\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPsychologicalReview'\r\n/// name = 'ExtractPsychologicalReview'\r\n/// title = ' Review Extraction'\r\n/// status = 'active'\r\n/// description = 'A SOAP note extracts as a ClinicalImpression whose summary is the assessment -- that is what ClinicalImpression.summary is for -- with the subjective and objective sections as Observations under LOINC 61150-9 and 61149-1 that the impression names in supportingInfo, and the plan as a CarePlan. Four resources rather than one narrative, because the point of SOAP is that a reader can find the assessment without reading the subjective account first, and because a plan a counsellor set at session four is a thing the next session has to review. 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A reference to a resource created in a sibling rule is\r\n // not reachable -- the target variable does not exist there -- so they\r\n // have to be built inside this rule.\r\n qr.item as it where ((linkId = 'subjective') and answer.value.exists()) -> bundle.entry as sentry, sentry.resource = create('Observation') as sobs then {\r\n qr -> sobs, sentry then BuildObsBase(qr, sobs, sentry) "base";\r\n qr -> sobs then SetSurveyCategory(qr, sobs) "category";\r\n it -> sobs.code as scc then {\r\n it -> scc.coding as scg then {\r\n it -> scg.system = 'http://loinc.org' "sys";\r\n it -> scg.code = '61150-9' "cd";\r\n it -> scg.display = 'Subjective Narrative' "dsp";\r\n } "coding";\r\n it -> scc.text = 'What the client reported at this session' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> sobs.note as n, n.text = txt "text";\r\n };\r\n it -> ci.supportingInfo = create('Reference') as sref, sref.reference = reference(sobs) "linkSupporting";\r\n } "soap_subjective";\r\n qr.item as it where ((linkId = 'objective') and answer.value.exists()) -> bundle.entry as sentry, sentry.resource = create('Observation') as sobs then {\r\n qr -> sobs, sentry then BuildObsBase(qr, sobs, sentry) "base";\r\n qr -> sobs then SetSurveyCategory(qr, sobs) "category";\r\n it -> sobs.code as scc then {\r\n it -> scc.coding as scg then {\r\n it -> scg.system = 'http://loinc.org' "sys";\r\n it -> scg.code = '61149-1' "cd";\r\n it -> scg.display = 'Objective Narrative' "dsp";\r\n } "coding";\r\n it -> scc.text = 'What the counsellor observed at this session' "codeText";\r\n } "code";\r\n it.answer first as a then {\r\n a.value as txt -> sobs.note as n, n.text = txt "text";\r\n };\r\n it -> ci.supportingInfo = create('Reference') as sref, sref.reference = reference(sobs) "linkSupporting";\r\n } "soap_objective";\r\n } "psychologicalImpression";\r\n } "sessionGroup";\r\n // ── The session number ──────────────────────────────────────────────────\r\n // Its own Observation. A counselling episode is a series and "which session\r\n // was this" is the question every review of that series starts from; there\r\n // is nowhere on ClinicalImpression that a query would find it.\r\n qr.item as g where (linkId = 'session') then {\r\n g.item as it where ((linkId = 'session/number') 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 = 'soap-counselling-session-number' "cd";\r\n it -> cg.display = 'Counselling session number' "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_soap_component";\r\n } "sessionNumberGroup";\r\n // ── The plan ────────────────────────────────────────────────────────────\r\n // A CarePlan, because what a counsellor agrees at the end of a session is\r\n // what the next session opens by reviewing. As a note on the impression it\r\n // would be findable only by reading the last note.\r\n qr.item as it where ((linkId = 'plan') 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 = 'Plan agreed at psychological review' "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 = '18776-5' "cd";\r\n it -> cg.display = 'Plan of care note' "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 qr.item as g where (linkId = 'session') then {\r\n g.item as c where ((linkId = 'session/counsellor') and answer.value.exists()) then {\r\n c.answer first as a then {\r\n a.value as ref -> plan.contributor = ref "contributor";\r\n };\r\n } "counsellorRule";\r\n } "sessionGroupForPlan";\r\n } "psychologicalPlan";\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. 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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 = 'psychological-review' "provenanceCode";\r\n qr -> t.display = 'Psychological review notes' "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 "
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