FHIR IG analytics| Package | silfhirprofileig |
| Resource Type | StructureMap |
| Id | StructureMap-ExtractPalliativeCareAssessment.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractPalliativeCareAssessment.html |
| URL | https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPalliativeCareAssessment |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-11T12:18:36+00:00 |
| Name | ExtractPalliativeCareAssessment |
| Title | Palliative Care Assessment Extraction |
| Description | The palliative care assessment out as: one symptom-assessment Observation carrying all twenty-two symptoms as components, because the panel is the assessment and a patient with no symptoms ticked has said something a set of absent Observations could not; a Condition for the diagnosis, reconciled against the problem list where the assessor picked an existing one; one Observation for the prior oncological treatment; separate Observations for the patient's own goals and the carer's, because the two often differ and the form asks both; and a CarePlan whose activities are the problem-and-action rows. |
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Generated Narrative: StructureMap ExtractPalliativeCareAssessment
/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPalliativeCareAssessment' /// name = 'ExtractPalliativeCareAssessment' /// title = 'Palliative Care Assessment Extraction' /// status = 'active' /// description = 'The palliative care assessment out as: one symptom-assessment Observation carrying all twenty-two symptoms as components, because the panel is the assessment and a patient with no symptoms ticked has said something a set of absent Observations could not; a Condition for the diagnosis, reconciled against the problem list where the assessor picked an existing one; one Observation for the prior oncological treatment; separate Observations for the patient\'s own goals and the carer\'s, because the two often differ and the form asks both; and a CarePlan whose activities are the problem-and-action rows.' uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target uses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target uses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as target uses "http://hl7.org/fhir/StructureDefinition/CarePlan" alias CarePlan as target group ExtractPalliativeCareAssessment(source qr : QR, target bundle : Bundle) { qr -> bundle.type = 'transaction' "setBundleType"; // ── The symptom checklist, as one panel ───────────────────────────────── // Twenty-two components on one Observation. A palliative assessment is read // as a whole -- which symptoms are present today, against which were present // last week -- and twenty-two loose Observations make that comparison a // twenty-two-query job. qr.item as g where ((linkId = 'symptoms') 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 SetSurveyCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'palliative-symptom' "cd"; g -> cg.display = 'Palliative care symptom' "dsp"; } "coding"; g -> cc.text = 'Palliative care symptom checklist' "codeText"; } "code"; g.item as it where ((linkId = 'symptoms/abdominal-pain') 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 = 'palliative-abdominal-pain' "cd"; it -> cg.display = 'Abdominal pain' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_abdominal_pain"; g.item as it where ((linkId = 'symptoms/nausea-vomiting') 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 = 'palliative-nausea-or-vomiting' "cd"; it -> cg.display = 'Nausea or vomiting' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_nausea_or_vomiting"; g.item as it where ((linkId = 'symptoms/constipation') 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 = 'palliative-constipation' "cd"; it -> cg.display = 'Constipation' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_constipation"; g.item as it where ((linkId = 'symptoms/diarrhoea') 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 = 'palliative-diarrhoea' "cd"; it -> cg.display = 'Diarrhoea' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_diarrhoea"; g.item as it where ((linkId = 'symptoms/melaena') 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 = 'palliative-melaena' "cd"; it -> cg.display = 'Melaena' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_melaena"; g.item as it where ((linkId = 'symptoms/loss-of-appetite') 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 = 'palliative-loss-of-appetite' "cd"; it -> cg.display = 'Loss of appetite' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_loss_of_appetite"; g.item as it where ((linkId = 'symptoms/body-weakness') 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 = 'palliative-body-weakness' "cd"; it -> cg.display = 'Body weakness' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_body_weakness"; g.item as it where ((linkId = 'symptoms/pr-bleeding') 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 = 'palliative-per-rectal-bleeding' "cd"; it -> cg.display = 'Per rectal bleeding' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_per_rectal_bleeding"; g.item as it where ((linkId = 'symptoms/pr-pain') 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 = 'palliative-per-rectal-pain' "cd"; it -> cg.display = 'Per rectal pain' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_per_rectal_pain"; g.item as it where ((linkId = 'symptoms/weight-loss') 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 = 'palliative-weight-loss' "cd"; it -> cg.display = 'Weight loss' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_weight_loss"; g.item as it where ((linkId = 'symptoms/jaundice') 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 = 'palliative-jaundice' "cd"; it -> cg.display = 'Jaundice' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_jaundice"; g.item as it where ((linkId = 'symptoms/fever') 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 = 'palliative-fever' "cd"; it -> cg.display = 'Fever' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_fever"; g.item as it where ((linkId = 'symptoms/chest-pain') 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 = 'palliative-chest-pain' "cd"; it -> cg.display = 'Chest pain' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_chest_pain"; g.item as it where ((linkId = 'symptoms/cough') 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 = 'palliative-cough' "cd"; it -> cg.display = 'Cough' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_cough"; g.item as it where ((linkId = 'symptoms/incontinence') 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 = 'palliative-incontinence' "cd"; it -> cg.display = 'Incontinence' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_incontinence"; g.item as it where ((linkId = 'symptoms/headache') 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 = 'palliative-headache' "cd"; it -> cg.display = 'Headache' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_headache"; g.item as it where ((linkId = 'symptoms/poor-vision') 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 = 'palliative-poor-vision' "cd"; it -> cg.display = 'Poor vision' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_poor_vision"; g.item as it where ((linkId = 'symptoms/weakness-of-limbs') 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 = 'palliative-weakness-of-limbs' "cd"; it -> cg.display = 'Weakness of limbs' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_weakness_of_limbs"; g.item as it where ((linkId = 'symptoms/dry-mouth') 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 = 'palliative-dry-mouth' "cd"; it -> cg.display = 'Dry mouth' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_dry_mouth"; g.item as it where ((linkId = 'symptoms/excessive-sleep') 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 = 'palliative-excessive-sleep' "cd"; it -> cg.display = 'Excessive sleep' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_excessive_sleep"; g.item as it where ((linkId = 'symptoms/hallucinations') 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 = 'palliative-hallucinations' "cd"; it -> cg.display = 'Hallucinations' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_hallucinations"; g.item as it where ((linkId = 'symptoms/sore-mouth') 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 = 'palliative-sore-mouth' "cd"; it -> cg.display = 'Sore mouth' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_palliative_sore_mouth"; } "symptomPanel"; // ── Diagnosis ─────────────────────────────────────────────────────────── // The form asks for both an existing Condition and the diagnosis as written. // Where an existing one was picked, the map records the reference as evidence // rather than creating a second Condition -- a palliative referral should not // fork the problem list of a patient who already has a coded cancer on it. qr.item as g where (linkId = 'diagnosis') then { g.item as it where ((linkId = 'diagnosis/text') and answer.value.exists()) -> bundle.entry as entry, entry.resource = create('Condition') as cond then { qr -> cond, entry then BuildConditionBase(qr, cond, entry) "base"; it -> cond.clinicalStatus as cs then { it -> cs.coding as cg then { it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "sys"; it -> cg.code = 'active' "cd"; it -> cg.display = 'Active' "dsp"; } "coding"; } "clinicalStatus"; it -> cond.category as cat then { it -> cat.coding as cg then { it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "sys"; it -> cg.code = 'problem-list-item' "cd"; it -> cg.display = 'Problem List Item' "dsp"; } "coding"; } "category"; it.answer first as a then { a.value as txt -> cond.code as cc, cc.text = txt "codeText"; }; qr.authored as t -> cond.recordedDate = t "recordedDate"; qr.encounter as e -> cond.encounter = e; g.item as ex where ((linkId = 'diagnosis/condition') and answer.value.exists()) then { ex.answer first as ea then { ea.value as existing -> cond.evidence as ev, ev.reference = existing "evidenceReference"; }; } "existingRule"; } "diagnosisCondition"; } "diagnosisGroup"; // ── Prior oncological treatment ───────────────────────────────────────── // One Observation with a note per modality. The form takes free text -- "RT // 2024, 25 fractions" -- and a Procedure built from that would claim a date // and a body site it does not have. qr.item as g where ((linkId = 'prior-treatment') 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 SetSurveyCategory(qr, obs) "category"; g -> obs.code as cc then { g -> cc.coding as cg then { g -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; g -> cg.code = 'prior-oncological-treatment' "cd"; g -> cg.display = 'Prior oncological treatment' "dsp"; } "coding"; } "code"; g.item as it where (linkId = 'prior-treatment/radiotherapy') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note"; g.item as it where (linkId = 'prior-treatment/chemotherapy') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note2"; g.item as it where (linkId = 'prior-treatment/surgery') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note3"; g.item as it where (linkId = 'prior-treatment/other') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note4"; g.item as it where (linkId = 'prior-treatment/p24-markers') then { it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "note5"; g.item as it where ((linkId = 'prior-treatment/not-discussed') 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 = 'prior-treatment-not-discussed-with-the-patient' "cd"; it -> cg.display = 'Prior treatment not discussed with the patient' "dsp"; } "coding"; } "code"; it -> comp then SetComponentCodedValue(it, comp) "value"; } "comp_prior_treatment_not_discussed_with_the_patient"; } "priorTreatmentPanel"; // ── Goals, patient's and carer's, kept apart ──────────────────────────── // Two Observations, deliberately. A carer who wants their relative admitted // and a patient who wants to die at home are both recorded, and folding them // into one note would hide exactly the conflict a palliative team has to work // with. qr.item as g where (linkId = 'psychosocial') then { g.item as it where ((linkId = 'psychosocial/patient-goals') 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 = 'patient-goals' "cd"; it -> cg.display = 'Patient goals and expectations' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_patient_goals"; g.item as it where ((linkId = 'psychosocial/patient-stresses') 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 = 'patient-goals' "cd"; it -> cg.display = 'Patient goals and expectations' "dsp"; } "coding"; it -> cc.text = 'Stresses the patient carries, and the help they feel is appropriate' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_patient_goals2"; g.item as it where ((linkId = 'psychosocial/carer-goals') 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 = 'carer-goals' "cd"; it -> cg.display = 'Carer goals and expectations' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_carer_goals"; g.item as it where ((linkId = 'psychosocial/carer-stresses') 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 = 'carer-goals' "cd"; it -> cg.display = 'Carer goals and expectations' "dsp"; } "coding"; it -> cc.text = 'Stresses the carer carries, and the help they feel is appropriate' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_carer_goals2"; g.item as it where ((linkId = 'psychosocial/spiritual-assessment') 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 = 'spiritual-assessment' "cd"; it -> cg.display = 'Spiritual assessment' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_spiritual_assessment"; g.item as it where ((linkId = 'psychosocial/social-issues') 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 = '29762-2' "cd"; it -> cg.display = 'Social history note' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_29762_2"; g.item as it where ((linkId = 'psychosocial/current-treatment') 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 = '10160-0' "cd"; it -> cg.display = 'History of Medication use Narrative' "dsp"; } "coding"; it -> cc.text = 'Current treatment' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_10160_0"; } "psychosocialGroup"; qr.item as it where ((linkId = 'history-of-illness') 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 = '10164-2' "cd"; it -> cg.display = 'History of Present illness Narrative' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_10164_2"; qr.item as g where (linkId = 'referral') then { g.item as it where ((linkId = 'referral/source') 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 = 'palliative-referral-source' "cd"; it -> cg.display = 'Palliative referral source' "dsp"; } "coding"; } "code"; it.answer first as a then { a.value as cv -> obs.value = create('CodeableConcept') as cc then { cv -> cc.coding = cv "valueCoding"; cv.display as d -> cc.text = d "valueText"; } "codedValue"; }; } "coded_palliative_symptom"; g.item as it where ((linkId = 'referral/source-detail') 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 = 'palliative-referral-source' "cd"; it -> cg.display = 'Palliative referral source' "dsp"; } "coding"; it -> cc.text = 'Referral detail' "codeText"; } "code"; it.answer first as a then { a.value as txt -> obs.note as n, n.text = txt "text"; }; } "narr_palliative_referral_source"; } "referralGroup"; // ── The problem and action plan ───────────────────────────────────────── // One CarePlan, with a row per problem. Each row becomes an activity whose // display is the problem and whose progress note is the action -- the plan is // the deliverable of a palliative assessment, and the ward picks it up from // there rather than from the assessment narrative. // Guarded on at least one problem row: a CarePlan with no activities is a // plan nobody made. qr where (item.where(linkId = 'problem').item.where(linkId = 'problem/description').answer.value.exists()) -> bundle.entry as entry, entry.resource = create('CarePlan') as plan then { qr -> plan, entry then BuildCarePlanBase(qr, plan, entry) "base"; qr -> plan.status = 'active' "status"; qr -> plan.intent = 'plan' "intent"; qr -> plan.title = 'Palliative care plan' "title"; qr.authored as t -> plan.created = t "created"; qr.encounter as e -> plan.encounter = e; qr.source as src -> plan.custodian = src "custodian"; qr -> plan.category as cat then { qr -> cat.coding as cg then { qr -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys"; qr -> cg.code = 'palliative-problem' "cd"; qr -> cg.display = 'Palliative care problem' "dsp"; } "coding"; } "category"; qr.item as g where (linkId = 'problem') then { g.item as it where ((linkId = 'problem/description') and answer.value.exists()) -> plan.activity as act then { it.answer first as a then { a.value as txt -> act.plannedActivityReference = create('Reference') as ref, ref.display = txt "problemDisplay"; }; } "problemRow"; g.item as it where ((linkId = 'problem/action-plan') and answer.value.exists()) then { it.answer first as a then { a.value as txt -> plan.note as n, n.text = txt "actionNote"; }; } "actionRow"; } "problemRows"; } "palliativeCarePlan"; } // ───────────────────────────────────────────────────────────────────────────── // 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 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 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 BuildConditionBase(source qr : QR, target r : Condition, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetConditionFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'Condition' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetConditionFullUrl(source r : Condition, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Condition/', id) "assignFullUrl"; } group BuildCarePlanBase(source qr : QR, target r : CarePlan, target entry) { qr -> r then SetResponseProvenance(qr, r) "responseProvenance"; qr -> r.id = uuid() then SetCarePlanFullUrl(r, entry) "idAndFullUrl"; qr -> entry.request as request then { qr -> request.method = 'POST' "requestMethod"; qr -> request.url = 'CarePlan' "requestUrl"; } "entryRequest"; qr.subject as s -> r.subject = s; } group SetCarePlanFullUrl(source r : CarePlan, target entry) { r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/CarePlan/', id) "assignFullUrl"; } // ── Provenance and tenancy ─────────────────────────────────────────────────── // Two tags on everything this map creates. The first says which questionnaire // produced it, so a form that reopens mid-admission recalls its own earlier // entries and not another form's. The second copies the tenant tags off the // response, because nothing else on the path puts them there. // The code is the form's document type, not the questionnaire's id: every // environment mints its own ids, and there is only one set of maps, so an id // here would tie the tag to whichever environment stamped it. // ── Provenance and tenancy ─────────────────────────────────────────────────── group SetResponseProvenance(source qr : QR, target r) { qr -> r.meta as m then { qr -> m.tag as t then { qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem"; qr -> t.code = 'palliative-care-assessment' "provenanceCode"; qr -> t.display = 'Palliative care assessment' "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"; }
FHIR
FHIRsmith{
"resourceType": "StructureMap",
"id": "ExtractPalliativeCareAssessment",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractPalliativeCareAssessment",
"version": "0.1.0",
"name": "ExtractPalliativeCareAssessment",
"title": "Palliative Care Assessment 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": "The palliative care assessment out as: one symptom-assessment Observation carrying all twenty-two symptoms as components, because the panel is the assessment and a patient with no symptoms ticked has said something a set of absent Observations could not; a Condition for the diagnosis, reconciled against the problem list where the assessor picked an existing one; one Observation for the prior oncological treatment; separate Observations for the patient's own goals and the carer's, because the two often differ and the form asks both; and a CarePlan whose activities are the problem-and-action rows.",
"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"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/Condition",
"mode": "target",
"alias": "Condition"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/CarePlan",
"mode": "target",
"alias": "CarePlan"
}
],
"group": [
{
"name": "ExtractPalliativeCareAssessment",
"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": "symptomPanel",
"source": [
{
"context": "qr",
"element": "item",
"variable": "g",
"condition": "(linkId = 'symptoms') 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": "SetSurveyCategory",
"parameter": [
{
"valueId": "qr"
},
{
"valueId": "obs"
}
]
}
]
},
{
"name": "code",
"source": [
{
"context": "g"
}
],
"target": [
{
"context": "obs",
"element": "code",
"variable": "cc"
}
],
"rule": [
{
"name": "coding",
"source": [
{
"context": "g"
}
],
"target": [
{
"context": "cc",
"element": "coding",
"variable": "cg"
}
],
"rule": [
{
"name": "sys",
"source": [
{
"context": "g"
}
],
"target": [
{
"context": "cg",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "g"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-symptom"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "g"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Palliative care symptom"
}
]
}
]
}
]
},
{
"name": "codeText",
"source": [
{
"context": "g"
}
],
"target": [
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueString": "Palliative care symptom checklist"
}
]
}
]
}
]
},
{
"name": "comp_palliative_abdominal_pain",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/abdominal-pain') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-abdominal-pain"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Abdominal pain"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_nausea_or_vomiting",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/nausea-vomiting') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-nausea-or-vomiting"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Nausea or vomiting"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_constipation",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/constipation') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-constipation"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Constipation"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_diarrhoea",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/diarrhoea') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-diarrhoea"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Diarrhoea"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_melaena",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/melaena') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-melaena"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Melaena"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_loss_of_appetite",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/loss-of-appetite') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-loss-of-appetite"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Loss of appetite"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_body_weakness",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/body-weakness') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-body-weakness"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Body weakness"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_per_rectal_bleeding",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/pr-bleeding') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-per-rectal-bleeding"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Per rectal bleeding"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_per_rectal_pain",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/pr-pain') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-per-rectal-pain"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Per rectal pain"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_weight_loss",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/weight-loss') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-weight-loss"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Weight loss"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_jaundice",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/jaundice') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-jaundice"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Jaundice"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_fever",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/fever') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-fever"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Fever"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_chest_pain",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/chest-pain') 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",
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{
"context": "it"
}
],
"target": [
{
"context": "cc",
"element": "coding",
"variable": "cg"
}
],
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{
"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": "palliative-chest-pain"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Chest pain"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_cough",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/cough') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-cough"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Cough"
}
]
}
]
}
]
}
]
},
{
"name": "value",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "comp"
}
],
"dependent": [
{
"name": "SetComponentCodedValue",
"parameter": [
{
"valueId": "it"
},
{
"valueId": "comp"
}
]
}
]
}
]
},
{
"name": "comp_palliative_incontinence",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/incontinence') 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": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-incontinence"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
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}
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}
]
},
{
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{
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}
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}
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}
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}
],
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}
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},
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}
],
"target": [
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}
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}
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}
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"name": "comp_palliative_hallucinations",
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"context": "g",
"element": "item",
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}
],
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],
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}
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]
}
]
},
{
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"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
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}
]
}
]
}
]
}
]
},
{
"name": "value",
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"context": "it"
}
],
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"context": "comp"
}
],
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"name": "SetComponentCodedValue",
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},
{
"name": "comp_palliative_sore_mouth",
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{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'symptoms/sore-mouth') and answer.value.exists()"
}
],
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"context": "obs",
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],
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],
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],
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}
]
},
{
"name": "cd",
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"context": "it"
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],
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}
]
}
]
},
{
"name": "dsp",
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"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Sore mouth"
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}
]
}
]
}
]
},
{
"name": "value",
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"context": "it"
}
],
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}
],
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}
]
}
],
"documentation": "── The symptom checklist, as one panel ─────────────────────────────────\r\nTwenty-two components on one Observation. A palliative assessment is read\r\nas a whole -- which symptoms are present today, against which were present\r\nlast week -- and twenty-two loose Observations make that comparison a\r\ntwenty-two-query job."
},
{
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"context": "qr",
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}
],
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{
"name": "diagnosisCondition",
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}
],
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},
{
"context": "entry",
"element": "resource",
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"parameter": [
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"valueString": "Condition"
}
]
}
],
"rule": [
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{
"context": "qr"
}
],
"target": [
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"context": "cond"
},
{
"context": "entry"
}
],
"dependent": [
{
"name": "BuildConditionBase",
"parameter": [
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"valueId": "qr"
},
{
"valueId": "cond"
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{
"valueId": "entry"
}
]
}
]
},
{
"name": "clinicalStatus",
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{
"context": "it"
}
],
"target": [
{
"context": "cond",
"element": "clinicalStatus",
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}
],
"rule": [
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"name": "coding",
"source": [
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"context": "it"
}
],
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{
"context": "cs",
"element": "coding",
"variable": "cg"
}
],
"rule": [
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"name": "sys",
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}
],
"target": [
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"context": "cg",
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]
}
]
},
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}
],
"target": [
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"context": "cg",
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]
}
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},
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],
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"context": "cg",
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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": "it"
}
],
"target": [
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"context": "cg",
"element": "code",
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}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "it"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Problem List Item"
}
]
}
]
}
]
}
]
},
{
"name": "answer",
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{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "codeText",
"source": [
{
"context": "a",
"element": "value",
"variable": "txt"
}
],
"target": [
{
"context": "cond",
"element": "code",
"variable": "cc"
},
{
"context": "cc",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueId": "txt"
}
]
}
]
}
]
},
{
"name": "recordedDate",
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{
"context": "qr",
"element": "authored",
"variable": "t"
}
],
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"context": "cond",
"element": "recordedDate",
"transform": "copy",
"parameter": [
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"valueId": "t"
}
]
}
]
},
{
"name": "encounter",
"source": [
{
"context": "qr",
"element": "encounter",
"variable": "e"
}
],
"target": [
{
"context": "cond",
"element": "encounter",
"transform": "copy",
"parameter": [
{
"valueId": "e"
}
]
}
]
},
{
"name": "existingRule",
"source": [
{
"context": "g",
"element": "item",
"variable": "ex",
"condition": "(linkId = 'diagnosis/condition') and answer.value.exists()"
}
],
"rule": [
{
"name": "answer",
"source": [
{
"context": "ex",
"element": "answer",
"listMode": "first",
"variable": "ea"
}
],
"rule": [
{
"name": "evidenceReference",
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"context": "ea",
"element": "value",
"variable": "existing"
}
],
"target": [
{
"context": "cond",
"element": "evidence",
"variable": "ev"
},
{
"context": "ev",
"element": "reference",
"transform": "copy",
"parameter": [
{
"valueId": "existing"
}
]
}
]
}
]
}
]
}
]
}
],
"documentation": "── Diagnosis ───────────────────────────────────────────────────────────\r\nThe form asks for both an existing Condition and the diagnosis as written.\r\nWhere an existing one was picked, the map records the reference as evidence\r\nrather than creating a second Condition -- a palliative referral should not\r\nfork the problem list of a patient who already has a coded cancer on it."
},
{
"name": "priorTreatmentPanel",
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{
"context": "qr",
"element": "item",
"variable": "g",
"condition": "(linkId = 'prior-treatment') 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"
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"valueString": "Palliative care plan"
}
]
}
]
},
{
"name": "created",
"source": [
{
"context": "qr",
"element": "authored",
"variable": "t"
}
],
"target": [
{
"context": "plan",
"element": "created",
"transform": "copy",
"parameter": [
{
"valueId": "t"
}
]
}
]
},
{
"name": "encounter",
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{
"context": "qr",
"element": "encounter",
"variable": "e"
}
],
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{
"context": "plan",
"element": "encounter",
"transform": "copy",
"parameter": [
{
"valueId": "e"
}
]
}
]
},
{
"name": "custodian",
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{
"context": "qr",
"element": "source",
"variable": "src"
}
],
"target": [
{
"context": "plan",
"element": "custodian",
"transform": "copy",
"parameter": [
{
"valueId": "src"
}
]
}
]
},
{
"name": "category",
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{
"context": "qr"
}
],
"target": [
{
"context": "plan",
"element": "category",
"variable": "cat"
}
],
"rule": [
{
"name": "coding",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cat",
"element": "coding",
"variable": "cg"
}
],
"rule": [
{
"name": "sys",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cg",
"element": "system",
"transform": "copy",
"parameter": [
{
"valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
}
]
}
]
},
{
"name": "cd",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cg",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "palliative-problem"
}
]
}
]
},
{
"name": "dsp",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "cg",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Palliative care problem"
}
]
}
]
}
]
}
]
},
{
"name": "problemRows",
"source": [
{
"context": "qr",
"element": "item",
"variable": "g",
"condition": "linkId = 'problem'"
}
],
"rule": [
{
"name": "problemRow",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'problem/description') and answer.value.exists()"
}
],
"target": [
{
"context": "plan",
"element": "activity",
"variable": "act"
}
],
"rule": [
{
"name": "answer",
"source": [
{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "problemDisplay",
"source": [
{
"context": "a",
"element": "value",
"variable": "txt"
}
],
"target": [
{
"context": "act",
"element": "plannedActivityReference",
"variable": "ref",
"transform": "create",
"parameter": [
{
"valueString": "Reference"
}
]
},
{
"context": "ref",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueId": "txt"
}
]
}
]
}
]
}
]
},
{
"name": "actionRow",
"source": [
{
"context": "g",
"element": "item",
"variable": "it",
"condition": "(linkId = 'problem/action-plan') and answer.value.exists()"
}
],
"rule": [
{
"name": "answer",
"source": [
{
"context": "it",
"element": "answer",
"listMode": "first",
"variable": "a"
}
],
"rule": [
{
"name": "actionNote",
"source": [
{
"context": "a",
"element": "value",
"variable": "txt"
}
],
"target": [
{
"context": "plan",
"element": "note",
"variable": "n"
},
{
"context": "n",
"element": "text",
"transform": "copy",
"parameter": [
{
"valueId": "txt"
}
]
}
]
}
]
}
]
}
]
}
],
"documentation": "── The problem and action plan ─────────────────────────────────────────\r\nOne CarePlan, with a row per problem. Each row becomes an activity whose\r\ndisplay is the problem and whose progress note is the action -- the plan is\r\nthe deliverable of a palliative assessment, and the ward picks it up from\r\nthere rather than from the assessment narrative.\r\nGuarded on at least one problem row: a CarePlan with no activities is a\r\nplan nobody made."
}
]
},
{
"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",
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"mode": "target"
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{
"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",
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"context": "qr"
}
],
"target": [
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"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"
}
],
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{
"context": "obs",
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"parameter": [
{
"valueId": "s"
}
]
}
]
},
{
"name": "encounter",
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{
"context": "qr",
"element": "encounter",
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}
],
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{
"context": "obs",
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"parameter": [
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"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",
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"name": "it",
"mode": "source"
},
{
"name": "comp",
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}
],
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"name": "componentAnswer",
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"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",
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"name": "it",
"mode": "source"
},
{
"name": "comp",
"mode": "target"
}
],
"rule": [
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"variable": "a"
}
],
"rule": [
{
"name": "plainValue",
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"context": "a",
"element": "value",
"variable": "v"
}
],
"target": [
{
"context": "comp",
"element": "value",
"transform": "copy",
"parameter": [
{
"valueId": "v"
}
]
}
]
}
]
}
]
},
{
"name": "SetSurveyCategory",
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{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
"mode": "target"
}
],
"rule": [
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"name": "category",
"source": [
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"context": "qr"
}
],
"target": [
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"context": "obs",
"element": "category",
"variable": "cat"
}
],
"rule": [
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"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",
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"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "code",
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"parameter": [
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"valueString": "survey"
}
]
}
]
},
{
"name": "categoryDisplay",
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"context": "qr"
}
],
"target": [
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"context": "coding",
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"valueString": "Survey"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "SetExamCategory",
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"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
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"mode": "target"
}
],
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"context": "qr"
}
],
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}
],
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"context": "qr"
}
],
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"context": "cat",
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}
],
"rule": [
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"name": "categorySystem",
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"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "system",
"transform": "copy",
"parameter": [
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"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
]
},
{
"name": "categoryCode",
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{
"context": "qr"
}
],
"target": [
{
"context": "coding",
"element": "code",
"transform": "copy",
"parameter": [
{
"valueString": "exam"
}
]
}
]
},
{
"name": "categoryDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
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"context": "coding",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Exam"
}
]
}
]
}
]
}
]
}
]
},
{
"name": "SetVitalSignsCategory",
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{
"name": "qr",
"type": "QR",
"mode": "source"
},
{
"name": "obs",
"type": "Observation",
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}
],
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"name": "category",
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"context": "qr"
}
],
"target": [
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"context": "obs",
"element": "category",
"variable": "cat"
}
],
"rule": [
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"name": "categoryCoding",
"source": [
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"context": "qr"
}
],
"target": [
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"context": "cat",
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}
],
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"context": "qr"
}
],
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"context": "coding",
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"valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
}
]
},
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"context": "qr"
}
],
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"context": "coding",
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]
}
]
},
{
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"context": "qr"
}
],
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"context": "coding",
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"valueString": "Vital Signs"
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]
}
]
}
]
}
]
}
]
},
{
"name": "BuildConditionBase",
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"name": "qr",
"type": "QR",
"mode": "source"
},
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"name": "r",
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},
{
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"mode": "target"
}
],
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}
],
"target": [
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}
],
"dependent": [
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"name": "SetResponseProvenance",
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"valueId": "qr"
},
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}
]
}
]
},
{
"name": "idAndFullUrl",
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"context": "qr"
}
],
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"element": "id",
"transform": "uuid"
}
],
"dependent": [
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"name": "SetConditionFullUrl",
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"valueId": "r"
},
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}
]
}
]
},
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"name": "entryRequest",
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}
],
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}
],
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"name": "requestMethod",
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"context": "qr"
}
],
"target": [
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"context": "request",
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"valueString": "POST"
}
]
}
]
},
{
"name": "requestUrl",
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"context": "qr"
}
],
"target": [
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"context": "request",
"element": "url",
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}
]
}
]
}
]
},
{
"name": "subject",
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}
],
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"context": "r",
"element": "subject",
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}
]
}
]
}
]
},
{
"name": "SetConditionFullUrl",
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},
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"name": "entry",
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}
],
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"name": "assignFullUrl",
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],
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]
}
]
}
]
},
{
"name": "BuildCarePlanBase",
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"name": "qr",
"type": "QR",
"mode": "source"
},
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"name": "r",
"type": "CarePlan",
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},
{
"name": "entry",
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}
],
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"context": "qr"
}
],
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}
],
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"name": "SetResponseProvenance",
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"valueId": "r"
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]
}
]
},
{
"name": "idAndFullUrl",
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"context": "qr"
}
],
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"element": "id",
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}
],
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{
"name": "SetCarePlanFullUrl",
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"valueId": "r"
},
{
"valueId": "entry"
}
]
}
]
},
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"name": "entryRequest",
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"context": "qr"
}
],
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"context": "entry",
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}
],
"rule": [
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"name": "requestMethod",
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}
],
"target": [
{
"context": "request",
"element": "method",
"transform": "copy",
"parameter": [
{
"valueString": "POST"
}
]
}
]
},
{
"name": "requestUrl",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "request",
"element": "url",
"transform": "copy",
"parameter": [
{
"valueString": "CarePlan"
}
]
}
]
}
]
},
{
"name": "subject",
"source": [
{
"context": "qr",
"element": "subject",
"variable": "s"
}
],
"target": [
{
"context": "r",
"element": "subject",
"transform": "copy",
"parameter": [
{
"valueId": "s"
}
]
}
]
}
]
},
{
"name": "SetCarePlanFullUrl",
"input": [
{
"name": "r",
"type": "CarePlan",
"mode": "source"
},
{
"name": "entry",
"mode": "target"
}
],
"rule": [
{
"name": "assignFullUrl",
"source": [
{
"context": "r",
"element": "id",
"variable": "id"
}
],
"target": [
{
"context": "entry",
"element": "fullUrl",
"transform": "append",
"parameter": [
{
"valueString": "https://fhir.slade360.co.ke/fhir/CarePlan/"
},
{
"valueId": "id"
}
]
}
]
}
]
},
{
"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": "palliative-care-assessment"
}
]
}
]
},
{
"name": "provenanceDisplay",
"source": [
{
"context": "qr"
}
],
"target": [
{
"context": "t",
"element": "display",
"transform": "copy",
"parameter": [
{
"valueString": "Palliative care assessment"
}
]
}
]
}
]
}
]
},
{
"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."
}
]
}
]
}