Questionnaire to FHIR Semantic Layer - Données socles des Entrepôts de Données de Santé Hospitalier v0.1.0

Données socles des Entrepôts de Données de Santé Hospitalier - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

StructureMap: Questionnaire to FHIR Semantic Layer

Official URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureMap/Q2FSL				Version: 0.1.0
Draft as of 2026-08-27				Computable Name: Q2FSL

Transforms QuestionnaireResponse based on Questionnaire Usage Variables socles into FHIR resources conforming to DM profiles

Explication détaillées

La StructureMap comporte 10 groupes. Le point d'entrée QuestionnaireResponseToBundle initialise le Bundle puis enchaîne les 8 autres groupes producteurs de ressources ; CreateLabObservation est un groupe utilitaire appelé par CreateLaboratoryObservations pour chacune des 23 analyses de biologie, afin d'éviter de dupliquer 23 fois la même logique de construction d'Observation.

`QuestionnaireResponseToBundle` — point d'entrée

Initialise le Bundle (type = collection, timestamp), crée l'entrée Patient et enchaîne, dans cet ordre, tous les autres groupes producteurs de ressources : CreatePatient, CreateEncounters (qui enchaîne lui-même CreateConditions et CreateProcedures), CreateLaboratoryObservations, CreateMedicationRequests, CreateMedicationAdministrations, CreateVitalSignObservations.

group QuestionnaireResponseToBundle(source src : QuestionnaireResponse, target bundle : Bundle) {
  src -> bundle.type = 'collection' "bundle-type";
  src -> bundle.timestamp = (now()) "setTimestamp";
  src -> bundle.entry as patientEntry then {
    src -> patientEntry.resource = create('Patient') as patient then {
      src then CreatePatient(src, patient) "create-patient";
      src -> patient.id as patientId, patientEntry.fullUrl = append('urn:uuid:', patientId) "set-fullUrl";
      src then CreateLocations(src, patient, bundle) "create-locations";
      src then CreateEncounters(src, patient, bundle) "create-encounters";
      src then CreateLaboratoryObservations(src, patient, bundle) "create-lab-observations";
      src then CreateMedicationRequests(src, patient, bundle) "create-medication-requests";
      src then CreateMedicationAdministrations(src, patient, bundle) "create-medication-administrations";
      src then CreateVitalSignObservations(src, patient, bundle) "create-vital-signs";
    } "create-patient-resource";
  } "patient-entry";
}

`CreatePatient`

Le group CreatePatient alimente la ressource Patient à partir des éléments d'informations contenus dans le QR, à savoir :

élément id : génération d'un uuid
élément name : alimenté à partir des items "Nom patient" (8605698058770) et "Prénom patient" (6214879623503)
élément identifier : plusieurs identifiants peuvent être créé :
- le NIR, à partir de l'item "Numéro d'inscription au Répertoire (NIR)" (5711960356160)
- l'INS, à partir de l'item "Identité Nationale de Santé (INS)" (3764723550987)
élément birthDate : alimenté à partir de l'item "Date de naissance" (5036133558154)
élément deceased[x] : alimenté à partir de l'item "Date de décès" (5633552097315). La source de cette information peut être renseigné dans l'extension edsh-death-source à partir de l'item "Source de la date de décès" (9098810065693)
élémént multipleBirth[x] : alimenté à partir de l'item "Rang gémellaire du bénéficiaire" (6931296968515)
élément gender : alimenté à partir de l'item "Sexe" (3894630481120)
élément address : plusieurs informations peuvent être renseigné :
- le code commune PMSI, issue de l'item "Code géographique de résidence" (2446369196222) alimente l'extension edsh-pmsi-code-geo
- les coordonnées géographiques alimentent l'extension geolocation :
  - la latitude provient de l'item "Latitude" (3709843054556)
  - la longitude provient de l'item "Longitude" (7651448032665)
- l'IRIS, issue de l'item "IRIS" (7621032273792) alimente l'extension iso21090-ADXP-censusTract

// Group: Create Patient from QuestionnaireResponse
group CreatePatient(source src : QuestionnaireResponse, target patient : Patient) {
  src -> patient.id = uuid() "patient-id";
  src -> patient.meta = create('Meta') as meta then {
    src -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-patient' "patient-profile";
  } "patient-meta";

  // Extract patient identity data from linkId 4647259356106 > 2958000860428
  src.item as socioDemo where (linkId = '4647259356106') then {
    socioDemo.item as identity where (linkId = '2958000860428') then {

      // Patient name (linkId 8605698058770 = family, 6214879623503 = given)
      identity -> patient.name = create('HumanName') as name then {
        identity.item as familyItem where (linkId = '8605698058770') then {
          familyItem.answer as ans -> name.family = (%ans.valueString) "set-family";
        } "extract-family";
        identity.item as givenItem where (linkId = '6214879623503') then {
          givenItem.answer as ans -> name.given = (%ans.valueString) "set-given";
        } "extract-given";
      } "set-name";

      // NIR identifier (linkId 5711960356160)
      identity.item as nirItem where (linkId = '5711960356160') then {
        nirItem.answer as ans -> patient.identifier = create('Identifier') as nir then {
          ans -> nir.system = 'urn:oid:1.2.250.1.213.1.4.8' "nir-system";
          ans -> nir.value = (%ans.valueString) "nir-value";
          ans -> nir.type = cc('http://interopsante.org/fhir/CodeSystem/fr-v2-0203', 'NIR') "nir-type";
        } "set-nir";
      } "extract-nir";

      // INS identifier (linkId 3764723550987)
      identity.item as insItem where (linkId = '3764723550987') then {
        insItem.answer as ans -> patient.identifier = create('Identifier') as ins then {
          ans -> ins.system = 'urn:oid:1.2.250.1.213.1.4.10' "ins-system";
          ans -> ins.value = (%ans.valueString) "ins-value";
          ans -> ins.type = cc('http://interopsante.org/fhir/CodeSystem/fr-v2-0203', 'INS-C') "ins-type";
        } "set-ins";
      } "extract-ins";

      // Birth date (linkId 5036133558154)
      identity.item as birthItem where (linkId = '5036133558154') then {
        birthItem.answer as ans -> patient.birthDate = (%ans.valueDate) "set-birthdate";
      } "extract-birthdate";

      // Death date (linkId 5633552097315)
      identity.item as deathItem where (linkId = '5633552097315') then {
        deathItem.answer as ans -> patient.deceased = (%ans.valueDate) "set-deceased-date";
        // Death source (linkId 9098810065693)
        deathItem.item as deathSource where (linkId = '9098810065693') then {
          deathSource.answer as sourceAns -> patient.extension = create('Extension') as ext then {
            sourceAns -> ext.url = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-death-source' "death-source-url";
            sourceAns -> ext.value = (%sourceAns.valueCoding) "death-source-value";
          } "set-death-source-ext";
        } "extract-death-source";
      } "extract-death";

      // Multiple birth rank (linkId 6931296968515)
      identity.item as multipleItem where (linkId = '6931296968515') then {
        multipleItem.answer as ans -> patient.multipleBirth = (%ans.valueInteger) "set-multiple-birth";
      } "extract-multiple-birth";

    } "process-identity";

    // Gender from PMSI data (linkId 3894630481120 within 2825244231605)
    src.item as pmsiGroup where (linkId = '2825244231605') then {
      pmsiGroup.item as sexItem where (linkId = '3894630481120') then {
        sexItem.answer as ans then {
          ans.valueString as female where ($this = 'f') -> patient.gender = 'female' "setGenderF";
          ans.valueString as female where ($this = 'm') -> patient.gender = 'male' "setGenderM";
        } "valueCoding";
      } "extract-gender";

      // Address from code géographique (linkId 2446369196222)
      pmsiGroup.item as codeGeoItem where (linkId = '2446369196222') then {
        codeGeoItem.answer as ans -> patient.address = create('Address') as addr then {
          ans -> addr.extension = create('Extension') as ext then {
            ans -> ext.url = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-pmsi-code-geo' "codegeo-url";
            ans.value as val -> ext.value = cast(val, 'code') "codegeo-value";
          } "set-codegeo-ext";

          // Environnement
          socioDemo.item as environnementItem where (linkId = '5491974639955') then {
            // geolocation
            environnementItem.item as geocodageItem where (linkId = '3816475533472') -> addr.extension = create('Extension') as geolocationExt then {
              geocodageItem.item as latItem where (linkId = '3709843054556') -> geolocationExt.url = 'http://hl7.org/fhir/StructureDefinition/geolocation', geolocationExt.extension = create('Extension') as latExt then {
                latItem.answer as lat -> latExt.url = 'latitude', latExt.value = (%lat.valueDecimal) then {
                  geocodageItem.item as longItem where (linkId = '7651448032665') -> geolocationExt.extension = create('Extension') as longExt then {
                    longItem.answer as long -> longExt.url = 'longitude', longExt.value = (%long.valueDecimal) "setLong";
                  } "createLongExt";
                } "setLat";
              } "createLatExt";
            } "createGeolocExt";
            // IRIS
            environnementItem.item as irisItem where (linkId = '7621032273792') -> addr.line as addrLine, addrLine.extension = create('Extension') as irisExt then {
              irisItem.answer as ans -> irisExt.url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract',
              irisExt.valueString = (%ans.valueString) "setIrisExt";
            } "navIrisItem";

          } "navEnv";

        } "set-address";
      } "extract-codegeo";
    } "extract-pmsi-demographics";

  } "process-sociodemographics";
}

`CreateEncounters`

Crée l'Encounter à partir du groupe PMSI (linkId 2825244231605) :

id : dérivé de l'id du Patient en remplaçant -pat- par -sej-
status = finished, class = IMP (hospitalisation, v3-ActCode)
period.start / period.end : dates de début/fin de séjour (linkId 5991443718282 / 6114780320846)
hospitalization.admitSource / dischargeDisposition : mode d'entrée (linkId 6172398101212) / mode de sortie (linkId 3354867075704)
enchaîne CreateConditions et CreateProcedures sur ce même item PMSI

group CreateEncounters(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as pmsiItem where (linkId = '2825244231605') -> bundle.entry as encounterEntry then {
    pmsiItem -> encounterEntry.resource = create('Encounter') as encounter then {
      src -> patient.id as patIdForEnc, encounter.id = (%patIdForEnc.replace('-pat-', '-sej-')) "set-encounter-id";
      pmsiItem -> encounter.meta = create('Meta') as meta then {
        pmsiItem -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-encounter' "encounter-profile";
      } "encounter-meta";
      src -> encounter.status = 'finished' "setStatus";
      src -> encounter.class = c('http://terminology.hl7.org/CodeSystem/v3-ActCode', 'IMP') "setClass";
      src -> encounter.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
      pmsiItem -> encounter.period = create('Period') as period then {
        pmsiItem.item as startItem where (linkId = '5991443718282') then {
          startItem.answer as ans -> period.start = (%ans.value.ofType(date)) "set-start";
        } "extract-start";
        pmsiItem.item as endItem where (linkId = '6114780320846') then {
          endItem.answer as ans -> period.end = (%ans.value.ofType(date)) "set-end";
        } "extract-end";
      } "set-period";
      pmsiItem.item as modeInItem where (linkId = '6172398101212') then {
        modeInItem.answer as ans then {
          ans.valueString as valueString -> encounter.hospitalization as hosp, hosp.admitSource as admitSource,
            admitSource.coding as admitSourceCoding, admitSourceCoding.code = valueString "set-admit-source";
        } "navValue";
      } "extract-mode-in";
      pmsiItem.item as modeOutItem where (linkId = '3354867075704') then {
        modeOutItem.answer as ans then {
          ans.valueString as valueString -> encounter.hospitalization as hosp, hosp.dischargeDisposition as dischargeDisposition,
            dischargeDisposition.coding as dischargeDispositionCoding, dischargeDispositionCoding.code = valueString "set-discharge-disposition";
        } "navValue";
      } "extract-mode-out";
      src -> encounter.id as encId, encounterEntry.fullUrl = append('urn:uuid:', encId) "set-fullUrl";
      pmsiItem then CreateConditions(pmsiItem, patient, encounter, bundle) "create-conditions";
      pmsiItem then CreateProcedures(pmsiItem, patient, encounter, bundle) "create-procedures";
    } "create-encounter";
  } "encounter-entry";
}

`CreateConditions`

Un Condition par diagnostic (groupe répétable, linkId 9391816419630), appelé par CreateEncounters :

id : item "Identifiant" (linkId 123759733087)
code : diagnostic CIM-10 (linkId 5505101189372)
category : type de diagnostic (DP/DR/DA/DAD, linkId 6427586743735), codé dans le CodeSystem local pmsi-mco-diag-type
recordedDate : linkId 7114466839467
subject / encounter : références vers le Patient et l'Encounter du groupe appelant

group CreateConditions(source pmsiItem, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {
  pmsiItem.item as diagGroup where (linkId = '9391816419630') -> bundle.entry as conditionEntry then {
    diagGroup -> conditionEntry.resource = create('Condition') as condition then {
      diagGroup.item as condIdItem where (linkId = '123759733087') then {
        condIdItem.answer as condIdAns -> condition.id = (%condIdAns.value.ofType(string)) "set-condition-id";
      } "extract-condition-id";
      diagGroup -> condition.meta = create('Meta') as meta then {
        diagGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-condition' "condition-profile";
      } "condition-meta";
      diagGroup -> condition.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
      diagGroup -> encounter.id as encId, condition.encounter = create('Reference') as ref, ref.reference = append('Encounter/', encId) "set-encounter";
      diagGroup.item as diagCodeItem where (linkId = '5505101189372') then {
        diagCodeItem.answer as ans -> condition.code = create('CodeableConcept') as code then {
          ans -> code.coding as coding, coding.code = (%ans.value.ofType(string)) "set-coding";
        } "set-code";
      } "extract-diag-code";
      diagGroup.item as diagTypeItem where (linkId = '6427586743735') then {
        diagTypeItem.answer as ans -> condition.category = create('CodeableConcept') as category then {
          ans -> category.coding = create('Coding') as coding then {
            ans -> coding.system = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type' "diag-type-system";
            ans -> coding.code = (%ans.value.ofType(string)) "diag-type-code";
          } "set-category-coding";
        } "set-category";
      } "extract-diag-type";
      diagGroup.item as dateItem where (linkId = '7114466839467') then {
        dateItem.answer as ans -> condition.recordedDate = (%ans.value.ofType(date)) "set-recorded-date";
      } "extract-recorded-date";
      pmsiItem -> condition.id as condId, conditionEntry.fullUrl = append('urn:uuid:', condId) "set-fullUrl";
    } "create-condition";
  } "condition-entry";
}

`CreateProcedures`

Un Procedure par acte (groupe répétable, linkId 591926901726), appelé par CreateEncounters — même structure que CreateConditions :

id : linkId 151762387793 ; status = completed
code : acte CCAM (linkId 7758110033600)
performed : date/heure de réalisation (linkId 5066866286682)
subject / encounter : références vers le Patient et l'Encounter du groupe appelant

group CreateProcedures(source pmsiItem, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {
  pmsiItem.item as acteGroup where (linkId = '591926901726') -> bundle.entry as procedureEntry then {
    acteGroup -> procedureEntry.resource = create('Procedure') as procedure then {
      acteGroup.item as procIdItem where (linkId = '151762387793') then {
        procIdItem.answer as procIdAns -> procedure.id = (%procIdAns.value.ofType(string)) "set-procedure-id";
      } "extract-procedure-id";
      acteGroup -> procedure.meta = create('Meta') as meta then {
        acteGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-procedure' "procedure-profile";
      } "procedure-meta";
      acteGroup -> procedure.status = 'completed' "setStatus";
      acteGroup -> procedure.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
      acteGroup -> encounter.id as encId, procedure.encounter = create('Reference') as ref, ref.reference = append('Encounter/', encId) "set-encounter";
      acteGroup.item as acteCodeItem where (linkId = '7758110033600') then {
        acteCodeItem.answer as ans -> procedure.code = create('CodeableConcept') as code then {
          ans -> code.coding as coding, coding.code = (%ans.value.ofType(string)) "set-coding";
        } "set-code";
      } "extract-acte-code";
      acteGroup.item as dateItem where (linkId = '5066866286682') then {
        dateItem.answer as ans -> procedure.performed = (%ans.value.ofType(dateTime)) "set-performed";
      } "extract-performed-date";
      pmsiItem -> procedure.id as procId, procedureEntry.fullUrl = append('urn:uuid:', procId) "set-fullUrl";
    } "create-procedure";
  } "procedure-entry";
}

`CreateMedicationRequests`

Un MedicationRequest par médicament prescrit (groupe "Exposition médicamenteuse", linkId 817801935685 > groupe "Médicament prescrit", linkId 156631794800) :

id : linkId 145920953908 ; status = active, intent = order
medication : code ATC (linkId 1923143398283), avec le display repris du libellé de la réponse elle-même
dosageInstruction.route : voie d'administration (linkId 387026794874)
dosageInstruction.timing.repeat.bounds : dates de début/fin de la posologie (groupe "Posologie", linkId 6348237104421, sous-items 316347573327/429570775935)

group CreateMedicationRequests(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as medExpoGroup where (linkId = '817801935685') then {
    medExpoGroup.item as prescribedGroup where (linkId = '156631794800') -> bundle.entry as medReqEntry then {
      prescribedGroup -> medReqEntry.resource = create('MedicationRequest') as medReq then {
        prescribedGroup.answer as prescribedMedForId then {
          prescribedMedForId.item as medReqIdItem where (linkId = '145920953908') then {
            medReqIdItem.answer as medReqIdAns -> medReq.id = (%medReqIdAns.value.ofType(string)) "set-medreq-id";
          } "extract-medreq-id";
        } "navPrescribedMedForId";
        src -> medReq.id as medReqId, medReqEntry.fullUrl = append('urn:uuid:', medReqId) "set-fullUrl";
        prescribedGroup -> medReq.meta = create('Meta') as meta then {
          prescribedGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-medication-request' "medreq-profile";
        } "medreq-meta";
        prescribedGroup -> medReq.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
        prescribedGroup -> medReq.status = 'active' "set-status";
        prescribedGroup -> medReq.intent = 'order' "set-intent";
        prescribedGroup.answer as prescribedMedication then {
          prescribedMedication.item as atcItem where (linkId = '1923143398283') then {
            atcItem.answer as ans -> medReq.medication = create('CodeableConcept') as medReqCC,
              medReqCC.coding as medReqC, medReqC.code = (%ans.value.ofType(string)),
              medReqC.display = (%prescribedMedication.value.ofType(string)) "setAtcCoding";
          } "navAtcItem";
        } "navPrescribedMedication";
        prescribedGroup -> medReq.dosageInstruction = create('Dosage') as dosage then {
          prescribedGroup.answer as prescribedMedication then {
            prescribedMedication.item as routeItem where (linkId = '387026794874') then {
              routeItem.answer as ans -> dosage.route as route then {
                ans -> route.coding as routeCoding, routeCoding.code = (%ans.value.ofType(string)) "set-route-coding";
              } "set-route";
            } "navRouteItem";
          } "navPrescribedMedication";
          medExpoGroup.item as posoGroup where (linkId = '6348237104421') -> dosage.timing as timing,
            timing.repeat as timingRepeat, timingRepeat.bounds = create('Period') as timingPeriod then {
              posoGroup.item as DateDebItem where (linkId = '316347573327') then {
                DateDebItem.answer as ans -> timingPeriod.start = (%ans.value.ofType(date)) "setDateDeb";
              } "navDateDeb";
              posoGroup.item as DateFinItem where (linkId = '429570775935') then {
                DateFinItem.answer as ans -> timingPeriod.end = (%ans.value.ofType(date)) "setDateFin";
              } "navDateFin";
          } "navPoso";
        } "set-dosage";
      } "create-medreq";
    } "medreq-entry";
  } "process-med-expo";
}

`CreateMedicationAdministrations`

Un MedicationAdministration par médicament administré (même groupe "Exposition médicamenteuse", linkId 817801935685 > groupe "Médicament administré", linkId 266852453304) — même logique que CreateMedicationRequests, avec dosage au lieu de dosageInstruction :

id : linkId 870029232684 ; status = completed
medication : code ATC (linkId 631972144976)
dosage.route : linkId 811931484859
dosage.dose : quantité administrée (groupe "Dosage", linkId 5720103839343, sous-item 4765772671997)
effective (Period) : date/heure de début et de fin d'administration (linkId 1443558617577 / 780829110731)

group CreateMedicationAdministrations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as medExpoGroup where (linkId = '817801935685') then {
    medExpoGroup.item as adminGroup where (linkId = '266852453304') -> bundle.entry as medAdminEntry then {
      adminGroup -> medAdminEntry.resource = create('MedicationAdministration') as medAdmin then {
        adminGroup.answer as administeredMedForId then {
          administeredMedForId.item as medAdminIdItem where (linkId = '870029232684') then {
            medAdminIdItem.answer as medAdminIdAns -> medAdmin.id = (%medAdminIdAns.value.ofType(string)) "set-medadmin-id";
          } "extract-medadmin-id";
        } "navAdministeredMedForId";
        src -> medAdmin.id as medAdminId, medAdminEntry.fullUrl = append('urn:uuid:', medAdminId) "set-fullUrl";
        adminGroup -> medAdmin.meta = create('Meta') as meta then {
          adminGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-medication-administration' "medadmin-profile";
        } "medadmin-meta";
        adminGroup -> medAdmin.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
        adminGroup -> medAdmin.status = 'completed' "set-status";
        adminGroup.answer as administeredMedication then {
          administeredMedication.item as atcItem where (linkId = '631972144976') then {
            atcItem.answer as ans -> medAdmin.medication = create('CodeableConcept') as medAdminCC,
              medAdminCC.coding as medAdminC, medAdminC.code = (%ans.value.ofType(string)),
              medAdminC.display = (%administeredMedication.value.ofType(string)) "setAtcCoding";
          } "navAtcItem";
        } "navadministeredMedication";
        adminGroup -> medAdmin.dosage as dosage then {
          adminGroup.answer as administeredMedication then {
            administeredMedication.item as routeItem where (linkId = '811931484859') then {
              routeItem.answer as ans -> dosage.route = create('CodeableConcept') as route then {
                ans -> route.coding as routeCoding, routeCoding.code = (%ans.value.ofType(string)) "set-route-coding";
              } "set-route";
            } "navRoute";
          } "navadministeredMedication";
          medExpoGroup.item as doseGroup where (linkId = '5720103839343') then {
            doseGroup.item as quantityItem where (linkId = '4765772671997') then {
              quantityItem.answer as ans -> dosage.dose = (%ans.value.ofType(Quantity)) "setDose";
            } "navquantity";
            doseGroup.item as startItem where (linkId = '1443558617577') then {
              startItem.answer as startAns then {
                doseGroup.item as endItem where (linkId = '780829110731') then {
                  endItem.answer as endAns -> medAdmin.effective = create('Period') as adminPeriod,
                    adminPeriod.start = (%startAns.value), adminPeriod.end = (%endAns.value) "setAdminPeriod";
                } "navEnd";
              } "navStartAns";
            } "navStart";
          } "navDosage";
        } "set-dosage";
      } "create-medadmin";
    } "medadmin-entry";
  } "process-med-expo-admin";
}

`CreateVitalSignObservations`

Trois Observation de signes vitaux, à partir du groupe "Dossier de soins" (linkId 305831246173, sous "Examen clinique", linkId 214880328197) — toutes en category = vital-signs :

Taille (linkId 4846902346416) → profil edsh-observation-body-height, LOINC 8302-2 ; effective = linkId 941821315470
Poids (linkId 451513217936) → profil edsh-observation-body-weight, LOINC 29463-7 ; effective = linkId 151269044052
Pression artérielle (systolique linkId 4160905247955 + diastolique linkId 848797127998, combinées) → profil edsh-observation-blood-pressure, LOINC panel 85354-9, avec deux composants LOINC 8480-6 (systolique) et 8462-4 (diastolique) ; id = concaténation des deux ids systolique/diastolique ; effective = linkId 987654638442

group CreateVitalSignObservations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as examGroup where (linkId = '214880328197') then {
    examGroup.item as dossierGroup where (linkId = '305831246173') then {
      dossierGroup.item as heightItem where (linkId = '4846902346416') then {
        heightItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans.item as heightIdItem where (linkId = '854021250495') then {
              heightIdItem.answer as heightIdAns -> obs.id = (%heightIdAns.value.ofType(string)) "set-obs-id";
            } "extract-height-id";
            ans -> obs.id as obsId, obsEntry.fullUrl = append('urn:uuid:', obsId) "set-fullUrl";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-body-height' "obs-profile";
            } "obs-meta";
            ans -> obs.status = 'final' "obs-status";
            ans -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obs-category";
            ans -> obs.code = cc('http://loinc.org', '8302-2', 'Body height') "obs-code";
            ans -> obs.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
            ans -> obs.value = (%ans.value.ofType(Quantity)) as tgtObsVal,
              tgtObsVal.code = (%ans.value.ofType(Quantity).unit), tgtObsVal.system = 'http://unitsofmeasure.org' "set-value";
            ans.item as dateItem where (linkId = '941821315470') then {
              dateItem.answer as dateAns then {
                dateAns.value as val -> obs.effective = cast(val, 'dateTime') "set-effective";
              } "navDateAns";
            } "extract-effective";
          } "create-height-obs";
        } "height-obs-entry";
      } "extract-height";
      dossierGroup.item as weightItem where (linkId = '451513217936') then {
        // même structure que height, profil edsh-observation-body-weight, LOINC 29463-7
      } "extract-weight";
      dossierGroup.item as sysItem where (linkId = '4160905247955') then {
        sysItem.answer as sysAns then {
          dossierGroup.item as diaItem where (linkId = '848797127998') then {
            diaItem.answer as diaAns -> bundle.entry as obsEntry then {
              sysAns -> obsEntry.resource = create('Observation') as obs then {
                // id = concaténation id systolique + id diastolique
                sysAns -> obs.meta = create('Meta') as meta then {
                  sysAns -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-blood-pressure' "obs-profile";
                } "obs-meta";
                sysAns -> obs.code = cc('http://loinc.org', '85354-9', 'Blood pressure panel') "obs-code";
                sysAns -> obs.component as sysComp then {
                  sysAns -> sysComp.code = cc('http://loinc.org', '8480-6', 'Systolic blood pressure') "sys-code";
                  sysAns -> sysComp.value = (%sysAns.value.ofType(Quantity)) as sysVal,
                    sysVal.code = (%sysAns.value.ofType(Quantity).unit), sysVal.system = 'http://unitsofmeasure.org' "sys-value";
                } "set-systolic";
                diaAns -> obs.component as diaComp then {
                  diaAns -> diaComp.code = cc('http://loinc.org', '8462-4', 'Diastolic blood pressure') "dia-code";
                  diaAns -> diaComp.value = (%diaAns.value.ofType(Quantity)) as diaVal,
                    diaVal.code = (%diaAns.value.ofType(Quantity).unit), diaVal.system = 'http://unitsofmeasure.org' "dia-value";
                } "set-diastolic";
              } "create-bp-obs";
            } "bp-obs-entr";
          } "extract-diastolic";
        } "process-systolic";
      } "extract-blood-pressure";
    } "process-dossier";
  } "process-exam";
}

`CreateLaboratoryObservations` et `CreateLabObservation`

CreateLaboratoryObservations parcourt les 4 sous-groupes de biologie du Questionnaire (fonction rénale linkId 5241323453538, hémogramme linkId 419282985970, bilan hépatique linkId 796308115381, autres/glucose linkId 334039497382) et appelle, pour chacune des 23 analyses, le groupe utilitaire CreateLabObservation — c'est ce dernier qui construit effectivement l'Observation, toujours conforme au profil abstrait edsh-observation-laboratory-generic :

id : item "Identifiant" (repéré par texte, pas par linkId — text = 'Identifiant')
category = laboratory
code : item dont le texte contient "code loinc"
effective : item dont le texte contient "Date et heure du prélèvement"
value : la quantité de la réponse elle-même, unité UCUM
referenceRange.low / .high : items dont le texte contient "Borne inférieure" / "Borne supérieure"

Contrairement aux autres groupes, CreateLabObservation navigue par texte d'item plutôt que par linkId littéral — ses 4 appelants (fonction rénale, hémogramme, bilan hépatique, autres) lui passent chacun un item différent, mais la sous-structure de chaque analyte (Identifiant / code LOINC / date / bornes) est la même dans les 5 groupes du Questionnaire.

group CreateLaboratoryObservations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as bioGroup where (linkId = '7702944131447') then {
    bioGroup.item as renalGroup where (linkId = '5241323453538') then {
      renalGroup.item as ureaItem where (linkId = '7169026818760') then {
        ureaItem.answer as ans -> bundle then CreateLabObservation(ans, ureaItem, patient, bundle) "create-urea-obs";
      } "extract-urea";
      // ... creatItem (500408205043), dfgItem (786621340679)
    } "process-renal";
    bioGroup.item as hemoGroup where (linkId = '419282985970') then {
      // leukoItem, hemoItem, hematItem, eryItem, vgmItem, platItem, neutItem, lymphItem, eosiItem, monoItem, tpItem, tcaItem
      // — un CreateLabObservation par analyte, même schéma que ureaItem
    } "process-hemo";
    bioGroup.item as liverGroup where (linkId = '796308115381') then {
      // asatItem, alatItem, ggtItem, palItem, bilTotItem, bilConjItem
    } "process-liver";
    bioGroup.item as glucoseGroup where (linkId = '334039497382') then {
      // glycItem, hba1cItem
    } "process-glucose";
  } "process-biology";
}

// Helper: Create a single Laboratory Observation
group CreateLabObservation(source ans, source parentItem, target patient : Patient, target bundle : Bundle) {
  ans -> bundle.entry as obsEntry then {
    ans -> obsEntry.resource = create('Observation') as obs then {
      ans.item as labIdItem where (text = 'Identifiant') then {
        labIdItem.answer as labIdAns -> obs.id = (%labIdAns.value.ofType(string)) "set-obs-id";
      } "extract-obs-id";
      ans -> obs.id as obsId, obsEntry.fullUrl = append('urn:uuid:', obsId) "set-fullUrl";
      ans -> obs.meta = create('Meta') as meta then {
        ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-generic' "obs-profile";
      } "obs-meta";
      ans -> obs.status = 'final' "obs-status";
      ans -> obs.category = create('CodeableConcept') as cat then {
        ans -> cat.coding = create('Coding') as coding then {
          ans -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "cat-system";
          ans -> coding.code = 'laboratory' "cat-code";
        } "set-category-coding";
      } "set-category";
      ans -> obs.subject = create('Reference') as ref, patient.id as patId, ref.reference = append('Patient/', patId) "set-subject";
      ans -> obs.value = (%ans.value.ofType(Quantity)) as tgtObsVal,
        tgtObsVal.code = (%ans.value.ofType(Quantity).unit), tgtObsVal.system = 'http://unitsofmeasure.org' "set-value";
      ans.item as loincItem where (text.contains('code loinc')) then {
        loincItem.answer as loincAns -> obs.code as code, code.coding as coding,
          coding.code = (%loincAns.value.ofType(string)) "set-loinc-coding";
      } "extract-loinc";
      ans.item as dateItem where (text.contains('Date et heure du prélèvement')) then {
        dateItem.answer as dateAns -> obs.effective = (%dateAns.value.ofType(dateTime)) "set-effective";
      } "extract-effective";
      ans -> obs.referenceRange as refRange then {
        ans.item as lowItem where (text.contains('Borne inférieure')) then {
          lowItem.answer as lowAns -> refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,
            tgtLow.code = (%ans.value.ofType(Quantity).unit), tgtLow.system = 'http://unitsofmeasure.org' "set-low";
        } "extract-low";
        ans.item as highItem where (text.contains('Borne supérieure')) then {
          highItem.answer as highAns -> refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,
            tgtHigh.code = (%ans.value.ofType(Quantity).unit), tgtHigh.system = 'http://unitsofmeasure.org' "set-high";
        } "extract-high";
      } "set-ref-range";
    } "create-obs";
  } "obs-entry";
}

map "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureMap/Q2FSL" = "Q2FSL"

// Transforms QuestionnaireResponse based on Questionnaire Usage Variables socles into FHIR resources conforming to DM profiles

uses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QuestionnaireResponse as source
uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target

// Main entry point: Transform QuestionnaireResponse to Bundle
group QuestionnaireResponseToBundle(source src : QuestionnaireResponse, target bundle : Bundle) {
  // Initialize Bundle
  src -> bundle.type = 'collection' "bundletype";
  src -> bundle.timestamp = (now()) "setTimestamp";
  // Create Patient resource
  src -> bundle.entry as patientEntry then {
    src -> patientEntry.resource = create('Patient') as patient then {
      src then CreatePatient(src, patient) "createpatient";
      src ->  patient.id as patientId,  patientEntry.fullUrl = append('urn:uuid:', patientId) "setfullUrl";
      // Create Encounters from PMSI data
      src then CreateEncounters(src, patient, bundle) "createencounters";
      // Create Laboratory Observations
      src then CreateLaboratoryObservations(src, patient, bundle) "createlabobservations";
      // Create Medication Requests
      src then CreateMedicationRequests(src, patient, bundle) "createmedicationrequests";
      // Create Medication Administrations
      src then CreateMedicationAdministrations(src, patient, bundle) "createmedicationadministrations";
      // Create Vital Sign Observations
      src then CreateVitalSignObservations(src, patient, bundle) "createvitalsigns";
    } "createpatientresource";
  } "patiententry";
}

// Group: Create Patient from QuestionnaireResponse
group CreatePatient(source src : QuestionnaireResponse, target patient : Patient) {
  src -> patient.meta = create('Meta') as meta then {
    src -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-patient' "patientprofile";
  } "patientmeta";
  // Extract patient identity data from linkId 4647259356106 > 2958000860428
  src.item as socioDemo where (linkId = '4647259356106') then {
    socioDemo.item as identity where (linkId = '2958000860428') then {
      // Patient id (saisi manuellement dans le champ "Identifiant", linkId 236790258446)
      identity.item as patIdItem where (linkId = '236790258446') then {
        patIdItem.answer as patIdAns -> patient.id = (%patIdAns.value.ofType(string)) "setpatientid";
      } "extractpatientid";
      // Patient name (linkId 8605698058770 = family, 6214879623503 = given)
      identity -> patient.name = create('HumanName') as name then {
        identity.item as familyItem where (linkId = '8605698058770') then {
          familyItem.answer as ans -> name.family = (%ans.value.ofType(string)) "setfamily";
        } "extractfamily";
        identity.item as givenItem where (linkId = '6214879623503') then {
          givenItem.answer as ans -> name.given = (%ans.value.ofType(string)) "setgiven";
        } "extractgiven";
      } "setname";
      // NIR identifier (linkId 5711960356160)
      identity.item as nirItem where (linkId = '5711960356160') then {
        nirItem.answer as ans -> patient.identifier = create('Identifier') as nir then {
          ans -> nir.system = 'urn:oid:1.2.250.1.213.1.4.8' "nirsystem";
          ans -> nir.value = (%ans.value.ofType(string)) "nirvalue";
          ans -> nir.type = cc('http://interopsante.org/fhir/CodeSystem/fr-v2-0203', 'NIR') "nirtype";
        } "setnir";
      } "extractnir";
      // INS identifier (linkId 3764723550987)
      identity.item as insItem where (linkId = '3764723550987') then {
        insItem.answer as ans -> patient.identifier = create('Identifier') as ins then {
          ans -> ins.system = 'urn:oid:1.2.250.1.213.1.4.10' "inssystem";
          ans -> ins.value = (%ans.value.ofType(string)) "insvalue";
          ans -> ins.type = cc('http://interopsante.org/fhir/CodeSystem/fr-v2-0203', 'INS-C') "instype";
        } "setins";
      } "extractins";
      // Birth date (linkId 5036133558154)
      identity.item as birthItem where (linkId = '5036133558154') then {
        birthItem.answer as ans -> patient.birthDate = (%ans.value.ofType(date)) "setbirthdate";
      } "extractbirthdate";
      // Death date (linkId 5633552097315)
      identity.item as deathItem where (linkId = '5633552097315') then {
        deathItem.answer as ans -> patient.deceased = (%ans.value.ofType(date)) "setdeceaseddate";
        // Death source (linkId 9098810065693)
        deathItem.item as deathSource where (linkId = '9098810065693') then {
          deathSource.answer as sourceAns -> patient.extension = create('Extension') as ext then {
            sourceAns -> ext.url = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-death-source' "deathsourceurl";
            sourceAns -> ext.value = (%sourceAns.value.ofType(Coding)) "deathsourcevalue";
          } "setdeathsourceext";
        } "extractdeathsource";
      } "extractdeath";
      // Multiple birth rank (linkId 6931296968515)
      identity.item as multipleItem where (linkId = '6931296968515') then {
        multipleItem.answer as ans -> patient.multipleBirth = (%ans.value.ofType(integer)) "setmultiplebirth";
      } "extractmultiplebirth";
    } "processidentity";
    // Gender from PMSI data (linkId 3894630481120 within 2825244231605)
    src.item as pmsiGroup where (linkId = '2825244231605') then {
      pmsiGroup.item as sexItem where (linkId = '3894630481120') then {
        sexItem.answer as ans then {
          ans.valueString as female where ($this = 'f') -> patient.gender = 'female' "setGenderF";
          ans.valueString as female where ($this = 'm') -> patient.gender = 'male' "setGenderM";
        } "valueCoding";
      } "extractgender";
      // Address from code géographique (linkId 2446369196222)
      pmsiGroup.item as codeGeoItem where (linkId = '2446369196222') then {
        codeGeoItem.answer as ans -> patient.address = create('Address') as addr then {
          ans -> addr.extension = create('Extension') as ext then {
            ans -> ext.url = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-pmsi-code-geo' "codegeourl";
            ans.value as val -> ext.value = cast(val, 'code') "codegeovalue";
          } "setcodegeoext";
          // Environnement
          socioDemo.item as environnementItem where (linkId = '5491974639955') then {
            // geolocation
            environnementItem.item as geocodageItem where (linkId = '3816475533472') -> addr.extension = create('Extension') as geolocationExt then {
              geocodageItem.item as latItem where (linkId = '3709843054556') ->  geolocationExt.url = 'http://hl7.org/fhir/StructureDefinition/geolocation',  geolocationExt.extension = create('Extension') as latExt then {
                latItem.answer as lat ->  latExt.url = 'latitude',  latExt.value = (%lat.value.ofType(decimal)) then {
                  geocodageItem.item as longItem where (linkId = '7651448032665') -> geolocationExt.extension = create('Extension') as longExt then {
                    longItem.answer as long ->  longExt.url = 'longitude',  longExt.value = (%long.value.ofType(decimal)) "setLong";
                  } "createLongExt";
                } "setLat";
              } "createLatExt";
            } "createGeolocExt";
            // IRIS
            environnementItem.item as irisItem where (linkId = '7621032273792') ->  addr.line as addrLine,  addrLine.extension = create('Extension') as irisExt then {
              irisItem.answer as ans ->  irisExt.url = 'http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-censusTract',  irisExt.valueString = (%ans.value.ofType(string)) "setIrisExt";
            } "navIrisItem";
          } "navEnv";
        } "setaddress";
      } "extractcodegeo";
    } "extractpmsidemographics";
  } "processsociodemographics";
}

// Group: Create Encounters from PMSI data
group CreateEncounters(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as pmsiItem where (linkId = '2825244231605') -> bundle.entry as encounterEntry then {
    pmsiItem -> encounterEntry.resource = create('Encounter') as encounter then {
      src ->  patient.id as patIdForEnc,  encounter.id = (%patIdForEnc.replace('-pat-', '-sej-')) "setencounterid";
      pmsiItem -> encounter.meta = create('Meta') as meta then {
        pmsiItem -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-encounter' "encounterprofile";
      } "encountermeta";
      src -> encounter.status = 'finished' "setStatus";
      src -> encounter.class = c('http://terminology.hl7.org/CodeSystem/v3-ActCode', 'IMP') "setClass";
      src ->  encounter.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
      pmsiItem -> encounter.period = create('Period') as period then {
        pmsiItem.item as startItem where (linkId = '5991443718282') then {
          startItem.answer as ans -> period.start = (%ans.value.ofType(date)) "setstart";
        } "extractstart";
        pmsiItem.item as endItem where (linkId = '6114780320846') then {
          endItem.answer as ans -> period.end = (%ans.value.ofType(date)) "setend";
        } "extractend";
      } "setperiod";
      pmsiItem.item as modeInItem where (linkId = '6172398101212') then {
        modeInItem.answer as ans then {
          ans.valueString as valueString ->  encounter.hospitalization as hosp,  hosp.admitSource as admitSource,  admitSource.coding as admitSourceCoding,  admitSourceCoding.code = valueString "setadmitsource";
        } "navValue";
      } "extractmodein";
      pmsiItem.item as modeOutItem where (linkId = '3354867075704') then {
        modeOutItem.answer as ans then {
          ans.valueString as valueString ->  encounter.hospitalization as hosp,  hosp.dischargeDisposition as dischargeDisposition,  dischargeDisposition.coding as dischargeDispositionCoding,  dischargeDispositionCoding.code = valueString "setdischargedisposition";
        } "navValue";
      } "extractmodeout";
      src ->  encounter.id as encId,  encounterEntry.fullUrl = append('urn:uuid:', encId) "setfullUrl";
      pmsiItem then CreateConditions(pmsiItem, patient, encounter, bundle) "createconditions";
      pmsiItem then CreateProcedures(pmsiItem, patient, encounter, bundle) "createprocedures";
    } "createencounter";
  } "encounterentry";
}

group CreateConditions(source pmsiItem, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {
  pmsiItem.item as diagGroup where (linkId = '9391816419630') -> bundle.entry as conditionEntry then {
    diagGroup -> conditionEntry.resource = create('Condition') as condition then {
      diagGroup.item as condIdItem where (linkId = '123759733087') then {
        condIdItem.answer as condIdAns -> condition.id = (%condIdAns.value.ofType(string)) "setconditionid";
      } "extractconditionid";
      diagGroup -> condition.meta = create('Meta') as meta then {
        diagGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-condition' "conditionprofile";
      } "conditionmeta";
      diagGroup ->  condition.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
      diagGroup ->  encounter.id as encId,  condition.encounter = create('Reference') as ref,  ref.reference = append('Encounter/', encId) "setencounter";
      diagGroup.item as diagCodeItem where (linkId = '5505101189372') then {
        diagCodeItem.answer as ans -> condition.code = create('CodeableConcept') as code then {
          ans ->  code.coding as coding,  coding.code = (%ans.value.ofType(string)) "setcoding";
        } "setcode";
      } "extractdiagcode";
      diagGroup.item as diagTypeItem where (linkId = '6427586743735') then {
        diagTypeItem.answer as ans -> condition.category = create('CodeableConcept') as category then {
          ans -> category.coding = create('Coding') as coding then {
            ans -> coding.system = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type' "diagtypesystem";
            ans -> coding.code = (%ans.value.ofType(string)) "diagtypecode";
          } "setcategorycoding";
        } "setcategory";
      } "extractdiagtype";
      diagGroup.item as dateItem where (linkId = '7114466839467') then {
        dateItem.answer as ans -> condition.recordedDate = (%ans.value.ofType(date)) "setrecordeddate";
      } "extractrecordeddate";
      pmsiItem ->  condition.id as condId,  conditionEntry.fullUrl = append('urn:uuid:', condId) "setfullUrl";
    } "createcondition";
  } "conditionentry";
}

group CreateProcedures(source pmsiItem, target patient : Patient, target encounter : Encounter, target bundle : Bundle) {
  pmsiItem.item as acteGroup where (linkId = '591926901726') -> bundle.entry as procedureEntry then {
    acteGroup -> procedureEntry.resource = create('Procedure') as procedure then {
      acteGroup.item as procIdItem where (linkId = '151762387793') then {
        procIdItem.answer as procIdAns -> procedure.id = (%procIdAns.value.ofType(string)) "setprocedureid";
      } "extractprocedureid";
      acteGroup -> procedure.meta = create('Meta') as meta then {
        acteGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-procedure' "procedureprofile";
      } "proceduremeta";
      acteGroup -> procedure.status = 'completed' "setStatus";
      acteGroup ->  procedure.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
      acteGroup ->  encounter.id as encId,  procedure.encounter = create('Reference') as ref,  ref.reference = append('Encounter/', encId) "setencounter";
      acteGroup.item as acteCodeItem where (linkId = '7758110033600') then {
        acteCodeItem.answer as ans -> procedure.code = create('CodeableConcept') as code then {
          ans ->  code.coding as coding,  coding.code = (%ans.value.ofType(string)) "setcoding";
        } "setcode";
      } "extractactecode";
      acteGroup.item as dateItem where (linkId = '5066866286682') then {
        dateItem.answer as ans -> procedure.performed = (%ans.value.ofType(dateTime)) "setperformed";
      } "extractperformeddate";
      pmsiItem ->  procedure.id as procId,  procedureEntry.fullUrl = append('urn:uuid:', procId) "setfullUrl";
    } "createprocedure";
  } "procedureentry";
}

group CreateMedicationRequests(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as medExpoGroup where (linkId = '817801935685') then {
    medExpoGroup.item as prescribedGroup where (linkId = '156631794800') -> bundle.entry as medReqEntry then {
      prescribedGroup -> medReqEntry.resource = create('MedicationRequest') as medReq then {
        prescribedGroup.answer as prescribedMedForId then {
          prescribedMedForId.item as medReqIdItem where (linkId = '145920953908') then {
            medReqIdItem.answer as medReqIdAns -> medReq.id = (%medReqIdAns.value.ofType(string)) "setmedreqid";
          } "extractmedreqid";
        } "navPrescribedMedForId";
        src ->  medReq.id as medReqId,  medReqEntry.fullUrl = append('urn:uuid:', medReqId) "setfullUrl";
        prescribedGroup -> medReq.meta = create('Meta') as meta then {
          prescribedGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-medication-request' "medreqprofile";
        } "medreqmeta";
        prescribedGroup ->  medReq.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
        prescribedGroup -> medReq.status = 'active' "setstatus";
        prescribedGroup -> medReq.intent = 'order' "setintent";
        prescribedGroup.answer as prescribedMedication then {
          prescribedMedication.item as atcItem where (linkId = '1923143398283') then {
            atcItem.answer as ans ->  medReq.medication = create('CodeableConcept') as medReqCC,  medReqCC.coding as medReqC,  medReqC.code = (%ans.value.ofType(string)),  medReqC.display = (%prescribedMedication.value.ofType(string)) "setAtcCoding";
          } "navAtcItem";
        } "navPrescribedMedication";
        prescribedGroup -> medReq.dosageInstruction = create('Dosage') as dosage then {
          prescribedGroup.answer as prescribedMedication then {
            prescribedMedication.item as routeItem where (linkId = '387026794874') then {
              routeItem.answer as ans -> dosage.route as route then {
                ans ->  route.coding as routeCoding,  routeCoding.code = (%ans.value.ofType(string)) "setroutecoding";
              } "setroute";
            } "navRouteItem";
          } "navPrescribedMedication";
          medExpoGroup.item as posoGroup where (linkId = '6348237104421') ->  dosage.timing as timing,  timing.repeat as timingRepeat,  timingRepeat.bounds = create('Period') as timingPeriod then {
            posoGroup.item as DateDebItem where (linkId = '316347573327') then {
              DateDebItem.answer as ans -> timingPeriod.start = (%ans.value.ofType(date)) "setDateDeb";
            } "navDateDeb";
            posoGroup.item as DateFinItem where (linkId = '429570775935') then {
              DateFinItem.answer as ans -> timingPeriod.end = (%ans.value.ofType(date)) "setDateFin";
            } "navDateFin";
          } "navPoso";
        } "setdosage";
      } "createmedreq";
    } "medreqentry";
  } "processmedexpo";
}

group CreateMedicationAdministrations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as medExpoGroup where (linkId = '817801935685') then {
    medExpoGroup.item as adminGroup where (linkId = '266852453304') -> bundle.entry as medAdminEntry then {
      adminGroup -> medAdminEntry.resource = create('MedicationAdministration') as medAdmin then {
        adminGroup.answer as administeredMedForId then {
          administeredMedForId.item as medAdminIdItem where (linkId = '870029232684') then {
            medAdminIdItem.answer as medAdminIdAns -> medAdmin.id = (%medAdminIdAns.value.ofType(string)) "setmedadminid";
          } "extractmedadminid";
        } "navAdministeredMedForId";
        src ->  medAdmin.id as medAdminId,  medAdminEntry.fullUrl = append('urn:uuid:', medAdminId) "setfullUrl";
        adminGroup -> medAdmin.meta = create('Meta') as meta then {
          adminGroup -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-medication-administration' "medadminprofile";
        } "medadminmeta";
        adminGroup ->  medAdmin.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
        adminGroup -> medAdmin.status = 'completed' "setstatus";
        adminGroup.answer as administeredMedication then {
          administeredMedication.item as atcItem where (linkId = '631972144976') then {
            atcItem.answer as ans ->  medAdmin.medication = create('CodeableConcept') as medAdminCC,  medAdminCC.coding as medAdminC,  medAdminC.code = (%ans.value.ofType(string)),  medAdminC.display = (%administeredMedication.value.ofType(string)) "setAtcCoding";
          } "navAtcItem";
        } "navadministeredMedication";
        adminGroup -> medAdmin.dosage as dosage then {
          adminGroup.answer as administeredMedication then {
            administeredMedication.item as routeItem where (linkId = '811931484859') then {
              routeItem.answer as ans -> dosage.route = create('CodeableConcept') as route then {
                ans ->  route.coding as routeCoding,  routeCoding.code = (%ans.value.ofType(string)) "setroutecoding";
              } "setroute";
            } "navRoute";
          } "navadministeredMedication";
          medExpoGroup.item as doseGroup where (linkId = '5720103839343') then {
            doseGroup.item as quantityItem where (linkId = '4765772671997') then {
              quantityItem.answer as ans -> dosage.dose = (%ans.value.ofType(Quantity)) "setDose";
            } "navquantity";
            doseGroup.item as startItem where (linkId = '1443558617577') then {
              startItem.answer as startAns then {
                doseGroup.item as endItem where (linkId = '780829110731') then {
                  endItem.answer as endAns ->  medAdmin.effective = create('Period') as adminPeriod,  adminPeriod.start = (%startAns.value),  adminPeriod.end = (%endAns.value) "setAdminPeriod";
                } "navEnd";
              } "navStartAns";
            } "navStart";
          } "navDosage";
        } "setdosage";
      } "createmedadmin";
    } "medadminentry";
  } "processmedexpoadmin";
}

group CreateVitalSignObservations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as examGroup where (linkId = '214880328197') then {
    examGroup.item as dossierGroup where (linkId = '305831246173') then {
      dossierGroup.item as heightItem where (linkId = '4846902346416') then {
        heightItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans.item as heightIdItem where (linkId = '854021250495') then {
              heightIdItem.answer as heightIdAns -> obs.id = (%heightIdAns.value.ofType(string)) "setobsid";
            } "extractheightid";
            ans ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-body-height' "obsprofile";
            } "obsmeta";
            ans -> obs.status = 'final' "obsstatus";
            ans -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obscategory";
            ans -> obs.code = cc('http://loinc.org', '8302-2', 'Body height') "obscode";
            ans ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as tgtObsVal,  tgtObsVal.code = (%ans.value.ofType(Quantity).unit),  tgtObsVal.system = 'http://unitsofmeasure.org' "setvalue";
            ans.item as dateItem where (linkId = '941821315470') then {
              dateItem.answer as dateAns then {
                dateAns.value as val -> obs.effective = cast(val, 'dateTime') "seteffective";
              } "navDateAns";
            } "extracteffective";
          } "createheightobs";
        } "heightobsentry";
      } "extractheight";
      dossierGroup.item as weightItem where (linkId = '451513217936') then {
        weightItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans.item as weightIdItem where (linkId = '199208534521') then {
              weightIdItem.answer as weightIdAns -> obs.id = (%weightIdAns.value.ofType(string)) "setobsid";
            } "extractweightid";
            ans ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-body-weight' "obsprofile";
            } "obsmeta";
            ans -> obs.status = 'final' "obsstatus";
            ans -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obscategory";
            ans -> obs.code = cc('http://loinc.org', '29463-7', 'Body weight') "obscode";
            ans ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as tgtObsVal,  tgtObsVal.code = (%ans.value.ofType(Quantity).unit),  tgtObsVal.system = 'http://unitsofmeasure.org' "setvalue";
            ans.item as dateItem where (linkId = '151269044052') then {
              dateItem.answer as dateAns then {
                dateAns.value as val -> obs.effective = cast(val, 'dateTime') "seteffective";
              } "navDateAns";
            } "extracteffective";
          } "createweightobs";
        } "weightobsentry";
      } "extractweight";
      dossierGroup.item as sysItem where (linkId = '4160905247955') then {
        sysItem.answer as sysAns then {
          dossierGroup.item as diaItem where (linkId = '848797127998') then {
            diaItem.answer as diaAns -> bundle.entry as obsEntry then {
              sysAns -> obsEntry.resource = create('Observation') as obs then {
                sysAns.item as sysIdItem where (linkId = '734815456784') then {
                  sysIdItem.answer as sysIdAns then {
                    diaAns.item as diaIdItem where (linkId = '926430936118') then {
                      diaIdItem.answer as diaIdAns -> obs.id = (%sysIdAns.value.ofType(string) + '-' + %diaIdAns.value.ofType(string)) "setobsid";
                    } "extractdiaid";
                  } "navSysIdAns";
                } "extractsysid";
                sysAns ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";
                sysAns -> obs.meta = create('Meta') as meta then {
                  sysAns -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-blood-pressure' "obsprofile";
                } "obsmeta";
                sysAns -> obs.status = 'final' "obsstatus";
                sysAns -> obs.category = cc('http://terminology.hl7.org/CodeSystem/observation-category', 'vital-signs') "obscategory";
                sysAns -> obs.code = cc('http://loinc.org', '85354-9', 'Blood pressure panel') "obscode";
                sysAns ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
                sysAns -> obs.component as sysComp then {
                  sysAns -> sysComp.code = cc('http://loinc.org', '8480-6', 'Systolic blood pressure') "syscode";
                  sysAns ->  sysComp.value = (%sysAns.value.ofType(Quantity)) as sysVal,  sysVal.code = (%sysAns.value.ofType(Quantity).unit),  sysVal.system = 'http://unitsofmeasure.org' "sysvalue";
                } "setsystolic";
                diaAns -> obs.component as diaComp then {
                  diaAns -> diaComp.code = cc('http://loinc.org', '8462-4', 'Diastolic blood pressure') "diacode";
                  diaAns ->  diaComp.value = (%diaAns.value.ofType(Quantity)) as diaVal,  diaVal.code = (%diaAns.value.ofType(Quantity).unit),  diaVal.system = 'http://unitsofmeasure.org' "diavalue";
                } "setdiastolic";
                sysAns.item as sysDateItem where (linkId = '987654638442') then {
                  sysDateItem.answer as dateAns then {
                    dateAns.value as val -> obs.effective = cast(val, 'dateTime') "seteffective";
                  } "navDateAns";
                } "navDate";
              } "createbpobs";
            } "bpobsentr";
          } "extractdiastolic";
        } "processsystolic";
      } "extractbloodpressure";
    } "processdossier";
  } "processexam";
}

group CreateLaboratoryObservations(source src : QuestionnaireResponse, target patient : Patient, target bundle : Bundle) {
  src.item as bioGroup where (linkId = '7702944131447') then {
    bioGroup.item as renalGroup where (linkId = '5241323453538') then {
      renalGroup.item as ureaItem where (linkId = '7169026818760') then {
        ureaItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-uremie' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '22664-7' "setcodevalue";
                ans -> coding.display = 'Urée [Moles/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'mmol/L',  val.unit = 'mmol/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'mmol/L',  tgtLow.unit = 'mmol/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'mmol/L',  tgtHigh.unit = 'mmol/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracturea";
      renalGroup.item as creatItem where (linkId = '500408205043') then {
        creatItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-creat' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '14682-9' "setcodevalue";
                ans -> coding.display = 'Créatinine [Moles/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'umol/L',  val.unit = 'umol/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (linkId = '488869963230') then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'umol/L',  tgtLow.unit = 'umol/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (linkId = '984480974142') then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'umol/L',  tgtHigh.unit = 'umol/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractcreat";
      renalGroup.item as dfgItem where (linkId = '786621340679') then {
        dfgItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-dfg' "setprofile";
            } "setmeta";
            ans.item as loincItem where (linkId = '974417569313') -> obs.code = create('CodeableConcept') as code then {
              loincItem.answer as loincAns -> code.coding = create('Coding') as coding then {
                loincAns -> coding.system = 'http://loinc.org' "setcodesystem";
                loincAns.value as loincValue -> coding.code = loincValue "setcodevalue";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (linkId = '809916645548') then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (linkId = '323493215684') then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractdfg";
    } "processrenal";
    bioGroup.item as hemoGroup where (linkId = '419282985970') then {
      hemoGroup.item as leukoItem where (linkId = '210077225604') then {
        leukoItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-leucocytes' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '6690-2' "setcodevalue";
                ans -> coding.display = 'Leucocytes [Nombre/Volume] Sang ; Numérique ; Comptage automate' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*3/uL',  val.unit = '10*3/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*3/uL',  tgtLow.unit = '10*3/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*3/uL',  tgtHigh.unit = '10*3/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractleuko";
      hemoGroup.item as hemoItem where (linkId = '304159088493') then {
        hemoItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-hemoglobine' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '718-7' "setcodevalue";
                ans -> coding.display = 'Hémoglobine [Masse/Volume] Sang ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'g/dL',  val.unit = 'g/dL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'g/dL',  tgtLow.unit = 'g/dL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'g/dL',  tgtHigh.unit = 'g/dL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracthemo";
      hemoGroup.item as hematItem where (linkId = '813863316705') then {
        hematItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-hematocrite' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '4544-3' "setcodevalue";
                ans -> coding.display = 'Hématocrite [Fraction volumique] Sang ; Numérique ; Comptage automate' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '%',  val.unit = '%',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '%',  tgtLow.unit = '%',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '%',  tgtHigh.unit = '%',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracthemat";
      hemoGroup.item as eryItem where (linkId = '459731866614') then {
        eryItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-erythrocytes' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '789-8' "setcodevalue";
                ans -> coding.display = 'Érythrocytes [Nombre/Volume] Sang ; Numérique ; Comptage automate' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*6/uL',  val.unit = '10*6/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*6/uL',  tgtLow.unit = '10*6/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*6/uL',  tgtHigh.unit = '10*6/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractery";
      hemoGroup.item as vgmItem where (linkId = '163624088831') then {
        vgmItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-vgm' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '30428-7' "setcodevalue";
                ans -> coding.display = 'Volume globulaire moyen [Volume d\'entité] Érythrocytes ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'fL',  val.unit = 'fL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'fL',  tgtLow.unit = 'fL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'fL',  tgtHigh.unit = 'fL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractvgm";
      hemoGroup.item as platItem where (linkId = '794156787471') then {
        platItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-plaquettes' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '777-3' "setcodevalue";
                ans -> coding.display = 'Plaquettes [Nombre/Volume] Sang ; Numérique ; Comptage automate' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*3/uL',  val.unit = '10*3/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*3/uL',  tgtLow.unit = '10*3/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*3/uL',  tgtHigh.unit = '10*3/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractplat";
      hemoGroup.item as neutItem where (linkId = '961905168477') then {
        neutItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-neutrophiles' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '26499-4' "setcodevalue";
                ans -> coding.display = 'Polynucléaires neutrophiles [Nombre/Volume] Sang ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*3/uL',  val.unit = '10*3/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*3/uL',  tgtLow.unit = '10*3/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*3/uL',  tgtHigh.unit = '10*3/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractneut";
      hemoGroup.item as lymphItem where (linkId = '695150914696') then {
        lymphItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-lymphocytes' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '26474-7' "setcodevalue";
                ans -> coding.display = 'Lymphocytes totaux [Nombre/Volume] Sang ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*3/uL',  val.unit = '10*3/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*3/uL',  tgtLow.unit = '10*3/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*3/uL',  tgtHigh.unit = '10*3/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractlymph";
      hemoGroup.item as eosiItem where (linkId = '700490326748') then {
        eosiItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-eosinophiles' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '26449-9' "setcodevalue";
                ans -> coding.display = 'Polynucléaires éosinophiles [Nombre/Volume] Sang ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*3/uL',  val.unit = '10*3/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*3/uL',  tgtLow.unit = '10*3/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*3/uL',  tgtHigh.unit = '10*3/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracteosi";
      hemoGroup.item as monoItem where (linkId = '168661900522') then {
        monoItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-monocytes' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '26484-6' "setcodevalue";
                ans -> coding.display = 'Monocytes [Nombre/Volume] Sang ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '10*3/uL',  val.unit = '10*3/uL',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '10*3/uL',  tgtLow.unit = '10*3/uL',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '10*3/uL',  tgtHigh.unit = '10*3/uL',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractmono";
      hemoGroup.item as tpItem where (linkId = '658898841893') then {
        tpItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-tp' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '5894-1' "setcodevalue";
                ans -> coding.display = 'Temps de quick Patient (%) [Temps relatif] Plasma pauvre en plaquettes ; Numérique ; Coagulation' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '%',  val.unit = '%',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '%',  tgtLow.unit = '%',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '%',  tgtHigh.unit = '%',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracttp";
      hemoGroup.item as tcaItem where (linkId = '795145096241') then {
        tcaItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-generic' "setprofile";
            } "setmeta";
            ans.item as loincItem where (text.contains('code loinc')) then {
              loincItem.answer as loincAns ->  obs.code as code,  code.coding as coding,  coding.code = (%loincAns.value.ofType(string)) "setloinccoding";
            } "extractloinc";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = (%ans.value.ofType(Quantity).unit),  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = (%ans.value.ofType(Quantity).unit),  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = (%ans.value.ofType(Quantity).unit),  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracttca";
    } "processhemo";
    bioGroup.item as liverGroup where (linkId = '796308115381') then {
      liverGroup.item as asatItem where (linkId = '715226319725') then {
        asatItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-asat' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '30239-8' "setcodevalue";
                ans -> coding.display = 'Aspartate aminotransférase [Catalytique/Volume] Sérum/Plasma ; Numérique ; Avec phosphate de pyridoxal' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '[IU]/L',  val.unit = '[IU]/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '[IU]/L',  tgtLow.unit = '[IU]/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '[IU]/L',  tgtHigh.unit = '[IU]/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractasat";
      liverGroup.item as alatItem where (linkId = '876439410327') then {
        alatItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-alat' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '1743-4' "setcodevalue";
                ans -> coding.display = 'Alanine aminotransférase [Catalytique/Volume] Sérum/Plasma ; Numérique ; Avec phosphate de pyridoxal' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '[IU]/L',  val.unit = '[IU]/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '[IU]/L',  tgtLow.unit = '[IU]/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '[IU]/L',  tgtHigh.unit = '[IU]/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractalat";
      liverGroup.item as ggtItem where (linkId = '287545455976') then {
        ggtItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-ggt' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '2324-2' "setcodevalue";
                ans -> coding.display = 'Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'U/L',  val.unit = 'U/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'U/L',  tgtLow.unit = 'U/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'U/L',  tgtHigh.unit = 'U/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractggt";
      liverGroup.item as palItem where (linkId = '508269571594') then {
        palItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-pal' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '6768-6' "setcodevalue";
                ans -> coding.display = 'Phosphatases alcalines [Catalytique/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'U/L',  val.unit = 'U/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'U/L',  tgtLow.unit = 'U/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'U/L',  tgtHigh.unit = 'U/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractpal";
      liverGroup.item as bilTotItem where (linkId = '927344090061') then {
        bilTotItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-bilirubine-totale' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '14631-6' "setcodevalue";
                ans -> coding.display = 'Bilirubine [Moles/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'umol/L',  val.unit = 'umol/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'umol/L',  tgtLow.unit = 'umol/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'umol/L',  tgtHigh.unit = 'umol/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractbiltot";
      liverGroup.item as bilConjItem where (linkId = '208196328453') then {
        bilConjItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-bilirubine-conjuguee' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '29760-6' "setcodevalue";
                ans -> coding.display = 'Bilirubine conjuguée [Moles/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'umol/L',  val.unit = 'umol/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'umol/L',  tgtLow.unit = 'umol/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'umol/L',  tgtHigh.unit = 'umol/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractbilconj";
    } "processliver";
    bioGroup.item as glucoseGroup where (linkId = '334039497382') then {
      glucoseGroup.item as glycItem where (linkId = '273778921448') then {
        glycItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-glycemie-a-jeun' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '14749-6' "setcodevalue";
                ans -> coding.display = 'Glucose [Moles/Volume] Sérum/Plasma ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = 'mmol/L',  val.unit = 'mmol/L',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = 'mmol/L',  tgtLow.unit = 'mmol/L',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = 'mmol/L',  tgtHigh.unit = 'mmol/L',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extractglyc";
      glucoseGroup.item as hba1cItem where (linkId = '632894677152') then {
        hba1cItem.answer as ans -> bundle.entry as obsEntry then {
          ans -> obsEntry.resource = create('Observation') as obs then {
            ans then CreateLabObservationCommon(ans, patient, obs, obsEntry) "createcommon";
            ans -> obs.meta = create('Meta') as meta then {
              ans -> meta.profile = 'https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-observation-laboratory-hba1c' "setprofile";
            } "setmeta";
            ans -> obs.code = create('CodeableConcept') as code then {
              ans -> code.coding = create('Coding') as coding then {
                ans -> coding.system = 'http://loinc.org' "setcodesystem";
                ans -> coding.code = '4548-4' "setcodevalue";
                ans -> coding.display = 'Hémoglobine A1c/hémoglobine totale [Fraction massique] Sang ; Numérique' "setcodedisplay";
              } "setcoding";
            } "setcode";
            ans ->  obs.value = (%ans.value.ofType(Quantity)) as val,  val.code = '%',  val.unit = '%',  val.system = 'http://unitsofmeasure.org' "setvalue";
            ans -> obs.referenceRange as refRange then {
              ans.item as lowItem where (text.contains('Borne inférieure')) then {
                lowItem.answer as lowAns ->  refRange.low = (%lowAns.value.ofType(Quantity)) as tgtLow,  tgtLow.code = '%',  tgtLow.unit = '%',  tgtLow.system = 'http://unitsofmeasure.org' "setlow";
              } "extractlow";
              ans.item as highItem where (text.contains('Borne supérieure')) then {
                highItem.answer as highAns ->  refRange.high = (%highAns.value.ofType(Quantity)) as tgtHigh,  tgtHigh.code = '%',  tgtHigh.unit = '%',  tgtHigh.system = 'http://unitsofmeasure.org' "sethigh";
              } "extracthigh";
            } "setrefrange";
          } "createobs";
        } "obsentry";
      } "extracthba1c";
    } "processglucose";
  } "processbiology";
}

// Helper: fields common to every simple lab Observation (id/fullUrl, status, category, subject,
// value, effective, referenceRange). meta.profile and code are call-site responsibilities --
// a literal `source` group parameter is rejected by Matchbox even when unused (see issue #10),
// so each call site sets those two fields itself via trailing rules against the `obs`/`obsEntry`
// target parameters this group is handed, rather than passing them in as data.
group CreateLabObservationCommon(source ans, target patient : Patient, target obs : Observation, target obsEntry) {
  ans.item as labIdItem where (text = 'Identifiant') then {
    labIdItem.answer as labIdAns -> obs.id = (%labIdAns.value.ofType(string)) "setobsid";
  } "extractobsid";
  ans ->  obs.id as obsId,  obsEntry.fullUrl = append('urn:uuid:', obsId) "setfullUrl";
  ans -> obs.status = 'final' "obsstatus";
  ans -> obs.category = create('CodeableConcept') as cat then {
    ans -> cat.coding = create('Coding') as coding then {
      ans -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "catsystem";
      ans -> coding.code = 'laboratory' "catcode";
    } "setcategorycoding";
  } "setcategory";
  ans ->  obs.subject = create('Reference') as ref,  patient.id as patId,  ref.reference = append('Patient/', patId) "setsubject";
  ans.item as dateItem where (text.contains('Date et heure du prélèvement')) then {
    dateItem.answer as dateAns -> obs.effective = (%dateAns.value.ofType(dateTime)) "seteffective";
  } "extracteffective";
}

StructureMap: Questionnaire to FHIR Semantic Layer

Explication détaillées

QuestionnaireResponseToBundle — point d'entrée

CreatePatient

CreateEncounters

CreateConditions

CreateProcedures

CreateMedicationRequests

CreateMedicationAdministrations

CreateVitalSignObservations

CreateLaboratoryObservations et CreateLabObservation