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Packagesilfhirprofileig
Resource TypeStructureMap
IdStructureMap-ExtractHormonalTherapyTreatmentPlan.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractHormonalTherapyTreatmentPlan.html
URLhttps://fhir.slade360.co.ke/fhir/StructureMap/ExtractHormonalTherapyTreatmentPlan
Version0.1.0
Statusactive
Date2026-10-06T18:48:22+00:00
NameExtractHormonalTherapyTreatmentPlan
TitleHormonal Therapy Treatment Plan Extraction
DescriptionEach cycle on the hormonal therapy sheet out as: a MedicationAdministration for the drug given, as written, on the cycle's date; laboratory Observations for the PSA, serum calcium and alkaline phosphatase; an Observation for the cycle number, so the next cycle can see which one this was; the remarks as a note; and a ServiceRequest for the date to come again. Everything takes the cycle's own date rather than the form's, because the sheet exists to be read as a series.

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Narrative

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

Generated Narrative: StructureMap ExtractHormonalTherapyTreatmentPlan

/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractHormonalTherapyTreatmentPlan'
/// name = 'ExtractHormonalTherapyTreatmentPlan'
/// title = 'Hormonal Therapy Treatment Plan Extraction'
/// status = 'active'
/// description = 'Each cycle on the hormonal therapy sheet out as: a MedicationAdministration for the drug given, as written, on the cycle\'s date; laboratory Observations for the PSA, serum calcium and alkaline phosphatase; an Observation for the cycle number, so the next cycle can see which one this was; the remarks as a note; and a ServiceRequest for the date to come again. Everything takes the cycle\'s own date rather than the form\'s, because the sheet exists to be read as a series.'

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/MedicationAdministration" alias MedicationAdministration as target
uses "http://hl7.org/fhir/StructureDefinition/ServiceRequest" alias ServiceRequest as target

group ExtractHormonalTherapyTreatmentPlan(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "setBundleType";
  // ── One cycle at a time ─────────────────────────────────────────────────
  qr.item as c where (linkId = 'cycle') then {
    // The drug given. A MedicationAdministration, because the sheet records
    // what was given at that cycle, not what was ordered. The drug travels as
    // written: the hospital's formulary is not coded, and the strength is part
    // of what the clinician wrote.
    c where (item.where(linkId = 'cycle/drug').answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('MedicationAdministration') as ma then {
      qr ->  ma,  entry then BuildMedicationAdministrationBase(qr, ma, entry) "base";
      c -> ma.status = 'completed' "status";
      qr.encounter as e where ((reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))) -> ma.encounter = e;
      c.item as it where (linkId = 'cycle/drug') then {
        it.answer first as a then {
          a.value as txt ->  ma.medication as med,  med.concept as mc,  mc.text = txt "medicationText";
          a.value as txt ->  ma.dosage as dos,  dos.text = txt "dosageAsWritten";
        };
      } "drugRule";
      c.item as it where ((linkId = 'cycle/date') and answer.value.exists()) then {
        it.answer first as a then {
          a.value as d -> ma.occurence = cast(d, 'dateTime') "occurrence";
        };
      } "dateRule";
      c.item as it where ((linkId = 'cycle/number') and answer.value.exists()) then {
        it.answer first as a then {
          a.value as n -> ma.note as note then {
            n -> note.text = evaluate(n, 'Hormonal therapy cycle ' & $this.toString()) "cycleText";
            qr.authored as noteTime -> note.time = noteTime "cycleTime";
          } "cycleNote";
        };
      } "cycleRule";
    } "hormonalDrug";
    // The cycle number as an Observation of its own. It is what tells the
    // next cycle which one this was, and a number inside a note cannot be
    // read back as one.
    c.item as it where ((linkId = 'cycle/number') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetSurveyCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          it -> cg.code = 'hormonal-therapy-cycle-number' "cd";
          it -> cg.display = 'Hormonal therapy cycle number' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      c -> obs then SetHormonalCycleContext(c, obs) "cycleContext";
    } "cycleNumber";
    c.item as it where ((linkId = 'cycle/psa') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetLaboratoryCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'http://loinc.org' "sys";
          it -> cg.code = '2857-1' "cd";
          it -> cg.display = 'Prostate specific Ag [Mass/volume] in Serum or Plasma' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      c -> obs then SetHormonalCycleContext(c, obs) "cycleContext";
    } "cyclePsa";
    // "CA2+" on the paper. Read as serum calcium in mmol/L, the routine
    // measure on a patient with bone disease; an ionised calcium would need a
    // blood gas analyser and its own code, 1995-0.
    c.item as it where ((linkId = 'cycle/calcium') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetLaboratoryCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'http://loinc.org' "sys";
          it -> cg.code = '2000-8' "cd";
          it -> cg.display = 'Calcium [Moles/volume] in Serum or Plasma' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      c -> obs then SetHormonalCycleContext(c, obs) "cycleContext";
    } "cycleCalcium";
    c.item as it where ((linkId = 'cycle/alp') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetLaboratoryCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'http://loinc.org' "sys";
          it -> cg.code = '6768-6' "cd";
          it -> cg.display = 'Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      c -> obs then SetHormonalCycleContext(c, obs) "cycleContext";
    } "cycleAlp";
    c.item as it where ((linkId = 'cycle/remarks') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetSurveyCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          it -> cg.code = 'hormonal-therapy-remarks' "cd";
          it -> cg.display = 'Remarks on a hormonal therapy cycle' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as txt ->  obs.note as n,  n.text = txt "text";
      };
      c -> obs then SetHormonalCycleContext(c, obs) "cycleContext";
    } "cycleRemarks";
    // TCA, "to come again". A ServiceRequest, not an Appointment, for the
    // reason the discharge summary gives: a date with no clinic, clinician or
    // slot is a request for a follow-up, and an Appointment built from it
    // would claim a booking that does not exist.
    c.item as it where ((linkId = 'cycle/next-visit') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('ServiceRequest') as sr then {
      qr ->  sr,  entry then BuildServiceRequestBase(qr, sr, entry) "base";
      it -> sr.status = 'active' "status";
      it -> sr.intent = 'plan' "intent";
      it ->  sr.code as cr,  cr.concept as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          it -> cg.code = 'hormonal-therapy-next-review' "cd";
          it -> cg.display = 'Next hormonal therapy review' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as d -> sr.occurrence = cast(d, 'dateTime') "occurrence";
      };
      qr.authored as t -> sr.authoredOn = t "authoredOn";
      qr.encounter as e where ((reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))) -> sr.encounter = e;
      it ->  sr.note as n,  n.text = 'Date to come again, written on the hormonal therapy treatment plan. Not a booked appointment: the sheet names no clinic, clinician or slot.' "provenanceNote";
    } "nextVisit";
  } "cycleRows";
}

// The cycle's own date on every Observation from that cycle. It overrides the
// response's authored time: several rows keyed in at one sitting would
// otherwise collapse onto one instant and the series would be gone.
group SetHormonalCycleContext(source c, target obs : Observation) {
  c.item as it where ((linkId = 'cycle/date') and answer.value.exists()) then {
    it.answer first as a then {
      a.value as v where ($this.toString().length() = 10) ->  evaluate(v, $this.toString() + 'T00:00:00+03:00') as midnight,  obs.effective = cast(midnight, 'instant') "effectiveFromCycle";
    };
  } "cycleDateRule";
}

// ─────────────────────────────────────────────────────────────────────────────
// 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.
// ─────────────────────────────────────────────────────────────────────────────
group BuildObsBase(source qr : QR, target obs : Observation, target entry) {
  qr -> obs then SetResponseProvenance(qr, obs) "responseProvenance";
  qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'Observation' "requestUrl";
  } "entryRequest";
  qr -> obs.status = 'final' "status";
  qr.subject as s where ((reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))) -> obs.subject = s;
  qr.encounter as e where ((reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))) -> obs.encounter = e;
  // 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";
  qr -> obs then ConformObservation(qr, obs) "profileConformance";
}

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

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

group BuildMedicationAdministrationBase(source qr : QR, target r : MedicationAdministration, target entry) {
  qr -> r then SetResponseProvenance(qr, r) "responseProvenance";
  qr -> r.id = uuid() then SetMedicationAdministrationFullUrl(r, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'MedicationAdministration' "requestUrl";
  } "entryRequest";
  qr.subject as s where ((reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))) -> r.subject = s;
  // The response's own time, as a floor. A row that names its date overwrites
  // this; without it a row missing its date would produce an administration
  // with no time at all, which is not a record of an administration.
  qr.authored as t -> r.occurence = t "occurrenceFallback";
  qr -> r then ConformMedicationAdministration(qr, r) "profileConformance";
}

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

group BuildServiceRequestBase(source qr : QR, target r : ServiceRequest, target entry) {
  qr -> r then SetResponseProvenance(qr, r) "responseProvenance";
  qr -> r.id = uuid() then SetServiceRequestFullUrl(r, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'ServiceRequest' "requestUrl";
  } "entryRequest";
  qr.subject as s where ((reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))) -> r.subject = s;
  qr -> r then ConformServiceRequest(qr, r) "profileConformance";
}

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

// ── Provenance and tenancy ───────────────────────────────────────────────────
// Two tags on everything this map creates. The first says which questionnaire
// produced it, so a form that reopens mid-admission recalls its own earlier
// entries and not another form's. The second copies the tenant tags off the
// response, because nothing else on the path puts them there. The response's
// identifier is copied the same way.
// The code is the form's document type, not the questionnaire's id: every
// environment mints its own ids, and there is only one set of maps, so an id
// here would tie the tag to whichever environment stamped it.
// ── Provenance and tenancy ───────────────────────────────────────────────────
group SetResponseProvenance(source qr : QR, target r) {
  qr -> r.meta as m then {
    qr -> m.tag as t then {
      qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem";
      qr -> t.code = 'hormonal-therapy-treatment-plan' "provenanceCode";
      qr -> t.display = 'Hormonal therapy treatment plan' "provenanceDisplay";
    } "provenanceTag";
  } "provenanceMeta";
  // Every tag the response carries, onto the resource. `meta` is 0..1, so this
  // lands on the same meta the rule above created rather than a second one.
  qr.meta as qm then {
    qm.tag as qt ->  r.meta as m,  m.tag = qt "copyTag";
  } "tenantTags";
  // The response's identifiers, as they are. Every profile wants one, and it is
  // the response's to give: nothing here mints one, so a response without an
  // identifier extracts resources without one. One whose assigner is not of a
  // type the profiles allow there is left behind whole, not altered.
  qr.identifier as qid where (assigner.empty() or assigner.where(((reference.exists() and (reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization'))))).exists()) -> r.identifier = qid;
}

// ── Conformance to the IG profiles ───────────────────────────────────────────
// What the IG's profiles require that the response itself can supply. Called at
// the end of each base group. The encounter and every who-element are the
// response's own; see mapmeta.py for what is and is not here.
// ── Conformance to the IG profiles ───────────────────────────────────────────
group ConformObservation(source qr : QR, target r) {
  qr.authored as t where ($this.toString().length() >= 20) -> r.issued = cast(t, 'instant') "issued";
  qr.authored as t where ($this.toString().length() >= 20) -> r.effective = cast(t, 'instant') "effective";
  qr.author as au where ((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))) -> r.performer = au "performerFromAuthor";
  qr where (author.where(((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient'))))).exists().not()) then {
    qr.source as src where ((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))) -> r.performer = src "performerFromSource";
  } "performerFallback";
}

group ConformMedicationAdministration(source qr : QR, target r) {
  qr.encounter as e where ((reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))) -> r.encounter = e;
  qr.author as au where ((reference.exists() and (reference.startsWith('Practitioner/') or reference.startsWith('PractitionerRole/') or reference.startsWith('Patient/') or reference.startsWith('RelatedPerson/') or reference.startsWith('Device/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Practitioner') or ('/' + type).endsWith('/PractitionerRole') or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/RelatedPerson') or ('/' + type).endsWith('/Device')))) ->  r.performer as p,  p.actor = create('CodeableReference') as cr,  cr.reference = au "performerFromAuthor";
  qr where (author.where(((reference.exists() and (reference.startsWith('Practitioner/') or reference.startsWith('PractitionerRole/') or reference.startsWith('Patient/') or reference.startsWith('RelatedPerson/') or reference.startsWith('Device/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Practitioner') or ('/' + type).endsWith('/PractitionerRole') or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/RelatedPerson') or ('/' + type).endsWith('/Device'))))).exists().not()) then {
    qr.source as src where ((reference.exists() and (reference.startsWith('Practitioner/') or reference.startsWith('PractitionerRole/') or reference.startsWith('Patient/') or reference.startsWith('RelatedPerson/') or reference.startsWith('Device/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Practitioner') or ('/' + type).endsWith('/PractitionerRole') or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/RelatedPerson') or ('/' + type).endsWith('/Device')))) ->  r.performer as p,  p.actor = create('CodeableReference') as cr,  cr.reference = src "performerFromSource";
  } "performerFallback";
}

group ConformServiceRequest(source qr : QR, target r) {
  qr.encounter as e where ((reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))) -> r.encounter = e;
  qr.authored as t -> r.authoredOn = t "authoredOn";
  qr -> r.priority = 'routine' "priority";
  qr.author as au where ((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))) -> r.requester = au "requesterFromAuthor";
  qr where (author.where(((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient'))))).exists().not()) then {
    qr.source as src where ((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))) -> r.requester = src "requesterFromSource";
  } "requesterFallback";
}


Source1

{
  "resourceType": "StructureMap",
  "id": "ExtractHormonalTherapyTreatmentPlan",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractHormonalTherapyTreatmentPlan",
  "version": "0.1.0",
  "name": "ExtractHormonalTherapyTreatmentPlan",
  "title": "Hormonal Therapy Treatment Plan Extraction",
  "status": "active",
  "date": "2026-10-06T18:48:22+00:00",
  "publisher": "Kathurima Kimathi",
  "contact": [
    {
      "name": "Kathurima Kimathi",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.linkedin.com/in/kathurima-kimathi/"
        },
        {
          "system": "email",
          "value": "kathurimakimathi415@gmail.com"
        }
      ]
    },
    {
      "name": "Oscar John",
      "telecom": [
        {
          "system": "email",
          "value": "oscarjohnotieno@gmail.com",
          "use": "work"
        }
      ]
    },
    {
      "name": "Kennedy Omondi",
      "telecom": [
        {
          "system": "email",
          "value": "kennankole@gmail.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Each cycle on the hormonal therapy sheet out as: a MedicationAdministration for the drug given, as written, on the cycle's date; laboratory Observations for the PSA, serum calcium and alkaline phosphatase; an Observation for the cycle number, so the next cycle can see which one this was; the remarks as a note; and a ServiceRequest for the date to come again. Everything takes the cycle's own date rather than the form's, because the sheet exists to be read as a series.",
  "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/MedicationAdministration",
      "mode": "target",
      "alias": "MedicationAdministration"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
      "mode": "target",
      "alias": "ServiceRequest"
    }
  ],
  "group": [
    {
      "name": "ExtractHormonalTherapyTreatmentPlan",
      "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": "cycleRows",
          "source": [
            {
              "context": "qr",
              "element": "item",
              "variable": "c",
              "condition": "linkId = 'cycle'"
            }
          ],
          "rule": [
            {
              "name": "hormonalDrug",
              "source": [
                {
                  "context": "c",
                  "condition": "item.where(linkId = 'cycle/drug').answer.value.exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "ma",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "MedicationAdministration"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "ma"
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                    {
                      "context": "entry"
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                  ],
                  "dependent": [
                    {
                      "name": "BuildMedicationAdministrationBase",
                      "parameter": [
                        {
                          "valueId": "qr"
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                        {
                          "valueId": "ma"
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                        {
                          "valueId": "entry"
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                      ]
                    }
                  ]
                },
                {
                  "name": "status",
                  "source": [
                    {
                      "context": "c"
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                  ],
                  "target": [
                    {
                      "context": "ma",
                      "element": "status",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "completed"
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                      ]
                    }
                  ]
                },
                {
                  "name": "encounter",
                  "source": [
                    {
                      "context": "qr",
                      "element": "encounter",
                      "variable": "e",
                      "condition": "(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"
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                  ],
                  "target": [
                    {
                      "context": "ma",
                      "element": "encounter",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "e"
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                      ]
                    }
                  ]
                },
                {
                  "name": "drugRule",
                  "source": [
                    {
                      "context": "c",
                      "element": "item",
                      "variable": "it",
                      "condition": "linkId = 'cycle/drug'"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
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                        {
                          "context": "it",
                          "element": "answer",
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                      ],
                      "rule": [
                        {
                          "name": "medicationText",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "txt"
                            }
                          ],
                          "target": [
                            {
                              "context": "ma",
                              "element": "medication",
                              "variable": "med"
                            },
                            {
                              "context": "med",
                              "element": "concept",
                              "variable": "mc"
                            },
                            {
                              "context": "mc",
                              "element": "text",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "txt"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dosageAsWritten",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "txt"
                            }
                          ],
                          "target": [
                            {
                              "context": "ma",
                              "element": "dosage",
                              "variable": "dos"
                            },
                            {
                              "context": "dos",
                              "element": "text",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "txt"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "dateRule",
                  "source": [
                    {
                      "context": "c",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'cycle/date') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "it",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "a"
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                      ],
                      "rule": [
                        {
                          "name": "occurrence",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "d"
                            }
                          ],
                          "target": [
                            {
                              "context": "ma",
                              "element": "occurence",
                              "transform": "cast",
                              "parameter": [
                                {
                                  "valueId": "d"
                                },
                                {
                                  "valueString": "dateTime"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "cycleRule",
                  "source": [
                    {
                      "context": "c",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'cycle/number') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
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                        {
                          "context": "it",
                          "element": "answer",
                          "listMode": "first",
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                      ],
                      "rule": [
                        {
                          "name": "cycleNote",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "n"
                            }
                          ],
                          "target": [
                            {
                              "context": "ma",
                              "element": "note",
                              "variable": "note"
                            }
                          ],
                          "rule": [
                            {
                              "name": "cycleText",
                              "source": [
                                {
                                  "context": "n"
                                }
                              ],
                              "target": [
                                {
                                  "context": "note",
                                  "element": "text",
                                  "transform": "evaluate",
                                  "parameter": [
                                    {
                                      "valueId": "n"
                                    },
                                    {
                                      "valueString": "'Hormonal therapy cycle ' & $this.toString()"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "cycleTime",
                              "source": [
                                {
                                  "context": "qr",
                                  "element": "authored",
                                  "variable": "noteTime"
                                }
                              ],
                              "target": [
                                {
                                  "context": "note",
                                  "element": "time",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueId": "noteTime"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "documentation": "The drug given. A MedicationAdministration, because the sheet records\r\nwhat was given at that cycle, not what was ordered. The drug travels as\r\nwritten: the hospital's formulary is not coded, and the strength is part\r\nof what the clinician wrote."
            },
            {
              "name": "cycleNumber",
              "source": [
                {
                  "context": "c",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'cycle/number') and answer.value.exists()"
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              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
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                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
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                  "parameter": [
                    {
                      "valueString": "Observation"
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              ],
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                      "context": "qr"
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                    {
                      "context": "obs"
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                    {
                      "context": "entry"
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                      "name": "BuildObsBase",
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                          "valueId": "qr"
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                        {
                          "valueId": "obs"
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                        {
                          "valueId": "entry"
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                    }
                  ]
                },
                {
                  "name": "category",
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                      "context": "qr"
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                      "context": "obs"
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                  "dependent": [
                    {
                      "name": "SetSurveyCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
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                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                },
                {
                  "name": "code",
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                    {
                      "context": "it"
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                  "target": [
                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
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                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
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                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
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                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "hormonal-therapy-cycle-number"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Hormonal therapy cycle number"
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                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
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                  ],
                  "rule": [
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "v"
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                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
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                      ]
                    }
                  ]
                },
                {
                  "name": "cycleContext",
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                    {
                      "context": "c"
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                  ],
                  "target": [
                    {
                      "context": "obs"
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                  ],
                  "dependent": [
                    {
                      "name": "SetHormonalCycleContext",
                      "parameter": [
                        {
                          "valueId": "c"
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                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                }
              ],
              "documentation": "The cycle number as an Observation of its own. It is what tells the\r\nnext cycle which one this was, and a number inside a note cannot be\r\nread back as one."
            },
            {
              "name": "cyclePsa",
              "source": [
                {
                  "context": "c",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'cycle/psa') and answer.value.ofType(Quantity).exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
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                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
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                      "context": "qr"
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                  "target": [
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                      "context": "obs"
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                    {
                      "context": "entry"
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                  ],
                  "dependent": [
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                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
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                        {
                          "valueId": "obs"
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                        {
                          "valueId": "entry"
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                      ]
                    }
                  ]
                },
                {
                  "name": "category",
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                      "context": "qr"
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                  ],
                  "target": [
                    {
                      "context": "obs"
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                  ],
                  "dependent": [
                    {
                      "name": "SetLaboratoryCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
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                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                },
                {
                  "name": "code",
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                      "context": "it"
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                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
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                  ],
                  "rule": [
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                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
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                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
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                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
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                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
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                              ]
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                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "2857-1"
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                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Prostate specific Ag [Mass/volume] in Serum or Plasma"
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                              ]
                            }
                          ]
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                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
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                      "name": "value",
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                          "context": "a",
                          "element": "value",
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                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
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                              "valueId": "v"
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                      ]
                    }
                  ]
                },
                {
                  "name": "cycleContext",
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                    {
                      "context": "c"
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                  ],
                  "target": [
                    {
                      "context": "obs"
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                  "dependent": [
                    {
                      "name": "SetHormonalCycleContext",
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                          "valueId": "c"
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                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "cycleCalcium",
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                {
                  "context": "c",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'cycle/calcium') and answer.value.ofType(Quantity).exists()"
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              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
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                  "transform": "create",
                  "parameter": [
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                      "valueString": "Observation"
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              ],
              "rule": [
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                          "valueId": "qr"
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                          "valueId": "obs"
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                        {
                          "valueId": "entry"
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                },
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                      "name": "SetLaboratoryCategory",
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                          "valueId": "qr"
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                          "valueId": "obs"
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                  "rule": [
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                        {
                          "context": "it"
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                      "target": [
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                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
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                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
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                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
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                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
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                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "2000-8"
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                          ]
                        },
                        {
                          "name": "dsp",
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                            {
                              "context": "it"
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                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Calcium [Moles/volume] in Serum or Plasma"
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                {
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                      "element": "answer",
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                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
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                              "valueId": "v"
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                      ]
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                  "name": "cycleContext",
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                      "context": "c"
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                  "target": [
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                      "context": "obs"
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                      "name": "SetHormonalCycleContext",
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                          "valueId": "c"
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                          "valueId": "obs"
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                  ]
                }
              ],
              "documentation": "\"CA2+\" on the paper. Read as serum calcium in mmol/L, the routine\r\nmeasure on a patient with bone disease; an ionised calcium would need a\r\nblood gas analyser and its own code, 1995-0."
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            {
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                {
                  "context": "c",
                  "element": "item",
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                  "condition": "(linkId = 'cycle/alp') and answer.value.ofType(Quantity).exists()"
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              ],
              "target": [
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                  "context": "bundle",
                  "element": "entry",
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                  "context": "entry",
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                          "valueId": "qr"
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                          "valueId": "obs"
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                          "valueId": "entry"
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                          "valueId": "obs"
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                          "context": "it"
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                          "element": "coding",
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                      ],
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                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
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                          "target": [
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                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
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                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "6768-6"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "v"
                        }
                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "cycleContext",
                  "source": [
                    {
                      "context": "c"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetHormonalCycleContext",
                      "parameter": [
                        {
                          "valueId": "c"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "cycleRemarks",
              "source": [
                {
                  "context": "c",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'cycle/remarks') and answer.value.exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetSurveyCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
                        }
                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "hormonal-therapy-remarks"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Remarks on a hormonal therapy cycle"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "text",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "txt"
                        }
                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "note",
                          "variable": "n"
                        },
                        {
                          "context": "n",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "txt"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "cycleContext",
                  "source": [
                    {
                      "context": "c"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetHormonalCycleContext",
                      "parameter": [
                        {
                          "valueId": "c"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "nextVisit",
              "source": [
                {
                  "context": "c",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'cycle/next-visit') and answer.value.exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "sr",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "ServiceRequest"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildServiceRequestBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "sr"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "status",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "status",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "active"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "intent",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "intent",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "plan"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "code",
                      "variable": "cr"
                    },
                    {
                      "context": "cr",
                      "element": "concept",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
                        }
                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "hormonal-therapy-next-review"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Next hormonal therapy review"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "occurrence",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "d"
                        }
                      ],
                      "target": [
                        {
                          "context": "sr",
                          "element": "occurrence",
                          "transform": "cast",
                          "parameter": [
                            {
                              "valueId": "d"
                            },
                            {
                              "valueString": "dateTime"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "authoredOn",
                  "source": [
                    {
                      "context": "qr",
                      "element": "authored",
                      "variable": "t"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "authoredOn",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "t"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "encounter",
                  "source": [
                    {
                      "context": "qr",
                      "element": "encounter",
                      "variable": "e",
                      "condition": "(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "encounter",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "e"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "provenanceNote",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "note",
                      "variable": "n"
                    },
                    {
                      "context": "n",
                      "element": "text",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Date to come again, written on the hormonal therapy treatment plan. Not a booked appointment: the sheet names no clinic, clinician or slot."
                        }
                      ]
                    }
                  ]
                }
              ],
              "documentation": "TCA, \"to come again\". A ServiceRequest, not an Appointment, for the\r\nreason the discharge summary gives: a date with no clinic, clinician or\r\nslot is a request for a follow-up, and an Appointment built from it\r\nwould claim a booking that does not exist."
            }
          ],
          "documentation": "── One cycle at a time ─────────────────────────────────────────────────"
        }
      ]
    },
    {
      "name": "SetHormonalCycleContext",
      "documentation": "The cycle's own date on every Observation from that cycle. It overrides the\r\nresponse's authored time: several rows keyed in at one sitting would\r\notherwise collapse onto one instant and the series would be gone.",
      "input": [
        {
          "name": "c",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "cycleDateRule",
          "source": [
            {
              "context": "c",
              "element": "item",
              "variable": "it",
              "condition": "(linkId = 'cycle/date') and answer.value.exists()"
            }
          ],
          "rule": [
            {
              "name": "answer",
              "source": [
                {
                  "context": "it",
                  "element": "answer",
                  "listMode": "first",
                  "variable": "a"
                }
              ],
              "rule": [
                {
                  "name": "effectiveFromCycle",
                  "source": [
                    {
                      "context": "a",
                      "element": "value",
                      "variable": "v",
                      "condition": "$this.toString().length() = 10"
                    }
                  ],
                  "target": [
                    {
                      "variable": "midnight",
                      "transform": "evaluate",
                      "parameter": [
                        {
                          "valueId": "v"
                        },
                        {
                          "valueString": "$this.toString() + 'T00:00:00+03:00'"
                        }
                      ]
                    },
                    {
                      "context": "obs",
                      "element": "effective",
                      "transform": "cast",
                      "parameter": [
                        {
                          "valueId": "midnight"
                        },
                        {
                          "valueString": "instant"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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─────────────────────────────────────────────────────────────────────────────",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "obs"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetObservationFullUrl",
              "parameter": [
                {
                  "valueId": "obs"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "status",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "status",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "final"
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s",
              "condition": "(reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e",
              "condition": "(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "linkQuestionnaireResponse",
          "source": [
            {
              "context": "qr",
              "element": "id",
              "variable": "qid",
              "condition": "$this.hasValue()"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "derivedFrom",
              "variable": "ref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            },
            {
              "context": "ref",
              "element": "reference",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "qid"
                }
              ]
            }
          ],
          "documentation": "A stored response's id already reads \"QuestionnaireResponse/<id>\", so it is\r\na relative reference as it stands. The hasValue() guard is what stops an\r\nunsaved response -- one posted straight to $extract rather than saved first\r\n-- from writing \"QuestionnaireResponse/null\" into the record."
        },
        {
          "name": "profileConformance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs"
            }
          ],
          "dependent": [
            {
              "name": "ConformObservation",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "obs"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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": "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": "SetLaboratoryCategory",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "category",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "category",
              "variable": "cat"
            }
          ],
          "rule": [
            {
              "name": "categoryCoding",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "cat",
                  "element": "coding",
                  "variable": "coding"
                }
              ],
              "rule": [
                {
                  "name": "categorySystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "laboratory"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Laboratory"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildMedicationAdministrationBase",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "type": "MedicationAdministration",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetMedicationAdministrationFullUrl",
              "parameter": [
                {
                  "valueId": "r"
                },
                {
                  "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": "MedicationAdministration"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s",
              "condition": "(reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "occurrenceFallback",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "occurence",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ],
          "documentation": "The response's own time, as a floor. A row that names its date overwrites\r\nthis; without it a row missing its date would produce an administration\r\nwith no time at all, which is not a record of an administration."
        },
        {
          "name": "profileConformance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "ConformMedicationAdministration",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetMedicationAdministrationFullUrl",
      "input": [
        {
          "name": "r",
          "type": "MedicationAdministration",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "r",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/MedicationAdministration/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildServiceRequestBase",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "type": "ServiceRequest",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetServiceRequestFullUrl",
              "parameter": [
                {
                  "valueId": "r"
                },
                {
                  "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": "ServiceRequest"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s",
              "condition": "(reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "profileConformance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "ConformServiceRequest",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetServiceRequestFullUrl",
      "input": [
        {
          "name": "r",
          "type": "ServiceRequest",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "r",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/ServiceRequest/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetResponseProvenance",
      "documentation": "── Provenance and tenancy ───────────────────────────────────────────────────\r\nTwo tags on everything this map creates. The first says which questionnaire\r\nproduced it, so a form that reopens mid-admission recalls its own earlier\r\nentries and not another form's. The second copies the tenant tags off the\r\nresponse, because nothing else on the path puts them there. The response's\r\nidentifier is copied the same way.\r\nThe code is the form's document type, not the questionnaire's id: every\r\nenvironment mints its own ids, and there is only one set of maps, so an id\r\nhere would tie the tag to whichever environment stamped it.\r\n── Provenance and tenancy ───────────────────────────────────────────────────",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "provenanceMeta",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "meta",
              "variable": "m"
            }
          ],
          "rule": [
            {
              "name": "provenanceTag",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "m",
                  "element": "tag",
                  "variable": "t"
                }
              ],
              "rule": [
                {
                  "name": "provenanceSystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://slade360edi.com/questionnaire-provenance"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "provenanceCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "hormonal-therapy-treatment-plan"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "provenanceDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Hormonal therapy treatment plan"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "tenantTags",
          "source": [
            {
              "context": "qr",
              "element": "meta",
              "variable": "qm"
            }
          ],
          "rule": [
            {
              "name": "copyTag",
              "source": [
                {
                  "context": "qm",
                  "element": "tag",
                  "variable": "qt"
                }
              ],
              "target": [
                {
                  "context": "r",
                  "element": "meta",
                  "variable": "m"
                },
                {
                  "context": "m",
                  "element": "tag",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "qt"
                    }
                  ]
                }
              ]
            }
          ],
          "documentation": "Every tag the response carries, onto the resource. `meta` is 0..1, so this\r\nlands on the same meta the rule above created rather than a second one."
        },
        {
          "name": "identifier",
          "source": [
            {
              "context": "qr",
              "element": "identifier",
              "variable": "qid",
              "condition": "assigner.empty() or assigner.where(((reference.exists() and (reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization'))))).exists()"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "identifier",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "qid"
                }
              ]
            }
          ],
          "documentation": "The response's identifiers, as they are. Every profile wants one, and it is\r\nthe response's to give: nothing here mints one, so a response without an\r\nidentifier extracts resources without one. One whose assigner is not of a\r\ntype the profiles allow there is left behind whole, not altered."
        }
      ]
    },
    {
      "name": "ConformObservation",
      "documentation": "── Conformance to the IG profiles ───────────────────────────────────────────\r\nWhat the IG's profiles require that the response itself can supply. Called at\r\nthe end of each base group. The encounter and every who-element are the\r\nresponse's own; see mapmeta.py for what is and is not here.\r\n── Conformance to the IG profiles ───────────────────────────────────────────",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "issued",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t",
              "condition": "$this.toString().length() >= 20"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "issued",
              "transform": "cast",
              "parameter": [
                {
                  "valueId": "t"
                },
                {
                  "valueString": "instant"
                }
              ]
            }
          ]
        },
        {
          "name": "effective",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t",
              "condition": "$this.toString().length() >= 20"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "effective",
              "transform": "cast",
              "parameter": [
                {
                  "valueId": "t"
                },
                {
                  "valueString": "instant"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromAuthor",
          "source": [
            {
              "context": "qr",
              "element": "author",
              "variable": "au",
              "condition": "(reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "performer",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "au"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "author.where(((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient'))))).exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromSource",
              "source": [
                {
                  "context": "qr",
                  "element": "source",
                  "variable": "src",
                  "condition": "(reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))"
                }
              ],
              "target": [
                {
                  "context": "r",
                  "element": "performer",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "src"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "ConformMedicationAdministration",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e",
              "condition": "(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromAuthor",
          "source": [
            {
              "context": "qr",
              "element": "author",
              "variable": "au",
              "condition": "(reference.exists() and (reference.startsWith('Practitioner/') or reference.startsWith('PractitionerRole/') or reference.startsWith('Patient/') or reference.startsWith('RelatedPerson/') or reference.startsWith('Device/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Practitioner') or ('/' + type).endsWith('/PractitionerRole') or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/RelatedPerson') or ('/' + type).endsWith('/Device')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "performer",
              "variable": "p"
            },
            {
              "context": "p",
              "element": "actor",
              "variable": "cr",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "CodeableReference"
                }
              ]
            },
            {
              "context": "cr",
              "element": "reference",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "au"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "author.where(((reference.exists() and (reference.startsWith('Practitioner/') or reference.startsWith('PractitionerRole/') or reference.startsWith('Patient/') or reference.startsWith('RelatedPerson/') or reference.startsWith('Device/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Practitioner') or ('/' + type).endsWith('/PractitionerRole') or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/RelatedPerson') or ('/' + type).endsWith('/Device'))))).exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromSource",
              "source": [
                {
                  "context": "qr",
                  "element": "source",
                  "variable": "src",
                  "condition": "(reference.exists() and (reference.startsWith('Practitioner/') or reference.startsWith('PractitionerRole/') or reference.startsWith('Patient/') or reference.startsWith('RelatedPerson/') or reference.startsWith('Device/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Practitioner') or ('/' + type).endsWith('/PractitionerRole') or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/RelatedPerson') or ('/' + type).endsWith('/Device')))"
                }
              ],
              "target": [
                {
                  "context": "r",
                  "element": "performer",
                  "variable": "p"
                },
                {
                  "context": "p",
                  "element": "actor",
                  "variable": "cr",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "CodeableReference"
                    }
                  ]
                },
                {
                  "context": "cr",
                  "element": "reference",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "src"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "ConformServiceRequest",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e",
              "condition": "(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "authoredOn",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "authoredOn",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ]
        },
        {
          "name": "priority",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "priority",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "routine"
                }
              ]
            }
          ]
        },
        {
          "name": "requesterFromAuthor",
          "source": [
            {
              "context": "qr",
              "element": "author",
              "variable": "au",
              "condition": "(reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "requester",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "au"
                }
              ]
            }
          ]
        },
        {
          "name": "requesterFallback",
          "source": [
            {
              "context": "qr",
              "condition": "author.where(((reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient'))))).exists().not()"
            }
          ],
          "rule": [
            {
              "name": "requesterFromSource",
              "source": [
                {
                  "context": "qr",
                  "element": "source",
                  "variable": "src",
                  "condition": "(reference.exists() and (reference.startsWith('Organization/') or reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Organization') or ('/' + type).endsWith('/Patient')))"
                }
              ],
              "target": [
                {
                  "context": "r",
                  "element": "requester",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "src"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}