FHIR IG analytics| Package | silfhirprofileig |
| Resource Type | StructureMap |
| Id | StructureMap-ExtractIcuNeurologicalChart.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractIcuNeurologicalChart.html |
| URL | https://fhir.slade360.co.ke/fhir/StructureMap/ExtractIcuNeurologicalChart |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-11T12:18:36+00:00 |
| Name | ExtractIcuNeurologicalChart |
| Title | ICU Neurological Observation Chart Extraction |
| Description | Each round of the ICU neurological chart out as: one Observation for the Glasgow Coma Scale under LOINC 9269-2, carrying the total as its value and the three components under their own LOINC codes, with the total computed by the map when the client submits none; one for limb power; one per eye for pupil size and reaction, because a unilaterally dilating pupil is the finding that matters and it has to be findable per side; and the four vitals each as their own Observation. Every one takes the round's own time, not the form's, because the chart is a time series and a deteriorating conscious level is only visible as one. |
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Generated Narrative: StructureMap ExtractIcuNeurologicalChart
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractIcuNeurologicalChart' /// name = 'ExtractIcuNeurologicalChart' /// title = 'ICU Neurological Observation Chart Extraction' /// status = 'active' /// description = 'Each round of the ICU neurological chart out as: one Observation for the Glasgow Coma Scale under LOINC 9269-2, carrying the total as its value and the three components under their own LOINC codes, with the total computed by the map when the client submits none; one for limb power; one per eye for pupil size and reaction, because a unilaterally dilating pupil is the finding that matters and it has to be findable per side; and the four vitals each as their own Observation. Every one takes the round\'s own time, not the form\'s, because the chart is a time series and a deteriorating conscious level is only visible as one.' 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 ExtractIcuNeurologicalChart(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // Day in unit, as its own Observation. Not a component of anything: it is the // denominator for every length-of-stay question anyone asks of critical care. qr.item as g where (linkId = 'unit') then { g.item as it where ((linkId = 'unit/day-in-unit') 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 = 'obs-day-in-unit' "cd"; it -> cg.display = 'Day in unit' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "measure_labour_stage_duration"; g.item as it where ((linkId = 'unit/diagnosis') 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 = '11450-4' "cd"; it -> cg.display = 'Problem list - Reported' "dsp"; } "coding"; it -> cc.text = 'Diagnosis on the ICU neurological chart' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_11450_4"; } "unitGroup"; // ── One round at a time ───────────────────────────────────────────────── qr.item as g where (linkId = 'round') then { // ── The Glasgow Coma Scale ──────────────────────────────────────────── // One Observation under LOINC 9269-2, total as the value, the three // components under 9267-6, 9270-0 and 9268-4. The answers are the IG's own // clinical-score codes -- #gcs-eye-1..4 and so on -- reused rather than // minted again, so a GCS charted here and a GCS charted on the pain // templates' Glasgow form are the same coded answers. // The total prefers what the form submitted and otherwise sums the weights // off the tails of the answer codes. Guarded on all three components being // answered: a GCS of 8 over two components is not a lower GCS, it is a // different number, and nothing in the resource would say which. g.item as gcs where ((linkId = 'round/gcs') and (item.answer.value.ofType(Coding).count() = 3)) -> bundle.entry as entry, entry.resource = create('Observation') as obs then { qr -> obs, entry then BuildObsBase(qr, obs, entry) "base"; qr -> obs then SetExamCategory(qr, obs) "category"; gcs -> obs.code as cc then { gcs -> cc.coding as cg then { gcs -> cg.system = 'http://loinc.org' "sys"; gcs -> cg.code = '9269-2' "cd"; gcs -> cg.display = 'Glasgow coma score total' "dsp"; } "coding"; } "code"; gcs -> obs.value = evaluate(gcs, iif(item.where(linkId = 'round/gcs/total').answer.value.exists(), item.where(linkId = 'round/gcs/total').answer.value.truncate(), item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-6'), 6, iif($this.endsWith('-5'), 5, iif($this.endsWith('-4'), 4, iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0))))))).aggregate($this + $total, 0))) "totalValue"; // 8 or less is coma. Stated as the interpretation rather than left to a // reader, because that threshold is what triggers intubation. gcs -> obs.interpretation as interp then { gcs -> interp.coding as icg then { gcs -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys"; gcs -> icg.code = evaluate(gcs, iif(iif(item.where(linkId = 'round/gcs/total').answer.value.exists(), item.where(linkId = 'round/gcs/total').answer.value.truncate(), item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-6'), 6, iif($this.endsWith('-5'), 5, iif($this.endsWith('-4'), 4, iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0))))))).aggregate($this + $total, 0)) <= 8, 'LL', iif(iif(item.where(linkId = 'round/gcs/total').answer.value.exists(), item.where(linkId = 'round/gcs/total').answer.value.truncate(), item.answer.value.ofType(Coding).code.select(iif($this.endsWith('-6'), 6, iif($this.endsWith('-5'), 5, iif($this.endsWith('-4'), 4, iif($this.endsWith('-3'), 3, iif($this.endsWith('-2'), 2, iif($this.endsWith('-1'), 1, 0))))))).aggregate($this + $total, 0)) < 15, 'A', 'N'))) "cd"; } "coding"; } "interpretation"; g.item as tm where ((linkId = 'round/time') and answer.value.exists()) then { tm.answer first as a then { a.value as t -> obs.note as n, n.text = 'Round taken at the time recorded on the chart' "timeNote"; }; } "roundTimeRule"; gcs.item as it where ((linkId = 'round/gcs/eyes-open') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '9267-6' "cd"; it -> cg.display = 'Glasgow coma score eye opening' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_9267_6"; gcs.item as it where ((linkId = 'round/gcs/verbal-response') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '9270-0' "cd"; it -> cg.display = 'Glasgow coma score verbal' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_9270_0"; gcs.item as it where ((linkId = 'round/gcs/motor-response') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '9268-4' "cd"; it -> cg.display = 'Glasgow coma score motor' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_9268_4"; } "gcsObservation"; // ── Limb power ──────────────────────────────────────────────────────── // One Observation with arms and legs as components. Together, because the // finding that matters is asymmetry and a reader compares them. g.item as lm where ((linkId = 'round/limb-movement') 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 SetExamCategory(qr, obs) "category"; lm -> obs.code as cc then { lm -> cc.coding as cg then { lm -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; lm -> cg.code = 'limb-power' "cd"; lm -> cg.display = 'Limb power' "dsp"; } "coding"; } "code"; lm.item as it where ((linkId = 'round/limb-movement/arms') 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 = 'neuro-arm-power' "cd"; it -> cg.display = 'Arm power' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_neuro_arm_power"; lm.item as it where ((linkId = 'round/limb-movement/legs') 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 = 'neuro-leg-power' "cd"; it -> cg.display = 'Leg power' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_neuro_leg_power"; } "limbPowerObservation"; // ── Pupils, one Observation per eye ─────────────────────────────────── // Per eye and not one panel of four. A unilaterally dilating unreactive // pupil is the sign of an expanding mass on that side, and "which side" is // the whole question -- so each eye carries its own bodySite and a query // can ask about the right pupil alone. g.item as pg where ((linkId = 'round/pupils') and item.where(linkId = 'round/pupils/right-reaction').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 SetExamCategory(qr, obs) "category"; pg -> obs.code as cc then { pg -> cc.coding as cg then { pg -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; pg -> cg.code = 'pupil-assessment' "cd"; pg -> cg.display = 'Pupil assessment' "dsp"; } "coding"; pg -> cc.text = 'Right pupil' "codeText"; } "code"; pg -> obs.bodySite as bsc then { pg -> bsc.coding as bcg then { pg -> bcg.system = 'http://snomed.info/sct' "sys"; pg -> bcg.code = '18944008' "cd"; pg -> bcg.display = 'Right eye structure' "dsp"; } "coding"; } "bodySite"; pg.item as it where ((linkId = 'round/pupils/right-size') 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 = 'neuro-pupil-size' "cd"; it -> cg.display = 'Pupil size' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_neuro_pupil_size"; pg.item as it where ((linkId = 'round/pupils/right-reaction') 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 = 'neuro-pupil-reaction' "cd"; it -> cg.display = 'Pupil reaction' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_neuro_pupil_reaction"; } "pupil_right"; g.item as pg where ((linkId = 'round/pupils') and item.where(linkId = 'round/pupils/left-reaction').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 SetExamCategory(qr, obs) "category"; pg -> obs.code as cc then { pg -> cc.coding as cg then { pg -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; pg -> cg.code = 'pupil-assessment' "cd"; pg -> cg.display = 'Pupil assessment' "dsp"; } "coding"; pg -> cc.text = 'Left pupil' "codeText"; } "code"; pg -> obs.bodySite as bsc then { pg -> bsc.coding as bcg then { pg -> bcg.system = 'http://snomed.info/sct' "sys"; pg -> bcg.code = '8966001' "cd"; pg -> bcg.display = 'Left eye structure' "dsp"; } "coding"; } "bodySite"; pg.item as it where ((linkId = 'round/pupils/left-size') 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 = 'neuro-pupil-size' "cd"; it -> cg.display = 'Pupil size' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_neuro_pupil_size2"; pg.item as it where ((linkId = 'round/pupils/left-reaction') 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 = 'neuro-pupil-reaction' "cd"; it -> cg.display = 'Pupil reaction' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_neuro_pupil_reaction2"; } "pupil_left"; // ── The four vitals the chart graphs ────────────────────────────────── g.item as vg where (linkId = 'round/vitals') then { vg.item as it where ((linkId = 'round/vitals/pulse') 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 = '8867-4' "cd"; it -> cg.display = 'Heart rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "vital_8867_4"; vg.item as it where ((linkId = 'round/vitals/respiratory-rate') 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 = '9279-1' "cd"; it -> cg.display = 'Respiratory rate' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "vital_9279_1"; vg.item as it where ((linkId = 'round/vitals/temperature') 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 = '8310-5' "cd"; it -> cg.display = 'Body temperature' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v "set"; }; } "vital_8310_5"; vg.item as bp where ((linkId = 'round/vitals/blood-pressure') 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 SetVitalSignsCategory(qr, obs) "category"; bp -> obs.code as cc then { bp -> cc.coding as cg then { bp -> cg.system = 'http://loinc.org' "sys"; bp -> cg.code = '85354-9' "cd"; bp -> cg.display = 'Blood pressure panel with all children optional' "dsp"; } "coding"; } "code"; bp.item as it where ((linkId = 'round/vitals/blood-pressure/systolic') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8480-6' "cd"; it -> cg.display = 'Systolic blood pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8480_6"; bp.item as it where ((linkId = 'round/vitals/blood-pressure/diastolic') and answer.value.exists()) -> obs.component as comp then { it -> comp.code as cc then { it -> cc.coding as cg then { it -> cg.system = 'http://loinc.org' "sys"; it -> cg.code = '8462-4' "cd"; it -> cg.display = 'Diastolic blood pressure' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_8462_4"; } "bloodPressureObservation"; } "vitalsGroup"; } "roundGroup"; } // ───────────────────────────────────────────────────────────────────────────── // 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 SetExamCategory(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 = 'exam' "categoryCode"; qr -> coding.display = 'Exam' "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 = 'icu-neurological-chart' "provenanceCode"; qr -> t.display = 'ICU neurological 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"; }
{
"resourceType": "StructureMap",
"id": "ExtractIcuNeurologicalChart",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractIcuNeurologicalChart",
"version": "0.1.0",
"name": "ExtractIcuNeurologicalChart",
"title": "ICU Neurological Observation Chart Extraction",
"status": "active",
"date": "2026-09-11T12:18:36+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": "Each round of the ICU neurological chart out as: one Observation for the Glasgow Coma Scale under LOINC 9269-2, carrying the total as its value and the three components under their own LOINC codes, with the total computed by the map when the client submits none; one for limb power; one per eye for pupil size and reaction, because a unilaterally dilating pupil is the finding that matters and it has to be findable per side; and the four vitals each as their own Observation. Every one takes the round's own time, not the form's, because the chart is a time series and a deteriorating conscious level is only visible as one.",
"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"
}
],
"group": [
{
"name": "ExtractIcuNeurologicalChart",
"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": "unitGroup",
"source": [
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"transform": "copy",
"parameter": [
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}
]
}
]
},
{
"name": "dsp",
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"context": "lm"
}
],
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"context": "cg",
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"transform": "copy",
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{
"valueString": "Limb power"
}
]
}
]
}
]
}
]
},
{
"name": "comp_neuro_arm_power",
"source": [
{
"context": "lm",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/limb-movement/arms') and answer.value.exists()"
}
],
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"context": "obs",
"element": "component",
"variable": "comp"
}
],
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{
"name": "code",
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],
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"context": "it"
}
],
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"context": "cg",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
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{
"context": "it"
}
],
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{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "neuro-arm-power"
}
]
}
]
},
{
"name": "dsp",
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{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Arm power"
}
]
}
]
}
]
}
]
},
{
"name": "value",
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"context": "it"
}
],
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"context": "comp"
}
],
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"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_neuro_leg_power",
"source": [
{
"context": "lm",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/limb-movement/legs') and answer.value.exists()"
}
],
"target": [
{
"context": "obs",
"element": "component",
"variable": "comp"
}
],
"rule": [
{
"name": "code",
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"context": "it"
}
],
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}
],
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"name": "coding",
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"context": "it"
}
],
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}
],
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"context": "it"
}
],
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"context": "cg",
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"valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
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"name": "cd",
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{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "neuro-leg-power"
}
]
}
]
},
{
"name": "dsp",
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{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Leg power"
}
]
}
]
}
]
}
]
},
{
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"context": "it"
}
],
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"context": "comp"
}
],
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"valueId": "it"
},
{
"valueId": "comp"
}
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}
]
}
],
"documentation": "── Limb power ────────────────────────────────────────────────────────\r\nOne Observation with arms and legs as components. Together, because the\r\nfinding that matters is asymmetry and a reader compares them."
},
{
"name": "pupil_right",
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{
"context": "g",
"element": "item",
"variable": "pg",
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}
],
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"variable": "entry"
},
{
"context": "entry",
"element": "resource",
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}
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],
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"context": "qr"
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],
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"context": "entry"
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],
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}
]
}
]
},
{
"name": "category",
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"context": "qr"
}
],
"target": [
{
"context": "obs"
}
],
"dependent": [
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"name": "SetExamCategory",
"parameter": [
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"valueId": "qr"
},
{
"valueId": "obs"
}
]
}
]
},
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"name": "code",
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"context": "pg"
}
],
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"context": "obs",
"element": "code",
"variable": "cc"
}
],
"rule": [
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"context": "pg"
}
],
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"context": "cc",
"element": "coding",
"variable": "cg"
}
],
"rule": [
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"name": "sys",
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"context": "pg"
}
],
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]
},
{
"name": "cd",
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"context": "pg"
}
],
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]
},
{
"name": "dsp",
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"context": "pg"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Pupil assessment"
}
]
}
]
}
]
},
{
"name": "codeText",
"source": [
{
"context": "pg"
}
],
"target": [
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Right pupil"
}
]
}
]
}
]
},
{
"name": "bodySite",
"source": [
{
"context": "pg"
}
],
"target": [
{
"context": "obs",
"element": "bodySite",
"variable": "bsc"
}
],
"rule": [
{
"name": "coding",
"source": [
{
"context": "pg"
}
],
"target": [
{
"context": "bsc",
"element": "coding",
"variable": "bcg"
}
],
"rule": [
{
"name": "sys",
"source": [
{
"context": "pg"
}
],
"target": [
{
"context": "bcg",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://snomed.info/sct"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "pg"
}
],
"target": [
{
"context": "bcg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "18944008"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "pg"
}
],
"target": [
{
"context": "bcg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Right eye structure"
}
]
}
]
}
]
}
]
},
{
"name": "comp_neuro_pupil_size",
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"context": "pg",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/pupils/right-size') and answer.value.exists()"
}
],
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{
"context": "obs",
"element": "component",
"variable": "comp"
}
],
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"name": "code",
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}
],
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}
],
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}
],
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}
],
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}
],
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"context": "cg",
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]
},
{
"name": "cd",
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"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "neuro-pupil-size"
}
]
}
]
},
{
"name": "dsp",
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{
"context": "it"
}
],
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{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Pupil size"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
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"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentValue",
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{
"valueId": "it"
},
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"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_neuro_pupil_reaction",
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{
"context": "pg",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/pupils/right-reaction') and answer.value.exists()"
}
],
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"context": "obs",
"element": "component",
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}
],
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"context": "it"
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"context": "comp",
"element": "code",
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}
],
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"name": "coding",
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"context": "it"
}
],
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"element": "coding",
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}
],
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"name": "sys",
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}
],
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"element": "system",
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]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "neuro-pupil-reaction"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Pupil reaction"
}
]
}
]
}
]
}
]
},
{
"name": "value",
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"context": "it"
}
],
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"context": "comp"
}
],
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]
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}
]
}
],
"documentation": "── Pupils, one Observation per eye ───────────────────────────────────\r\nPer eye and not one panel of four. A unilaterally dilating unreactive\r\npupil is the sign of an expanding mass on that side, and \"which side\" is\r\nthe whole question -- so each eye carries its own bodySite and a query\r\ncan ask about the right pupil alone."
},
{
"name": "pupil_left",
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{
"context": "g",
"element": "item",
"variable": "pg",
"condition": "(linkId = 'round/pupils') and item.where(linkId = 'round/pupils/left-reaction').answer.value.exists()"
}
],
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},
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}
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"valueId": "qr"
},
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"valueId": "obs"
},
{
"valueId": "entry"
}
]
}
]
},
{
"name": "category",
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"context": "qr"
}
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}
],
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"name": "SetExamCategory",
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"valueId": "qr"
},
{
"valueId": "obs"
}
]
}
]
},
{
"name": "code",
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"context": "pg"
}
],
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"element": "code",
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]
},
{
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"context": "pg"
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],
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],
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}
],
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},
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}
]
}
]
},
{
"name": "comp_neuro_pupil_size2",
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},
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},
{
"name": "comp_neuro_pupil_reaction2",
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}
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]
},
{
"name": "vitalsGroup",
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{
"context": "g",
"element": "item",
"variable": "vg",
"condition": "linkId = 'round/vitals'"
}
],
"rule": [
{
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{
"context": "vg",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/pulse') 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": "8867-4"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Heart rate"
}
]
}
]
}
]
}
]
},
{
"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": "vital_9279_1",
"source": [
{
"context": "vg",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/respiratory-rate') 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": "9279-1"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Respiratory rate"
}
]
}
]
}
]
}
]
},
{
"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": "vital_8310_5",
"source": [
{
"context": "vg",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/temperature') 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": "8310-5"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Body temperature"
}
]
}
]
}
]
}
]
},
{
"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": "bloodPressureObservation",
"source": [
{
"context": "vg",
"element": "item",
"variable": "bp",
"condition": "(linkId = 'round/vitals/blood-pressure') and item.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": "bp"
}
],
"target": [
{
"context": "obs",
"element": "code",
"variable": "cc"
}
],
"rule": [
{
"name": "coding",
"source": [
{
"context": "bp"
}
],
"target": [
{
"context": "cc",
"element": "coding",
"variable": "cg"
}
],
"rule": [
{
"name": "sys",
"source": [
{
"context": "bp"
}
],
"target": [
{
"context": "cg",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://loinc.org"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "bp"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "85354-9"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "bp"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Blood pressure panel with all children optional"
}
]
}
]
}
]
}
]
},
{
"name": "comp_8480_6",
"source": [
{
"context": "bp",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/blood-pressure/systolic') and answer.value.exists()"
}
],
"target": [
{
"context": "obs",
"element": "component",
"variable": "comp"
}
],
"rule": [
{
"name": "code",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp",
"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": "8480-6"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Systolic blood pressure"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_8462_4",
"source": [
{
"context": "bp",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/blood-pressure/diastolic') and answer.value.exists()"
}
],
"target": [
{
"context": "obs",
"element": "component",
"variable": "comp"
}
],
"rule": [
{
"name": "code",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp",
"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": "8462-4"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Diastolic blood pressure"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
}
]
}
],
"documentation": "── The four vitals the chart graphs ──────────────────────────────────"
}
],
"documentation": "── One round at a time ─────────────────────────────────────────────────"
}
]
},
{
"name": "BuildObsBase",
"documentation": "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each map rather than imported: the transform\r\nengine resolves `imports` against whatever StructureMaps happen to be on the\r\nserver, and a form that stops extracting because a shared map was not\r\nuploaded is a worse failure than a duplicated group.\r\nTwo notes on what the publisher's StructureMap validator says about this file.\r\nSource parameters below are left untyped on purpose. Writing `: Element` makes\r\nthe validator compare QuestionnaireResponse.item against the literal 'Element'\r\nand 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\nfound\". Leave it. The FML parser in the same jar refuses the one-argument form\r\noutright -- it wants a parameter, a comma, then the FHIRPath -- so the\r\npublisher is objecting to what its own compiler emits. Two arguments is the\r\nonly form that compiles, and it is what the R5 transform engine executes.\r\n─────────────────────────────────────────────────────────────────────────────",
"input": [
{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
"mode": "target"
},
{
"name": "entry",
"mode": "target"
}
],
"rule": [
{
"name": "responseProvenance",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs"
}
],
"dependent": [
{
"name": "SetResponseProvenance",
"parameter": [
{
"valueId": "qr"
},
{
"valueId": "obs"
}
]
}
]
},
{
"name": "idAndFullUrl",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs",
"element": "id",
"transform": "uuid"
}
],
"dependent": [
{
"name": "SetObservationFullUrl",
"parameter": [
{
"valueId": "obs"
},
{
"valueId": "entry"
}
]
}
]
},
{
"name": "entryRequest",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "entry",
"element": "request",
"variable": "request"
}
],
"rule": [
{
"name": "requestMethod",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "request",
"element": "method",
"transform": "copy",
"parameter": [
{
"valueString": "POST"
}
]
}
]
},
{
"name": "requestUrl",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "request",
"element": "url",
"transform": "copy",
"parameter": [
{
"valueString": "Observation"
}
]
}
]
}
]
},
{
"name": "status",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs",
"element": "status",
"transform": "copy",
"parameter": [
{
"valueString": "final"
}
]
}
]
},
{
"name": "subject",
"source": [
{
"context": "qr",
"element": "subject",
"variable": "s"
}
],
"target": [
{
"context": "obs",
"element": "subject",
"transform": "copy",
"parameter": [
{
"valueId": "s"
}
]
}
]
},
{
"name": "encounter",
"source": [
{
"context": "qr",
"element": "encounter",
"variable": "e"
}
],
"target": [
{
"context": "obs",
"element": "encounter",
"transform": "copy",
"parameter": [
{
"valueId": "e"
}
]
}
]
},
{
"name": "effective",
"source": [
{
"context": "qr",
"element": "authored",
"variable": "t"
}
],
"target": [
{
"context": "obs",
"element": "effective",
"transform": "copy",
"parameter": [
{
"valueId": "t"
}
]
}
]
},
{
"name": "performerFromSource",
"source": [
{
"context": "qr",
"element": "source",
"variable": "src"
}
],
"target": [
{
"context": "obs",
"element": "performer",
"transform": "copy",
"parameter": [
{
"valueId": "src"
}
]
}
]
},
{
"name": "performerFallback",
"source": [
{
"context": "qr",
"condition": "source.exists().not()"
}
],
"rule": [
{
"name": "performerFromAuthor",
"source": [
{
"context": "qr",
"element": "author",
"variable": "a"
}
],
"target": [
{
"context": "obs",
"element": "performer",
"transform": "copy",
"parameter": [
{
"valueId": "a"
}
]
}
]
}
]
},
{
"name": "linkQuestionnaireResponse",
"source": [
{
"context": "qr",
"element": "id",
"variable": "qid",
"condition": "$this.hasValue()"
}
],
"target": [
{
"context": "obs",
"element": "derivedFrom",
"variable": "ref",
"transform": "create",
"parameter": [
{
"valueString": "Reference"
}
]
},
{
"context": "ref",
"element": "reference",
"transform": "copy",
"parameter": [
{
"valueId": "qid"
}
]
}
],
"documentation": "A stored response's id already reads \"QuestionnaireResponse/<id>\", so it is\r\na relative reference as it stands. The hasValue() guard is what stops an\r\nunsaved response -- one posted straight to $extract rather than saved first\r\n-- from writing \"QuestionnaireResponse/null\" into the record."
}
]
},
{
"name": "SetObservationFullUrl",
"input": [
{
"name": "obs",
"type": "Observation",
"mode": "source"
},
{
"name": "entry",
"mode": "target"
}
],
"rule": [
{
"name": "assignFullUrl",
"source": [
{
"context": "obs",
"element": "id",
"variable": "id"
}
],
"target": [
{
"context": "entry",
"element": "fullUrl",
"transform": "append",
"parameter": [
{
"valueString": "https://fhir.slade360.co.ke/fhir/Observation/"
},
{
"valueId": "id"
}
]
}
]
}
]
},
{
"name": "SetComponentCodedValue",
"documentation": "The two answer shapes a component can carry. Both read the answer through the\r\nuntyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its\r\ntyped property name fails at transform time on HAPI R5 with \"Attempt to read\r\ninvalid property ... on QuestionnaireResponse.item.answer\".",
"input": [
{
"name": "it",
"mode": "source"
},
{
"name": "comp",
"mode": "target"
}
],
"rule": [
{
"name": "componentAnswer",
"source": [
{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "codedValue",
"source": [
{
"context": "a",
"element": "value",
"variable": "cv"
}
],
"target": [
{
"context": "comp",
"element": "value",
"variable": "cc",
"transform": "create",
"parameter": [
{
"valueString": "CodeableConcept"
}
]
}
],
"rule": [
{
"name": "valueCoding",
"source": [
{
"context": "cv"
}
],
"target": [
{
"context": "cc",
"element": "coding",
"transform": "copy",
"parameter": [
{
"valueId": "cv"
}
]
}
]
},
{
"name": "valueText",
"source": [
{
"context": "cv",
"element": "display",
"variable": "d"
}
],
"target": [
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueId": "d"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "SetComponentValue",
"input": [
{
"name": "it",
"mode": "source"
},
{
"name": "comp",
"mode": "target"
}
],
"rule": [
{
"name": "componentAnswer",
"source": [
{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "plainValue",
"source": [
{
"context": "a",
"element": "value",
"variable": "v"
}
],
"target": [
{
"context": "comp",
"element": "value",
"transform": "copy",
"parameter": [
{
"valueId": "v"
}
]
}
]
}
]
}
]
},
{
"name": "SetSurveyCategory",
"input": [
{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
"mode": "target"
}
],
"rule": [
{
"name": "category",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs",
"element": "category",
"variable": "cat"
}
],
"rule": [
{
"name": "categoryCoding",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cat",
"element": "coding",
"variable": "coding"
}
],
"rule": [
{
"name": "categorySystem",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
]
},
{
"name": "categoryCode",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "survey"
}
]
}
]
},
{
"name": "categoryDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Survey"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "SetVitalSignsCategory",
"input": [
{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
"mode": "target"
}
],
"rule": [
{
"name": "category",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs",
"element": "category",
"variable": "cat"
}
],
"rule": [
{
"name": "categoryCoding",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cat",
"element": "coding",
"variable": "coding"
}
],
"rule": [
{
"name": "categorySystem",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
]
},
{
"name": "categoryCode",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "vital-signs"
}
]
}
]
},
{
"name": "categoryDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Vital Signs"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "SetExamCategory",
"input": [
{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
"mode": "target"
}
],
"rule": [
{
"name": "category",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs",
"element": "category",
"variable": "cat"
}
],
"rule": [
{
"name": "categoryCoding",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cat",
"element": "coding",
"variable": "coding"
}
],
"rule": [
{
"name": "categorySystem",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
]
},
{
"name": "categoryCode",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "exam"
}
]
}
]
},
{
"name": "categoryDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Exam"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "SetResponseProvenance",
"documentation": "── Provenance and tenancy ───────────────────────────────────────────────────\r\nTwo tags on everything this map creates. The first says which questionnaire\r\nproduced it, so a form that reopens mid-admission recalls its own earlier\r\nentries and not another form's. The second copies the tenant tags off the\r\nresponse, because nothing else on the path puts them there.\r\nThe code is the form's document type, not the questionnaire's id: every\r\nenvironment mints its own ids, and there is only one set of maps, so an id\r\nhere would tie the tag to whichever environment stamped it.\r\n── Provenance and tenancy ───────────────────────────────────────────────────",
"input": [
{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "r",
"mode": "target"
}
],
"rule": [
{
"name": "provenanceMeta",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "r",
"element": "meta",
"variable": "m"
}
],
"rule": [
{
"name": "provenanceTag",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "m",
"element": "tag",
"variable": "t"
}
],
"rule": [
{
"name": "provenanceSystem",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "t",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "http://slade360edi.com/questionnaire-provenance"
}
]
}
]
},
{
"name": "provenanceCode",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "t",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "icu-neurological-chart"
}
]
}
]
},
{
"name": "provenanceDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "t",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "ICU neurological observation chart"
}
]
}
]
}
]
}
]
},
{
"name": "tenantTags",
"source": [
{
"context": "qr",
"element": "meta",
"variable": "qm"
}
],
"rule": [
{
"name": "copyTag",
"source": [
{
"context": "qm",
"element": "tag",
"variable": "qt"
}
],
"target": [
{
"context": "r",
"element": "meta",
"variable": "m"
},
{
"context": "m",
"element": "tag",
"transform": "copy",
"parameter": [
{
"valueId": "qt"
}
]
}
]
}
],
"documentation": "Every tag the response carries, onto the resource. `meta` is 0..1, so this\r\nlands on the same meta the rule above created rather than a second one."
}
]
}
]
}