",
"element" : "note",
"variable" : "n"
},
{
"context" : "n",
"element" : "text",
"transform" : "copy",
"parameter" : [{
"valueString" : "Weight on admission"
}]
}]
}]
},
{
"name" : "measure_8302_2",
"source" : [{
"context" : "g",
"element" : "item",
"variable" : "it",
"condition" : "(linkId = 'anthropometry/height') and answer.value.exists()"
}],
"target" : [{
"context" : "bundle",
"element" : "entry",
"variable" : "entry"
},
{
"context" : "entry",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [{
"valueString" : "Observation"
}]
}],
"rule" : [{
"name" : "base",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
},
{
"context" : "entry"
}],
"dependent" : [{
"name" : "BuildObsBase",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
},
{
"valueId" : "entry"
}]
}]
},
{
"name" : "category",
"source" : [{
"context" : "qr"
}],
"target" : [{
"context" : "obs"
}],
"dependent" : [{
"name" : "SetVitalSignsCategory",
"parameter" : [{
"valueId" : "qr"
},
{
"valueId" : "obs"
}]
}]
},
{
"name" : "code",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "obs",
"element" : "code",
"variable" : "cc"
}],
"rule" : [{
"name" : "coding",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cc",
"element" : "coding",
"variable" : "cg"
}],
"rule" : [{
"name" : "sys",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "system",
"transform" : "copy",
"parameter" : [{
"valueString" : "http://loinc.org"
}]
}]
},
{
"name" : "cd",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "code",
"transform" : "copy",
"parameter" : [{
"valueString" : "8302-2"
}]
}]
},
{
"name" : "dsp",
"source" : [{
"context" : "it"
}],
"target" : [{
"context" : "cg",
"element" : "display",
"transform" : "copy",
"parameter" : [{
"valueString" : "Body height"
}]
}]
}]
}]
},
{
"name" : "answer",
"source" : [{
"context" : "it",
"element" : "answer",
"listMode" : "first",
"variable" : "a"
}],
"rule" : [{
"name" : "set",
"source" : [{
"context" : "a",
"element" : "value",
"variable" : "v"
}],
"target" : [{
"context" : "obs",
"element" : "value",
"transform" : "copy",
"parameter" : [{
"valueId" : "v"
}]
}]
}]
}]
},
{
"name" : "measure_9843_4",
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