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Packagesilfhirprofileig
Resource TypeStructureMap
IdStructureMap-ExtractBradenScale.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractBradenScale.html
URLhttps://fhir.slade360.co.ke/fhir/StructureMap/ExtractBradenScale
Version0.1.0
Statusactive
Date2026-09-11T12:18:36+00:00
NameExtractBradenScale
TitleBraden Scale Skin Assessment Extraction
DescriptionThe LOINC Braden scale panel out as one Observation carrying the total, with the six sub-scores as components, plus a RiskAssessment for the band the total falls in. The total prefers what the form submitted and otherwise sums the answers itself, and it only extracts when all six sub-scores have been answered: a Braden computed from four of six items is not a Braden score, and banding one would put a number a nurse can act on next to a risk tier that is wrong.

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureMap ExtractBradenScale

/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBradenScale'
/// name = 'ExtractBradenScale'
/// title = 'Braden Scale Skin Assessment Extraction'
/// status = 'active'
/// description = 'The LOINC Braden scale panel out as one Observation carrying the total, with the six sub-scores as components, plus a RiskAssessment for the band the total falls in. The total prefers what the form submitted and otherwise sums the answers itself, and it only extracts when all six sub-scores have been answered: a Braden computed from four of six items is not a Braden score, and banding one would put a number a nurse can act on next to a risk tier that is wrong.'

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

group ExtractBradenScale(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "setBundleType";
  // LOINC publishes this panel flat -- the six sub-scores, the total and the risk
  // level are all top-level items, keyed by their own LOINC code -- so there is no
  // group to hang the Observation off and the response itself is the anchor.
  qr where (item.where(linkId in ('38222-6' | '38229-1' | '38223-4' | '38224-2' | '38225-9' | '38226-7')).answer.value.ofType(Coding).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
    qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
    qr -> obs then SetSurveyCategory(qr, obs) "category";
    qr -> obs.code as code then {
      qr -> code.coding as coding then {
        qr -> coding.system = 'http://loinc.org' "codeSystem";
        qr -> coding.code = '38227-5' "codeCode";
        qr -> coding.display = 'Braden scale total score' "codeDisplay";
      } "codeCoding";
    } "code";
    // The submitted total wins; otherwise sum the answers.
    // The weight cannot be read off the code the way the SGHI-coded instruments
    // allow, because these are LOINC answer codes and LA9605-2 says nothing about
    // being worth 3. It is read off a lookup instead. That lookup is safe to write
    // globally rather than per sub-score: the twenty-one answer codes across the
    // six items collapse to nineteen distinct ones, and the two that repeat --
    // LA9604-5 "Very limited" and LA9605-2 "Slightly limited", shared by sensory
    // perception and mobility -- carry the same weight in both. Both paths are the
    // arithmetic Bergstrom published, so they cannot disagree.
    // truncate(), not toInteger(): the form types the total `decimal`, and this
    // engine's toInteger() returns empty for anything with a fractional part.
    // Observation.value has no decimal choice, so it has to land as an integer.
    // Guarded on all six sub-scores being present.
    qr where (item.where(linkId in ('38222-6' | '38229-1' | '38223-4' | '38224-2' | '38225-9' | '38226-7')).answer.value.ofType(Coding).count() = 6) then {
      qr -> obs.value = evaluate(qr, iif(item.where(linkId = '38227-5').answer.value.exists(), item.where(linkId = '38227-5').answer.value.truncate(), item.where(linkId in ('38222-6' | '38229-1' | '38223-4' | '38224-2' | '38225-9' | '38226-7')).answer.value.ofType(Coding).code.select(iif($this in ('LA9603-7' | 'LA9607-8' | 'LA6742-6' | 'LA9614-4' | 'LA9615-1' | 'LA9617-7'), 1, iif($this in ('LA9604-5' | 'LA9608-6' | 'LA9611-0' | 'LA9616-9' | 'LA9618-5'), 2, iif($this in ('LA9605-2' | 'LA9609-4' | 'LA9612-8' | 'LA8913-1' | 'LA9619-3'), 3, iif($this in ('LA9606-0' | 'LA9610-2' | 'LA9613-6' | 'LA120-8' | 'LA9206-9'), 4, 0))))).aggregate($this + $total, 0))) "totalValue";
    } "totalRule";
    qr.item as it where ((linkId = '38222-6') and answer.value.exists()) -> obs.component as comp then {
      it -> comp.code as code then {
        it -> code.coding as coding then {
          it -> coding.system = 'http://loinc.org' "codeSystem";
          it -> coding.code = '38222-6' "codeCode";
          it -> coding.display = 'Sensory perception Braden scale' "codeDisplay";
        } "codeCoding";
      } "sensoryCode";
      it -> comp then SetComponentCodedValue(it, comp) "sensoryValue";
    } "sensoryRule";
    qr.item as it where ((linkId = '38229-1') and answer.value.exists()) -> obs.component as comp then {
      it -> comp.code as code then {
        it -> code.coding as coding then {
          it -> coding.system = 'http://loinc.org' "codeSystem";
          it -> coding.code = '38229-1' "codeCode";
          it -> coding.display = 'Moisture exposure Braden scale' "codeDisplay";
        } "codeCoding";
      } "moistureCode";
      it -> comp then SetComponentCodedValue(it, comp) "moistureValue";
    } "moistureRule";
    qr.item as it where ((linkId = '38223-4') and answer.value.exists()) -> obs.component as comp then {
      it -> comp.code as code then {
        it -> code.coding as coding then {
          it -> coding.system = 'http://loinc.org' "codeSystem";
          it -> coding.code = '38223-4' "codeCode";
          it -> coding.display = 'Physical activity Braden scale' "codeDisplay";
        } "codeCoding";
      } "activityCode";
      it -> comp then SetComponentCodedValue(it, comp) "activityValue";
    } "activityRule";
    qr.item as it where ((linkId = '38224-2') and answer.value.exists()) -> obs.component as comp then {
      it -> comp.code as code then {
        it -> code.coding as coding then {
          it -> coding.system = 'http://loinc.org' "codeSystem";
          it -> coding.code = '38224-2' "codeCode";
          it -> coding.display = 'Physical mobility Braden scale' "codeDisplay";
        } "codeCoding";
      } "mobilityCode";
      it -> comp then SetComponentCodedValue(it, comp) "mobilityValue";
    } "mobilityRule";
    qr.item as it where ((linkId = '38225-9') and answer.value.exists()) -> obs.component as comp then {
      it -> comp.code as code then {
        it -> code.coding as coding then {
          it -> coding.system = 'http://loinc.org' "codeSystem";
          it -> coding.code = '38225-9' "codeCode";
          it -> coding.display = 'Nutrition intake pattern Braden scale' "codeDisplay";
        } "codeCoding";
      } "nutritionCode";
      it -> comp then SetComponentCodedValue(it, comp) "nutritionValue";
    } "nutritionRule";
    qr.item as it where ((linkId = '38226-7') and answer.value.exists()) -> obs.component as comp then {
      it -> comp.code as code then {
        it -> code.coding as coding then {
          it -> coding.system = 'http://loinc.org' "codeSystem";
          it -> coding.code = '38226-7' "codeCode";
          it -> coding.display = 'Friction and shear Braden scale' "codeDisplay";
        } "codeCoding";
      } "frictionCode";
      it -> comp then SetComponentCodedValue(it, comp) "frictionValue";
    } "frictionValueRule";
    qr ->  obs,  bundle then AddBradenRiskAssessment(obs, qr, bundle) "band";
  } "bradenRule";
}

// ─────────────────────────────────────────────────────────────────────────────
// The band
// Bergstrom's published tiers: 19 and over no risk, 15-18 mild, 13-14 moderate,
// 10-12 high, 9 and under very high. Lower is worse.
// qualitativeRisk carries two codings and a text. HL7's risk-probability is what
// a consumer escalates on, and it has five concepts against Braden's five tiers
// but not the same five, so "very high" and "high" both land on #high. LOINC's
// own answer list for 81636-3 -- the list printed on the form the nurse filled
// in -- has the tier exactly, so it rides alongside and the two never drift. The
// text spells the published wording out for anything that only prints.
// The band is derived from the total rather than copied from the form's own
// risk-level item. That item is a free pick list with nothing calculating it, so
// deriving is the only way the number and the tier are guaranteed to agree.
// ─────────────────────────────────────────────────────────────────────────────
group AddBradenRiskAssessment(source obs : Observation, source qr : QR, target bundle : Bundle) {
  obs where (value.ofType(integer) <= 9) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'high' "riskCode";
          qr -> coding.display = 'High likelihood' "riskDisplay";
        } "hl7Coding";
        qr -> risk.coding as loinc then {
          qr -> loinc.system = 'http://loinc.org' "loincSystem";
          qr -> loinc.code = 'LA14637-5' "loincCode";
          qr -> loinc.display = 'Very high' "loincDisplay";
        } "loincCoding";
        qr -> risk.text = 'Very high risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "bradenVeryHigh";
  obs where ((value.ofType(integer) >= 10) and (value.ofType(integer) <= 12)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'high' "riskCode";
          qr -> coding.display = 'High likelihood' "riskDisplay";
        } "hl7Coding";
        qr -> risk.coding as loinc then {
          qr -> loinc.system = 'http://loinc.org' "loincSystem";
          qr -> loinc.code = 'LA9193-9' "loincCode";
          qr -> loinc.display = 'High' "loincDisplay";
        } "loincCoding";
        qr -> risk.text = 'High risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "bradenHigh";
  obs where ((value.ofType(integer) >= 13) and (value.ofType(integer) <= 14)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'moderate' "riskCode";
          qr -> coding.display = 'Moderate likelihood' "riskDisplay";
        } "hl7Coding";
        qr -> risk.coding as loinc then {
          qr -> loinc.system = 'http://loinc.org' "loincSystem";
          qr -> loinc.code = 'LA6751-7' "loincCode";
          qr -> loinc.display = 'Moderate' "loincDisplay";
        } "loincCoding";
        qr -> risk.text = 'Moderate risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "bradenModerate";
  obs where ((value.ofType(integer) >= 15) and (value.ofType(integer) <= 18)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'low' "riskCode";
          qr -> coding.display = 'Low likelihood' "riskDisplay";
        } "hl7Coding";
        qr -> risk.coding as loinc then {
          qr -> loinc.system = 'http://loinc.org' "loincSystem";
          qr -> loinc.code = 'LA6752-5' "loincCode";
          qr -> loinc.display = 'Mild' "loincDisplay";
        } "loincCoding";
        qr -> risk.text = 'Mild risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "bradenMild";
  obs where (value.ofType(integer) >= 19) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'negligible' "riskCode";
          qr -> coding.display = 'Negligible likelihood' "riskDisplay";
        } "hl7Coding";
        qr -> risk.coding as loinc then {
          qr -> loinc.system = 'http://loinc.org' "loincSystem";
          qr -> loinc.code = 'LA19983-8' "loincCode";
          qr -> loinc.display = 'No risk' "loincDisplay";
        } "loincCoding";
        qr -> risk.text = 'No risk identified' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "bradenNoRisk";
}

group SetBradenRiskCode(source qr : QR, target ra : RiskAssessment) {
  qr -> ra.code as code then {
    qr -> code.coding as coding then {
      qr -> coding.system = 'http://loinc.org' "codeSystem";
      qr -> coding.code = '81636-3' "codeCode";
      qr -> coding.display = 'Pressure injury risk level Braden scale' "codeDisplay";
    } "codeCoding";
  } "code";
}

// ─────────────────────────────────────────────────────────────────────────────
// Shared scaffolding. Repeated in each map rather than imported: the transform
// engine resolves `imports` against whatever StructureMaps happen to be on the
// server, and a form that stops extracting because a shared map was not
// uploaded is a worse failure than a duplicated group.
// ─────────────────────────────────────────────────────────────────────────────
// Two notes on what the publisher's StructureMap validator says about this file.
// Source parameters below are left untyped on purpose. Writing `: Element` makes
// the validator compare QuestionnaireResponse.item against the literal 'Element'
// and report them as incompatible with each other, which is noise, not a finding.
// Untyped, it says only that it cannot check the paths.
// `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were
// found". Leave it. The FML parser in the same jar refuses the one-argument form
// outright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher
// is objecting to what its own compiler emits. Two arguments is the only form that
// compiles, and it is what the R5 transform engine executes.
group BuildObsBase(source qr : QR, target obs : Observation, target entry) {
  qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'Observation' "requestUrl";
  } "entryRequest";
  qr -> obs.status = 'final' "status";
  qr.subject as s -> obs.subject = s;
  qr.encounter as e -> obs.encounter = e;
  qr.authored as t -> obs.effective = t "effective";
  qr.source as src -> obs.performer = src "performerFromSource";
  qr where (source.exists().not()) then {
    qr.author as a -> obs.performer = a "performerFromAuthor";
  } "performerFallback";
  // A stored response's id already reads "QuestionnaireResponse/<id>", so it is a
  // relative reference as it stands. The hasValue() guard is what stops an
  // unsaved response -- one posted straight to $extract rather than saved first --
  // from writing "QuestionnaireResponse/null" into the record.
  qr.id as qid where ($this.hasValue()) ->  obs.derivedFrom = create('Reference') as ref,  ref.reference = qid "linkQuestionnaireResponse";
}

// The RiskAssessment stands on two things: the response that was filled in and
// the Observation that holds the number. Both go in basis, which is what the
// SGHI RiskAssessment profile binds to a QuestionnaireResponse.
group BuildRiskBase(source qr : QR, source obs : Observation, target ra : RiskAssessment, target entry) {
  qr -> ra.id = uuid() then SetRiskAssessmentFullUrl(ra, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'RiskAssessment' "requestUrl";
  } "entryRequest";
  qr -> ra.status = 'final' "status";
  qr.subject as s -> ra.subject = s;
  qr.encounter as e -> ra.encounter = e;
  qr.authored as t -> ra.occurrence = t "occurrence";
  qr.author as a -> ra.performer = a "performerFromAuthor";
  qr where (author.exists().not()) then {
    qr.source as src -> ra.performer = src "performerFromSource";
  } "performerFallback";
  qr.id as qid where ($this.hasValue()) ->  ra.basis = create('Reference') as qref,  qref.reference = qid "basisResponse";
  obs.id as oid -> ra.basis = create('Reference') as oref then {
    oid -> oref.reference = append('Observation/', oid) "basisObservationRef";
  } "basisObservation";
}

group SetComponentCodedValue(source it, target comp) {
  it.answer first as a then {
    a.value as cv -> comp.value = create('CodeableConcept') as cc then {
      cv -> cc.coding = cv "valueCoding";
      cv.display as d -> cc.text = d "valueText";
    } "codedValue";
  } "componentAnswer";
}

group SetSurveyCategory(source qr : QR, target obs : Observation) {
  qr -> obs.category as cat then {
    qr -> cat.coding as coding then {
      qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";
      qr -> coding.code = 'survey' "categoryCode";
      qr -> coding.display = 'Survey' "categoryDisplay";
    } "categoryCoding";
  } "category";
}

group SetObservationFullUrl(source obs : Observation, target entry) {
  obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl";
}

group SetRiskAssessmentFullUrl(source ra : RiskAssessment, target entry) {
  ra.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/RiskAssessment/', id) "assignFullUrl";
}


Source1

{
  "resourceType": "StructureMap",
  "id": "ExtractBradenScale",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractBradenScale",
  "version": "0.1.0",
  "name": "ExtractBradenScale",
  "title": "Braden Scale Skin Assessment Extraction",
  "status": "active",
  "date": "2026-09-11T12:18:36+00:00",
  "publisher": "Kathurima Kimathi",
  "contact": [
    {
      "name": "Kathurima Kimathi",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.linkedin.com/in/kathurima-kimathi/"
        },
        {
          "system": "email",
          "value": "kathurimakimathi415@gmail.com"
        }
      ]
    },
    {
      "name": "Oscar John",
      "telecom": [
        {
          "system": "email",
          "value": "oscarjohnotieno@gmail.com",
          "use": "work"
        }
      ]
    },
    {
      "name": "Kennedy Omondi",
      "telecom": [
        {
          "system": "email",
          "value": "kennankole@gmail.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The LOINC Braden scale panel out as one Observation carrying the total, with the six sub-scores as components, plus a RiskAssessment for the band the total falls in. The total prefers what the form submitted and otherwise sums the answers itself, and it only extracts when all six sub-scores have been answered: a Braden computed from four of six items is not a Braden score, and banding one would put a number a nurse can act on next to a risk tier that is wrong.",
  "structure": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
      "mode": "source",
      "alias": "QR"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Bundle",
      "mode": "target",
      "alias": "Bundle"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Observation",
      "mode": "target",
      "alias": "Observation"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
      "mode": "target",
      "alias": "RiskAssessment"
    }
  ],
  "group": [
    {
      "name": "ExtractBradenScale",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "bundle",
          "type": "Bundle",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "setBundleType",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "type",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "transaction"
                }
              ]
            }
          ]
        },
        {
          "name": "bradenRule",
          "source": [
            {
              "context": "qr",
              "condition": "item.where(linkId in ('38222-6' | '38229-1' | '38223-4' | '38224-2' | '38225-9' | '38226-7')).answer.value.ofType(Coding).exists()"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "obs",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Observation"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "base",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "obs"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildObsBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "category",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "obs"
                }
              ],
              "dependent": [
                {
                  "name": "SetSurveyCategory",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    }
                  ]
                }
              ]
            },
            {
              "name": "code",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "obs",
                  "element": "code",
                  "variable": "code"
                }
              ],
              "rule": [
                {
                  "name": "codeCoding",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "code",
                      "element": "coding",
                      "variable": "coding"
                    }
                  ],
                  "rule": [
                    {
                      "name": "codeSystem",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "coding",
                          "element": "system",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "http://loinc.org"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "codeCode",
                      "source": [
                        {
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                  "rule": [
                    {
                      "name": "hl7Coding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "high"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "High likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "loincCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "loinc"
                        }
                      ],
                      "rule": [
                        {
                          "name": "loincSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "LA14637-5"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Very high"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Very high risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "bradenHigh",
          "source": [
            {
              "context": "obs",
              "condition": "(value.ofType(integer) >= 10) and (value.ofType(integer) <= 12)"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetBradenRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "hl7Coding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "high"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "High likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "loincCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "loinc"
                        }
                      ],
                      "rule": [
                        {
                          "name": "loincSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "LA9193-9"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "High"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "High risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "bradenModerate",
          "source": [
            {
              "context": "obs",
              "condition": "(value.ofType(integer) >= 13) and (value.ofType(integer) <= 14)"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetBradenRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "hl7Coding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "moderate"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Moderate likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "loincCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "loinc"
                        }
                      ],
                      "rule": [
                        {
                          "name": "loincSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "LA6751-7"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Moderate"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Moderate risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "bradenMild",
          "source": [
            {
              "context": "obs",
              "condition": "(value.ofType(integer) >= 15) and (value.ofType(integer) <= 18)"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetBradenRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "hl7Coding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "low"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Low likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "loincCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "loinc"
                        }
                      ],
                      "rule": [
                        {
                          "name": "loincSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "LA6752-5"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Mild"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Mild risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "bradenNoRisk",
          "source": [
            {
              "context": "obs",
              "condition": "value.ofType(integer) >= 19"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetBradenRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "hl7Coding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "negligible"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Negligible likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "loincCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "loinc"
                        }
                      ],
                      "rule": [
                        {
                          "name": "loincSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "LA19983-8"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "loincDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "loinc",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "No risk"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "No risk identified"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetBradenRiskCode",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "ra",
          "type": "RiskAssessment",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "code",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "code",
              "variable": "code"
            }
          ],
          "rule": [
            {
              "name": "codeCoding",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "code",
                  "element": "coding",
                  "variable": "coding"
                }
              ],
              "rule": [
                {
                  "name": "codeSystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://loinc.org"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "codeCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "81636-3"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "codeDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Pressure injury risk level Braden scale"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildObsBase",
      "documentation": "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each map rather than imported: the transform\r\nengine resolves `imports` against whatever StructureMaps happen to be on the\r\nserver, and a form that stops extracting because a shared map was not\r\nuploaded is a worse failure than a duplicated group.\r\n─────────────────────────────────────────────────────────────────────────────\r\nTwo notes on what the publisher's StructureMap validator says about this file.\r\nSource parameters below are left untyped on purpose. Writing `: Element` makes\r\nthe validator compare QuestionnaireResponse.item against the literal 'Element'\r\nand report them as incompatible with each other, which is noise, not a finding.\r\nUntyped, it says only that it cannot check the paths.\r\n`evaluate(context, expression)` is flagged as \"takes 1 parameter but 2 were\r\nfound\". Leave it. The FML parser in the same jar refuses the one-argument form\r\noutright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher\r\nis objecting to what its own compiler emits. Two arguments is the only form that\r\ncompiles, and it is what the R5 transform engine executes.",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetObservationFullUrl",
              "parameter": [
                {
                  "valueId": "obs"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "status",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "status",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "final"
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "effective",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "effective",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromSource",
          "source": [
            {
              "context": "qr",
              "element": "source",
              "variable": "src"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "performer",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "src"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "source.exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromAuthor",
              "source": [
                {
                  "context": "qr",
                  "element": "author",
                  "variable": "a"
                }
              ],
              "target": [
                {
                  "context": "obs",
                  "element": "performer",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "a"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "linkQuestionnaireResponse",
          "source": [
            {
              "context": "qr",
              "element": "id",
              "variable": "qid",
              "condition": "$this.hasValue()"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "derivedFrom",
              "variable": "ref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            },
            {
              "context": "ref",
              "element": "reference",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "qid"
                }
              ]
            }
          ],
          "documentation": "A stored response's id already reads \"QuestionnaireResponse/<id>\", so it is a\r\nrelative reference as it stands. The hasValue() guard is what stops an\r\nunsaved response -- one posted straight to $extract rather than saved first --\r\nfrom writing \"QuestionnaireResponse/null\" into the record."
        }
      ]
    },
    {
      "name": "BuildRiskBase",
      "documentation": "The RiskAssessment stands on two things: the response that was filled in and\r\nthe Observation that holds the number. Both go in basis, which is what the\r\nSGHI RiskAssessment profile binds to a QuestionnaireResponse.",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "ra",
          "type": "RiskAssessment",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetRiskAssessmentFullUrl",
              "parameter": [
                {
                  "valueId": "ra"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "RiskAssessment"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "status",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "status",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "final"
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "occurrence",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "occurrence",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromAuthor",
          "source": [
            {
              "context": "qr",
              "element": "author",
              "variable": "a"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "performer",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "a"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "author.exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromSource",
              "source": [
                {
                  "context": "qr",
                  "element": "source",
                  "variable": "src"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "performer",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "src"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "basisResponse",
          "source": [
            {
              "context": "qr",
              "element": "id",
              "variable": "qid",
              "condition": "$this.hasValue()"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "basis",
              "variable": "qref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            },
            {
              "context": "qref",
              "element": "reference",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "qid"
                }
              ]
            }
          ]
        },
        {
          "name": "basisObservation",
          "source": [
            {
              "context": "obs",
              "element": "id",
              "variable": "oid"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "basis",
              "variable": "oref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "basisObservationRef",
              "source": [
                {
                  "context": "oid"
                }
              ],
              "target": [
                {
                  "context": "oref",
                  "element": "reference",
                  "transform": "append",
                  "parameter": [
                    {
                      "valueString": "Observation/"
                    },
                    {
                      "valueId": "oid"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetComponentCodedValue",
      "input": [
        {
          "name": "it",
          "mode": "source"
        },
        {
          "name": "comp",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "componentAnswer",
          "source": [
            {
              "context": "it",
              "element": "answer",
              "listMode": "first",
              "variable": "a"
            }
          ],
          "rule": [
            {
              "name": "codedValue",
              "source": [
                {
                  "context": "a",
                  "element": "value",
                  "variable": "cv"
                }
              ],
              "target": [
                {
                  "context": "comp",
                  "element": "value",
                  "variable": "cc",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "CodeableConcept"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "valueCoding",
                  "source": [
                    {
                      "context": "cv"
                    }
                  ],
                  "target": [
                    {
                      "context": "cc",
                      "element": "coding",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "cv"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "valueText",
                  "source": [
                    {
                      "context": "cv",
                      "element": "display",
                      "variable": "d"
                    }
                  ],
                  "target": [
                    {
                      "context": "cc",
                      "element": "text",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "d"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetSurveyCategory",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "category",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "category",
              "variable": "cat"
            }
          ],
          "rule": [
            {
              "name": "categoryCoding",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "cat",
                  "element": "coding",
                  "variable": "coding"
                }
              ],
              "rule": [
                {
                  "name": "categorySystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "survey"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Survey"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetObservationFullUrl",
      "input": [
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "obs",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/Observation/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetRiskAssessmentFullUrl",
      "input": [
        {
          "name": "ra",
          "type": "RiskAssessment",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "ra",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/RiskAssessment/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}