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/ExtractTheatreNote | Version: 0.1.0 | |||
| Active as of 2026-09-14 | Computable Name: ExtractTheatreNote | |||
A Procedure with the whole team as performers and the operator's description as its note. The procedure name travels as written rather than coded: theatre lists are not coded here, and a guessed SNOMED procedure code on an operation note is a claim about what was done to a patient – the one place in this set where being wrong is not a reporting problem.
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractTheatreNote' /// name = 'ExtractTheatreNote' /// title = 'Theatre Note Extraction' /// status = 'active' /// description = 'A Procedure with the whole team as performers and the operator\'s description as its note. The procedure name travels as written rather than coded: theatre lists are not coded here, and a guessed SNOMED procedure code on an operation note is a claim about what was done to a patient -- the one place in this set where being wrong is not a reporting problem.' 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/Procedure" alias Procedure as target group ExtractTheatreNote(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; qr.item as g where (linkId = 'operation') then { g.item as it where ((linkId = 'operation/procedure') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Procedure') as proc then { qr -> proc, entry then BuildProcedureBase(qr, proc, entry) "base"; it -> proc.status = 'completed' "status"; qr.encounter as e -> proc.encounter = e; it.answer first as a then { a.value as txt -> proc.code as cc, cc.text = txt "codeText"; }; g.item as at where ((linkId = 'operation/at') and answer.value.exists()) then { at.answer first as a then { a.value as v -> proc.occurrence = v "occurrence"; }; } "atRule"; g.item as inc where ((linkId = 'operation/incision') and answer.value.exists()) then { inc.answer first as a then { a.value as txt -> proc.note as n, n.text = txt "incisionNote"; }; } "incisionRule"; qr.item as d where ((linkId = 'description') and answer.value.exists()) then { d.answer first as a then { a.value as txt -> proc.note as n, n.text = txt "descriptionNote"; }; } "descriptionRule"; // The whole team, each as a performer with the part they played. A note // that names only the surgeon cannot answer who assisted, which is the // question asked when a complication is reviewed. qr.item as t where (linkId = 'team') then { t.item as s where ((linkId = 'team/surgeon') and answer.value.exists()) then { s.answer first as a then { a.value as ref -> proc.performer as p then { ref -> p.actor = ref "actor"; ref -> p.function as fn, fn.text = 'Surgeon' "function"; } "performer"; }; } "surgeonRule"; t.item as asst where ((linkId = 'team/assistant') and answer.value.exists()) then { asst.answer as a then { a.value as ref -> proc.performer as p then { ref -> p.actor = ref "actor"; ref -> p.function as fn, fn.text = 'Assistant' "function"; } "performer"; } "answers"; } "assistantRule"; t.item as an where ((linkId = 'team/anaesthetist') and answer.value.exists()) then { an.answer first as a then { a.value as ref -> proc.performer as p then { ref -> p.actor = ref "actor"; ref -> p.function as fn, fn.text = 'Anaesthetist' "function"; } "performer"; }; } "anaesthetistRule"; } "teamGroup"; } "theatreProcedure"; } "operationGroup"; qr.item as g where (linkId = 'operation') then { g.item as it where ((linkId = 'operation/anaesthesia') 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 = 'anaesthesia-used-as-recorded-on-the-theatre-note' "cd"; it -> cg.display = 'Anaesthesia used, as recorded on the theatre note' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_anaesthesia_used_as_recorded_on_the_theatre_note"; } "anaesthesiaGroup"; qr.item as it where ((linkId = 'description') 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 = '11504-8' "cd"; it -> cg.display = 'Surgical operation note' "dsp"; } "coding"; it -> cc.text = 'Description of the operation' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_11504_8"; } // ───────────────────────────────────────────────────────────────────────────── // 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 BuildProcedureBase(source qr : QR, target r : Procedure, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetProcedureFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Procedure' "requestUrl"; } "entryRequest"; // The response's own time, as a floor, the way BuildObsBase does it. A rule // that reads a time off the form overwrites this; without it a procedure whose // date column was taken off on review has no time at all, and a procedure with // no time cannot be ordered against the rest of the admission. qr.authored as t -> r.occurrence = t "occurrenceFallback"; qr.subject as s -> r.subject = s; } group SetProcedureFullUrl(source r : Procedure, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Procedure/', 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 = 'theatre-note' "provenanceCode"; qr -> t.display = 'Theatre note' "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"; }