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/ExtractPaediatricVitalSignChart | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractPaediatricVitalSignChart | |||
Every reading as its own Observation under its real LOINC code, taking the round's own timestamp. The paper prints four fixed rounds a day over ten days; the form takes a full timestamp instead, so a round done two hours late is recorded as late rather than as on time – and so a ward can actually graph a fever, which is the whole reason the sheet is ten days wide.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPaediatricVitalSignChart' /// name = 'ExtractPaediatricVitalSignChart' /// title = 'Paediatric Vital Sign Chart Extraction' /// status = 'active' /// description = 'Every reading as its own Observation under its real LOINC code, taking the round\'s own timestamp. The paper prints four fixed rounds a day over ten days; the form takes a full timestamp instead, so a round done two hours late is recorded as late rather than as on time -- and so a ward can actually graph a fever, which is the whole reason the sheet is ten days wide.' 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 group ExtractPaediatricVitalSignChart(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; qr.item as row where (linkId = 'round') then { row.item as it where ((linkId = 'round/temperature') and answer.value.ofType(Quantity).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 = '8310-5' "cd"; it -> cg.display = 'Body temperature' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "vital_round_8310_5"; row.item as it where ((linkId = 'round/pulse') and answer.value.ofType(Quantity).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 = '8867-4' "cd"; it -> cg.display = 'Heart rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "vital_round_8867_4"; row.item as it where ((linkId = 'round/respiratory-rate') and answer.value.ofType(Quantity).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 = '9279-1' "cd"; it -> cg.display = 'Respiratory rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "vital_round_9279_1"; row.item as it where ((linkId = 'round/oxygen-saturation') and answer.value.ofType(Quantity).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 = '59408-5' "cd"; it -> cg.display = 'Oxygen saturation in Arterial blood by Pulse oximetry' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "vital_round_59408_5"; row.item as it where ((linkId = 'round/blood-pressure') and item.answer.value.ofType(Quantity).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 = '85354-9' "cd"; it -> cg.display = 'Blood pressure panel with all children optional' "dsp"; } "coding"; } "code"; it.item as sbp where ((linkId = 'round/blood-pressure/systolic') and answer.value.ofType(Quantity).exists()) -> obs.component as comp then { sbp -> comp.code as cc then { sbp -> cc.coding as cg then { sbp -> cg.system = 'http://loinc.org' "sys"; sbp -> cg.code = '8480-6' "cd"; sbp -> cg.display = 'Systolic blood pressure' "dsp"; } "coding"; } "code"; sbp -> comp then SetComponentValue(sbp, comp) "value"; } "comp_8480_6"; it.item as dbp where ((linkId = 'round/blood-pressure/diastolic') and answer.value.ofType(Quantity).exists()) -> obs.component as comp then { dbp -> comp.code as cc then { dbp -> cc.coding as cg then { dbp -> cg.system = 'http://loinc.org' "sys"; dbp -> cg.code = '8462-4' "cd"; dbp -> cg.display = 'Diastolic blood pressure' "dsp"; } "coding"; } "code"; dbp -> comp then SetComponentValue(dbp, comp) "value"; } "comp_8462_4"; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "bp_round"; row.item as it where ((linkId = 'round/oxygen-amount') and answer.value.ofType(Quantity).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 = '3151-8' "cd"; it -> cg.display = 'Inhaled oxygen flow rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "oxygenGiven"; row.item as it where ((linkId = 'round/temperature-control') 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 SetProcedureCategory(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 = 'temperature-control-action-taken-to-control-temperature' "cd"; it -> cg.display = 'Action taken to control temperature' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; row -> obs then SetPaedVitalRowTime(row, obs) "rowTime"; } "temperatureControl"; } "roundRows"; } // The row's own timestamp on everything extracted from that row. group SetPaedVitalRowTime(source row, target obs : Observation) { row.item as it where ((linkId = 'round/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 = 'round/taken-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 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 SetProcedureCategory(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 = 'procedure' "categoryCode"; qr -> coding.display = 'Procedure' "categoryDisplay"; } "categoryCoding"; } "category"; } // ── 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-vital-sign-chart' "provenanceCode"; qr -> t.display = 'Paediatric vital sign observation 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"; }