FHIR IG analytics| Package | silfhirprofileig |
| Resource Type | StructureMap |
| Id | StructureMap-ExtractIcuObservationChart.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractIcuObservationChart.html |
| URL | https://fhir.slade360.co.ke/fhir/StructureMap/ExtractIcuObservationChart |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-11T12:18:36+00:00 |
| Name | ExtractIcuObservationChart |
| Title | ICU Observation Chart Extraction |
| Description | Each round out as: the four vitals and the central venous pressure as their own Observations; the arterial blood gas as one panel with seven components, because a gas is interpreted whole and a pH of 7.25 means one thing beside a pCO2 of 8 and another beside a bicarbonate of 12; and the ventilator settings as a second panel. Every one takes the round's own time rather than the form's -- a deteriorating gas exchange is only visible as a series, and collapsing twenty-four rounds onto one instant would destroy it. |
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Generated Narrative: StructureMap ExtractIcuObservationChart
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractIcuObservationChart' /// name = 'ExtractIcuObservationChart' /// title = 'ICU Observation Chart Extraction' /// status = 'active' /// description = 'Each round out as: the four vitals and the central venous pressure as their own Observations; the arterial blood gas as one panel with seven components, because a gas is interpreted whole and a pH of 7.25 means one thing beside a pCO2 of 8 and another beside a bicarbonate of 12; and the ventilator settings as a second panel. Every one takes the round\'s own time rather than the form\'s -- a deteriorating gas exchange is only visible as a series, and collapsing twenty-four rounds onto one instant would destroy it.' 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 ExtractIcuObservationChart(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; 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 observation chart' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_11450_4"; g.item as it where ((linkId = 'unit/instructions') 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 = '18776-5' "cd"; it -> cg.display = 'Plan of care note' "dsp"; } "coding"; it -> cc.text = 'Instructions on the ICU observation chart' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_18776_5"; } "unitGroup"; // ── One round ─────────────────────────────────────────────────────────── qr.item as g where (linkId = 'round') then { g.item as it where ((linkId = 'round/vitals/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; }; g -> obs then SetRoundTime(g, obs) "roundTime"; } "vital_8310_5"; g.item as it where ((linkId = 'round/vitals/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; }; g -> obs then SetRoundTime(g, obs) "roundTime"; } "vital_8867_4"; g.item as it where ((linkId = 'round/vitals/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; }; g -> obs then SetRoundTime(g, obs) "roundTime"; } "vital_9279_1"; g.item as it where ((linkId = 'round/cvp') 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 = '60985-9' "cd"; it -> cg.display = 'Central venous pressure (CVP)' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as v -> obs.value = v; }; g -> obs then SetRoundTime(g, obs) "roundTime"; } "vital_60985_9"; // Blood pressure as typed. The chart is a graph with a systolic and a // diastolic plotted against each other; the digital form takes the pair as // one string rather than parsing it, because a mis-parsed blood pressure is // worse than a legible one. g.item as it where ((linkId = 'round/vitals/blood-pressure') 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 = '85354-9' "cd"; it -> cg.display = 'Blood pressure panel with all children optional' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "bpText"; }; g -> obs then SetRoundTime(g, obs) "roundTime"; } "roundBloodPressure"; // ── The arterial blood gas, as one panel ────────────────────────────── g.item as abg where ((linkId = 'round/abg') 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 SetLaboratoryCategory(qr, obs) "category"; abg -> obs.code as cc then { abg -> cc.coding as cg then { abg -> cg.system = 'http://loinc.org' "sys"; abg -> cg.code = '24336-0' "cd"; abg -> cg.display = 'Gas panel - Arterial blood' "dsp"; } "coding"; } "code"; abg.item as it where ((linkId = 'round/abg/ph') 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 = '2744-1' "cd"; it -> cg.display = 'pH of Arterial blood' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_2744_1"; abg.item as it where ((linkId = 'round/abg/co2') 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 = '2019-8' "cd"; it -> cg.display = 'Carbon dioxide [Partial pressure] in Arterial blood' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_2019_8"; abg.item as it where ((linkId = 'round/abg/po2') 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 = '2703-7' "cd"; it -> cg.display = 'Oxygen [Partial pressure] in Arterial blood' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_2703_7"; abg.item as it where ((linkId = 'round/abg/base-excess') 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 = '11555-0' "cd"; it -> cg.display = 'Base excess in Blood by calculation' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_11555_0"; abg.item as it where ((linkId = 'round/abg/bicarbonate') 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 = '1963-8' "cd"; it -> cg.display = 'Bicarbonate [Moles/volume] in Serum or Plasma' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_1963_8"; abg.item as it where ((linkId = 'round/abg/sodium') 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 = '2947-0' "cd"; it -> cg.display = 'Sodium [Moles/volume] in Blood' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_2947_0"; abg.item as it where ((linkId = 'round/abg/potassium') 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 = '2823-3' "cd"; it -> cg.display = 'Potassium [Moles/volume] in Serum or Plasma' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_2823_3"; g -> obs then SetRoundTime(g, obs) "roundTime"; } "arterialBloodGas"; // ── The ventilator, as a second panel ───────────────────────────────── // Together and not fifteen loose Observations: a setting only means // something beside the others. A tidal volume of 400 mL is unremarkable at // a rate of 12 and dangerous at a rate of 35. g.item as v where ((linkId = 'round/ventilation') 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"; v -> obs.code as cc then { v -> cc.coding as cg then { v -> cg.system = 'http://loinc.org' "sys"; v -> cg.code = '20124-4' "cd"; v -> cg.display = 'Ventilation mode Ventilator' "dsp"; } "coding"; v -> cc.text = 'Ventilator settings on the ICU observation chart' "codeText"; } "code"; v.item as it where ((linkId = 'round/ventilation/mode') 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 = '20124-4' "cd"; it -> cg.display = 'Ventilation mode Ventilator' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_20124_4"; v.item as it where ((linkId = 'round/ventilation/pressure-support') 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 = '20079-0' "cd"; it -> cg.display = 'Pressure support setting Ventilator' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_20079_0"; v.item as it where ((linkId = 'round/ventilation/rate-set') 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 = '19834-1' "cd"; it -> cg.display = 'Breath rate setting Ventilator' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_19834_1"; v.item as it where ((linkId = 'round/ventilation/rate-patient') 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 = '9279-1' "cd"; it -> cg.display = 'Respiratory rate' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_9279_1"; v.item as it where ((linkId = 'round/ventilation/tidal-volume-set') 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 = '20112-9' "cd"; it -> cg.display = 'Tidal volume setting Ventilator' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_20112_9"; v.item as it where ((linkId = 'round/ventilation/tidal-volume-actual') 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 = 'ventilator-setting-tidal-volume-actual' "cd"; it -> cg.display = 'Tidal volume actual' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_ventilator_setting_tidal_volume_actual"; v.item as it where ((linkId = 'round/ventilation/oxygen') 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 = '3151-8' "cd"; it -> cg.display = 'Inhaled oxygen flow rate' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_3151_8"; v.item as it where ((linkId = 'round/ventilation/fio2') 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 = '3150-0' "cd"; it -> cg.display = 'Inhaled oxygen concentration' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_3150_0"; v.item as it where ((linkId = 'round/ventilation/ie-ratio') 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 = 'ventilator-setting-inspiratory-to-expiratory-ratio' "cd"; it -> cg.display = 'Inspiratory to expiratory ratio' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_ventilator_setting_inspiratory_to_expiratory_ratio"; v.item as it where ((linkId = 'round/ventilation/trach-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 = 'ventilator-setting-tracheostomy-tube-size' "cd"; it -> cg.display = 'Tracheostomy tube size' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_ventilator_setting_tracheostomy_tube_size"; v.item as it where ((linkId = 'round/ventilation/endo-tube-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 = 'ventilator-setting-endotracheal-tube-size' "cd"; it -> cg.display = 'Endotracheal tube size' "dsp"; } "coding"; } "code"; it -> comp then SetComponentValue(it, comp) "value"; } "comp_ventilator_setting_endotracheal_tube_size"; v.item as it where ((linkId = 'round/ventilation/assist-control') 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 = 'ventilator-setting-assist-control-in-use' "cd"; it -> cg.display = 'Assist control in use' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_ventilator_setting_assist_control_in_use"; v.item as it where ((linkId = 'round/ventilation/cuff-deflated') 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 = 'ventilator-setting-cuff-deflated' "cd"; it -> cg.display = 'Cuff deflated' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_ventilator_setting_cuff_deflated"; v.item as it where ((linkId = 'round/ventilation/spontaneous-breathing') 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 = 'ventilator-setting-breathing-spontaneously' "cd"; it -> cg.display = 'Breathing spontaneously' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_ventilator_setting_breathing_spontaneously"; v.item as it where ((linkId = 'round/ventilation/weaning') 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 = 'ventilator-setting-weaning-from-the-ventilator' "cd"; it -> cg.display = 'Weaning from the ventilator' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_ventilator_setting_weaning_from_the_ventilator"; g -> obs then SetRoundTime(g, obs) "roundTime"; } "ventilatorSettings"; // ── Nursing care done on the round ──────────────────────────────────── // Its own panel. Turning, suctioning and chest physiotherapy are what // prevent the two complications this population dies of, and the chart is // where they are evidenced. g.item as c where ((linkId = 'round/care') 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 SetProcedureCategory(qr, obs) "category"; c -> obs.code as cc then { c -> cc.coding as cg then { c -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; c -> cg.code = 'icu-care-intensive-care-nursing-round' "cd"; c -> cg.display = 'Intensive care nursing round' "dsp"; } "coding"; } "code"; c.item as it where ((linkId = 'round/care/nebulizer') 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 = 'icu-care-nebuliser-given' "cd"; it -> cg.display = 'Nebuliser given' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_icu_care_nebuliser_given"; c.item as it where ((linkId = 'round/care/physiotherapy') 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 = 'icu-care-chest-physiotherapy-given' "cd"; it -> cg.display = 'Chest physiotherapy given' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_icu_care_chest_physiotherapy_given"; c.item as it where ((linkId = 'round/care/suction') 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 = 'icu-care-suctioned' "cd"; it -> cg.display = 'Suctioned' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_icu_care_suctioned"; c.item as it where ((linkId = 'round/care/sigh') 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 = 'icu-care-sighs-given' "cd"; it -> cg.display = 'Sighs given' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_icu_care_sighs_given"; c.item as it where ((linkId = 'round/care/position') 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 = 'icu-care-position-of-the-patient' "cd"; it -> cg.display = 'Position of the patient' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_icu_care_position_of_the_patient"; g -> obs then SetRoundTime(g, obs) "roundTime"; } "nursingCare"; g.item as it where ((linkId = 'round/remarks') 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 = 'icu-care-remarks-on-an-intensive-care-round' "cd"; it -> cg.display = 'Remarks on an intensive care round' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_icu_care_remarks_on_an_intensive_care_round"; } "roundRows"; } // The round's own time, on every Observation from that round. A time and not a // dateTime on the paper, so it rides as a note: the chart's columns are clock // hours across a 24-hour sheet and the date comes from the response. group SetRoundTime(source g, target obs : Observation) { g.item as it where ((linkId = 'round/time') and answer.value.exists()) then { it.answer first as a then { a.value as t -> obs.note as n, n.text = 'Taken at the clock time recorded for this round on the chart' "timeNote"; }; } "roundTimeRule"; g.item as it where ((linkId = 'round/recorded-by') and answer.value.exists()) then { it.answer first as a then { a.value as ref -> obs.performer = ref "performer"; }; } "recordedByRule"; } // ───────────────────────────────────────────────────────────────────────────── // 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 SetLaboratoryCategory(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 = 'laboratory' "categoryCode"; qr -> coding.display = 'Laboratory' "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"; } 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 = 'icu-observation-chart' "provenanceCode"; qr -> t.display = 'ICU 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": "ExtractIcuObservationChart",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractIcuObservationChart",
"version": "0.1.0",
"name": "ExtractIcuObservationChart",
"title": "ICU 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 out as: the four vitals and the central venous pressure as their own Observations; the arterial blood gas as one panel with seven components, because a gas is interpreted whole and a pH of 7.25 means one thing beside a pCO2 of 8 and another beside a bicarbonate of 12; and the ventilator settings as a second panel. Every one takes the round's own time rather than the form's -- a deteriorating gas exchange is only visible as a series, and collapsing twenty-four rounds onto one instant would destroy it.",
"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": "ExtractIcuObservationChart",
"input": [
{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
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"type": "Bundle",
"mode": "target"
}
],
"rule": [
{
"name": "setBundleType",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "bundle",
"element": "type",
"transform": "copy",
"parameter": [
{
"valueString": "transaction"
}
]
}
]
},
{
"name": "unitGroup",
"source": [
{
"context": "qr",
"element": "item",
"variable": "g",
"condition": "linkId = 'unit'"
}
],
"rule": [
{
"name": "measure_labour_stage_duration",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'unit/day-in-unit') and answer.value.exists()"
}
],
"target": [
{
"context": "bundle",
"element": "entry",
"variable": "entry"
},
{
"context": "entry",
"element": "resource",
"variable": "obs",
"transform": "create",
"parameter": [
{
"valueString": "Observation"
}
]
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],
"rule": [
{
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{
"context": "qr"
}
],
"target": [
{
"context": "obs"
},
{
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}
],
"dependent": [
{
"name": "BuildObsBase",
"parameter": [
{
"valueId": "qr"
},
{
"valueId": "obs"
},
{
"valueId": "entry"
}
]
}
]
},
{
"name": "category",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs"
}
],
"dependent": [
{
"name": "SetSurveyCategory",
"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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "obs-day-in-unit"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Day in unit"
}
]
}
]
}
]
}
]
},
{
"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": "narr_11450_4",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'unit/diagnosis') and answer.value.exists()"
}
],
"target": [
{
"context": "bundle",
"element": "entry",
"variable": "entry"
},
{
"context": "entry",
"element": "resource",
"variable": "obs",
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"parameter": [
{
"valueString": "Observation"
}
]
}
],
"rule": [
{
"name": "base",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs"
},
{
"context": "entry"
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],
"dependent": [
{
"name": "BuildObsBase",
"parameter": [
{
"valueId": "qr"
},
{
"valueId": "obs"
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{
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}
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}
]
},
{
"name": "category",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs"
}
],
"dependent": [
{
"name": "SetSurveyCategory",
"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": [
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"context": "cg",
"element": "code",
"transform": "copy",
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"valueString": "11450-4"
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},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Problem list - Reported"
}
]
}
]
}
]
},
{
"name": "codeText",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Diagnosis on the ICU observation chart"
}
]
}
]
}
]
},
{
"name": "answer",
"source": [
{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "text",
"source": [
{
"context": "a",
"element": "value",
"variable": "txt"
}
],
"target": [
{
"context": "obs",
"element": "note",
"variable": "n"
},
{
"context": "n",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueId": "txt"
}
]
}
]
}
]
}
]
},
{
"name": "narr_18776_5",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'unit/instructions') and answer.value.exists()"
}
],
"target": [
{
"context": "bundle",
"element": "entry",
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{
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"variable": "obs",
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{
"valueString": "Observation"
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],
"rule": [
{
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}
],
"target": [
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"context": "obs"
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{
"context": "entry"
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],
"dependent": [
{
"name": "BuildObsBase",
"parameter": [
{
"valueId": "qr"
},
{
"valueId": "obs"
},
{
"valueId": "entry"
}
]
}
]
},
{
"name": "category",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs"
}
],
"dependent": [
{
"name": "SetSurveyCategory",
"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": [
{
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}
],
"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": "18776-5"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Plan of care note"
}
]
}
]
}
]
},
{
"name": "codeText",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Instructions on the ICU observation chart"
}
]
}
]
}
]
},
{
"name": "answer",
"source": [
{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "text",
"source": [
{
"context": "a",
"element": "value",
"variable": "txt"
}
],
"target": [
{
"context": "obs",
"element": "note",
"variable": "n"
},
{
"context": "n",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueId": "txt"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "roundRows",
"source": [
{
"context": "qr",
"element": "item",
"variable": "g",
"condition": "linkId = 'round'"
}
],
"rule": [
{
"name": "vital_8310_5",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/temperature') and answer.value.ofType(Quantity).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"
}
]
}
]
},
{
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"context": "it"
}
],
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{
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"element": "code",
"variable": "cc"
}
],
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{
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}
],
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"variable": "cg"
}
],
"rule": [
{
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"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",
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{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "value",
"source": [
{
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"variable": "v"
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],
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"element": "value",
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"parameter": [
{
"valueId": "v"
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},
{
"name": "roundTime",
"source": [
{
"context": "g"
}
],
"target": [
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"context": "obs"
}
],
"dependent": [
{
"name": "SetRoundTime",
"parameter": [
{
"valueId": "g"
},
{
"valueId": "obs"
}
]
}
]
}
]
},
{
"name": "vital_8867_4",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'round/vitals/pulse') and answer.value.ofType(Quantity).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": [
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},
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],
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}
]
}
]
},
{
"name": "comp_icu_care_suctioned",
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],
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],
"rule": [
{
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],
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"parameter": [
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"valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "icu-care-suctioned"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Suctioned"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
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{
"valueId": "it"
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{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_icu_care_sighs_given",
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{
"context": "c",
"element": "item",
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}
],
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{
"context": "obs",
"element": "component",
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}
],
"rule": [
{
"name": "code",
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"context": "it"
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],
"rule": [
{
"name": "coding",
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"context": "it"
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],
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{
"context": "cc",
"element": "coding",
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],
"rule": [
{
"name": "sys",
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"context": "it"
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],
"target": [
{
"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"
}
],
"target": [
{
"context": "cg",
"element": "code",
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"parameter": [
{
"valueString": "icu-care-sighs-given"
}
]
}
]
},
{
"name": "dsp",
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{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
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{
"valueString": "Sighs given"
}
]
}
]
}
]
}
]
},
{
"name": "value",
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{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
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{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
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{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_icu_care_position_of_the_patient",
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{
"context": "c",
"element": "item",
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}
],
"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",
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}
],
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"name": "sys",
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"context": "it"
}
],
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"context": "cg",
"element": "system",
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"valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
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{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "icu-care-position-of-the-patient"
}
]
}
]
},
{
"name": "dsp",
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{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Position of the patient"
}
]
}
]
}
]
}
]
},
{
"name": "value",
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{
"context": "it"
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],
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"context": "comp"
}
],
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{
"name": "SetComponentCodedValue",
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{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "roundTime",
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{
"context": "g"
}
],
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{
"context": "obs"
}
],
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"name": "SetRoundTime",
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{
"valueId": "g"
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{
"valueId": "obs"
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]
}
]
}
],
"documentation": "── Nursing care done on the round ────────────────────────────────────\r\nIts own panel. Turning, suctioning and chest physiotherapy are what\r\nprevent the two complications this population dies of, and the chart is\r\nwhere they are evidenced."
},
{
"name": "narr_icu_care_remarks_on_an_intensive_care_round",
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}
],
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"context": "bundle",
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},
{
"context": "entry",
"element": "resource",
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"transform": "create",
"parameter": [
{
"valueString": "Observation"
}
]
}
],
"rule": [
{
"name": "base",
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{
"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": "SetSurveyCategory",
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{
"valueId": "qr"
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{
"valueId": "obs"
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}
]
},
{
"name": "code",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "obs",
"element": "code",
"variable": "cc"
}
],
"rule": [
{
"name": "coding",
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"context": "it"
}
],
"target": [
{
"context": "cc",
"element": "coding",
"variable": "cg"
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],
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"name": "sys",
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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"
}
],
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{
"context": "cg",
"element": "code",
"transform": "copy",
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"valueString": "icu-care-remarks-on-an-intensive-care-round"
}
]
}
]
},
{
"name": "dsp",
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{
"context": "it"
}
],
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{
"context": "cg",
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}
]
}
]
},
{
"name": "answer",
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{
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"listMode": "first",
"variable": "a"
}
],
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"name": "text",
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}
],
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{
"context": "obs",
"element": "note",
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{
"context": "n",
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"transform": "copy",
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"valueId": "txt"
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]
}
]
}
]
}
]
}
],
"documentation": "── One round ───────────────────────────────────────────────────────────"
}
]
},
{
"name": "SetRoundTime",
"documentation": "The round's own time, on every Observation from that round. A time and not a\r\ndateTime on the paper, so it rides as a note: the chart's columns are clock\r\nhours across a 24-hour sheet and the date comes from the response.",
"input": [
{
"name": "g",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
"mode": "target"
}
],
"rule": [
{
"name": "roundTimeRule",
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"context": "g",
"element": "item",
"variable": "it",
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}
],
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{
"name": "answer",
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"context": "it",
"element": "answer",
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"variable": "a"
}
],
"rule": [
{
"name": "timeNote",
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{
"context": "a",
"element": "value",
"variable": "t"
}
],
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{
"context": "obs",
"element": "note",
"variable": "n"
},
{
"context": "n",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Taken at the clock time recorded for this round on the chart"
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}
]
}
]
}
]
},
{
"name": "recordedByRule",
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"context": "g",
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],
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"name": "answer",
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],
"rule": [
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"name": "performer",
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"context": "a",
"element": "value",
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}
],
"target": [
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"context": "obs",
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}
]
}
]
}
]
}
]
},
{
"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─────────────────────────────────────────────────────────────────────────────",
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"type": "QR",
"mode": "source"
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{
"name": "obs",
"type": "Observation",
"mode": "target"
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{
"name": "entry",
"mode": "target"
}
],
"rule": [
{
"name": "responseProvenance",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "obs"
}
],
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{
"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",
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{
"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",
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{
"context": "qr",
"element": "source",
"variable": "src"
}
],
"target": [
{
"context": "obs",
"element": "performer",
"transform": "copy",
"parameter": [
{
"valueId": "src"
}
]
}
]
},
{
"name": "performerFallback",
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{
"context": "qr",
"condition": "source.exists().not()"
}
],
"rule": [
{
"name": "performerFromAuthor",
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{
"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": "SetLaboratoryCategory",
"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": "laboratory"
}
]
}
]
},
{
"name": "categoryDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Laboratory"
}
]
}
]
}
]
}
]
}
]
},
{
"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": "SetProcedureCategory",
"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": "procedure"
}
]
}
]
},
{
"name": "categoryDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Procedure"
}
]
}
]
}
]
}
]
}
]
},
{
"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-observation-chart"
}
]
}
]
},
{
"name": "provenanceDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "t",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "ICU 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."
}
]
}
]
}