FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagesilfhirprofileig
Resource TypeStructureMap
IdStructureMap-ExtractInpatientNutritionScreening.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractInpatientNutritionScreening.html
URLhttps://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientNutritionScreening
Version0.1.0
Statusactive
Date2026-09-11T12:18:36+00:00
NameExtractInpatientNutritionScreening
TitleInpatient Nutrition Screening (MUST) Extraction
DescriptionThe MUST score becomes one Observation carrying the total with its three steps as components, plus a RiskAssessment for the band. The nutritional plan becomes a CarePlan, and a score in the high-risk band raises a dietitian referral. That referral is intent `proposal` and status `draft` deliberately: a map should not put an active order in a dietitian's queue on its own, so it arrives as something a clinician signs.

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: StructureMap ExtractInpatientNutritionScreening

/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientNutritionScreening'
/// name = 'ExtractInpatientNutritionScreening'
/// title = 'Inpatient Nutrition Screening (MUST) Extraction'
/// status = 'active'
/// description = 'The MUST score becomes one Observation carrying the total with its three steps as components, plus a RiskAssessment for the band. The nutritional plan becomes a CarePlan, and a score in the high-risk band raises a dietitian referral. That referral is intent `proposal` and status `draft` deliberately: a map should not put an active order in a dietitian\'s queue on its own, so it arrives as something a clinician signs.'

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

group ExtractInpatientNutritionScreening(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "setBundleType";
  // ── MUST score ─────────────────────────────────────────────────────────────
  // LOINC has 101789-6 for the screening itself and 101807-6 for its result
  // indicator, but nothing for the three steps, so those carry local codes.
  qr.item as gM where ((linkId = 'must') and item.answer.value.ofType(Coding).exists()) then {
    gM ->  bundle.entry as entryM,  entryM.resource = create('Observation') as obsM then {
      qr ->  obsM,  entryM then BuildObsBase(qr, obsM, entryM) "mustBase";
      qr -> obsM then SetSurveyCategory(qr, obsM) "mustCategory";
      qr -> obsM.code as code then {
        qr -> code.coding as coding then {
          qr -> coding.system = 'http://loinc.org' "codeSystem";
          qr -> coding.code = '101789-6' "codeCode";
          qr -> coding.display = 'Malnutrition risk screening' "codeDisplay";
        } "codeCoding";
        qr -> code.text = 'MUST score' "codeText";
      } "mustCode";
      // The submitted total wins; otherwise sum the answers, reading each
      // weight off the tail of its code (must-loss-2 is worth 2). Guarded on
      // all three steps being answered -- MUST is a sum of three, and a sum of
      // two banded as low risk would send a wasting patient home.
      gM where (item.answer.value.ofType(Coding).count() = 3) then {
        gM -> obsM.value = evaluate(gM, iif(item.where(linkId = 'must.total').answer.value.exists(), item.where(linkId = 'must.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))) "mustTotalValue";
      } "mustTotalRule";
      gM.item as it where ((linkId = 'must.bmi') and answer.value.exists()) -> obsM.component as comp then {
        it -> comp.code as code then {
          it -> code.coding as coding then {
            it -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";
            it -> coding.code = 'must-bmi-score' "codeCode";
            it -> coding.display = 'BMI score (MUST)' "codeDisplay";
          } "codeCoding";
        } "bmiCode";
        it -> comp then SetComponentCodedValue(it, comp) "bmiValue";
      } "mustBmiRule";
      gM.item as it where ((linkId = 'must.loss') and answer.value.exists()) -> obsM.component as comp then {
        it -> comp.code as code then {
          it -> code.coding as coding then {
            it -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";
            it -> coding.code = 'must-weight-loss-score' "codeCode";
            it -> coding.display = 'Unplanned weight loss score (MUST)' "codeDisplay";
          } "codeCoding";
        } "lossCode";
        it -> comp then SetComponentCodedValue(it, comp) "lossValue";
      } "mustLossRule";
      gM.item as it where ((linkId = 'must.acute') and answer.value.exists()) -> obsM.component as comp then {
        it -> comp.code as code then {
          it -> code.coding as coding then {
            it -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";
            it -> coding.code = 'must-acute-disease-score' "codeCode";
            it -> coding.display = 'Acute disease effect score (MUST)' "codeDisplay";
          } "codeCoding";
        } "acuteCode";
        it -> comp then SetComponentCodedValue(it, comp) "acuteValue";
      } "mustAcuteRule";
      qr ->  obsM,  bundle then AddMustRiskAssessment(obsM, qr, bundle) "mustBand";
      // BAPEN's management guidance for a MUST of 2 or more is to refer to a
      // dietitian, so a high-risk score raises the referral rather than leaving
      // it to be remembered. Draft and proposal: it needs a signature.
      qr ->  obsM,  bundle then AddDietitianReferral(obsM, qr, bundle) "dietitianReferral";
    } "mustObservation";
  } "mustRule";
  // ── Nutritional plan ───────────────────────────────────────────────────────
  qr.item as itP where ((linkId = 'plan') and answer.value.exists()) then {
    itP.answer first as aP then {
      aP ->  bundle.entry as entryC,  entryC.resource = create('CarePlan') as plan then {
        qr -> plan.id = uuid() then SetCarePlanFullUrl(plan, entryC) "idAndFullUrl";
        qr -> entryC.request as request then {
          qr -> request.method = 'POST' "requestMethod";
          qr -> request.url = 'CarePlan' "requestUrl";
        } "entryRequest";
        qr -> plan.status = 'active' "status";
        qr -> plan.intent = 'plan' "intent";
        qr -> plan.category as cat then {
          qr -> cat.coding as coding then {
            qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "categorySystem";
            qr -> coding.code = 'nutrition-care-plan' "categoryCode";
            qr -> coding.display = 'Nutritional plan' "categoryDisplay";
          } "categoryCoding";
        } "category";
        qr -> plan.title = 'Nutritional plan' "title";
        aP.value as v -> plan.description = v "description";
        qr.subject as s -> plan.subject = s;
        qr.encounter as e -> plan.encounter = e;
        qr.authored as t -> plan.created = t "created";
        qr.author as a -> plan.contributor = a "contributorFromAuthor";
        qr where (author.exists().not()) then {
          qr.source as src -> plan.contributor = src "contributorFromSource";
        } "contributorFallback";
        qr -> plan.supportingInfo = create('Reference') as ref then {
          qr.id as qid -> ref.reference = qid "supportingInfoRef";
        } "linkQuestionnaireResponse";
      } "carePlan";
    } "planAnswer";
  } "planRule";
}

// ─────────────────────────────────────────────────────────────────────────────
// MUST bands (BAPEN): 0 low risk, 1 medium risk, 2 or more high risk.
// ─────────────────────────────────────────────────────────────────────────────
group AddMustRiskAssessment(source obs : Observation, source qr : QR, target bundle : Bundle) {
  obs where (value.ofType(integer) = 0) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetMustRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'low' "riskCode";
          qr -> coding.display = 'Low likelihood' "riskDisplay";
        } "riskCoding";
        qr -> risk.text = 'Low risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "mustLow";
  obs where (value.ofType(integer) = 1) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetMustRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'moderate' "riskCode";
          qr -> coding.display = 'Moderate likelihood' "riskDisplay";
        } "riskCoding";
        qr -> risk.text = 'Medium risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "mustMedium";
  obs where (value.ofType(integer) >= 2) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {
    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";
    qr -> ra then SetMustRiskCode(qr, ra) "riskCode";
    qr -> ra.prediction as pred then {
      qr -> pred.qualitativeRisk as risk then {
        qr -> risk.coding as coding then {
          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";
          qr -> coding.code = 'high' "riskCode";
          qr -> coding.display = 'High likelihood' "riskDisplay";
        } "riskCoding";
        qr -> risk.text = 'High risk' "riskText";
      } "qualitativeRisk";
    } "prediction";
  } "mustHigh";
}

group SetMustRiskCode(source qr : QR, target ra : RiskAssessment) {
  qr -> ra.code as code then {
    qr -> code.coding as coding then {
      qr -> coding.system = 'http://loinc.org' "codeSystem";
      qr -> coding.code = '101807-6' "codeCode";
      qr -> coding.display = 'Malnutrition risk screen results indicator' "codeDisplay";
    } "codeCoding";
  } "code";
}

group AddDietitianReferral(source obs : Observation, source qr : QR, target bundle : Bundle) {
  obs where (value.ofType(integer) >= 2) ->  bundle.entry as entry,  entry.resource = create('ServiceRequest') as sr then {
    qr -> sr.id = uuid() then SetServiceRequestFullUrl(sr, entry) "idAndFullUrl";
    qr -> entry.request as request then {
      qr -> request.method = 'POST' "requestMethod";
      qr -> request.url = 'ServiceRequest' "requestUrl";
    } "entryRequest";
    qr -> sr.status = 'draft' "status";
    qr -> sr.intent = 'proposal' "intent";
    qr -> sr.priority = 'routine' "priority";
    // R5 ServiceRequest.code is a CodeableReference, so the concept sits one
    // level down.
    qr -> sr.code as codeRef then {
      qr -> codeRef.concept as concept then {
        qr -> concept.coding as coding then {
          qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "codeSystem";
          qr -> coding.code = 'dietitian-referral' "codeCode";
          qr -> coding.display = 'Referral to a dietitian' "codeDisplay";
        } "codeCoding";
        qr -> concept.text = 'Referral to a dietitian' "codeText";
      } "codeConcept";
    } "serviceRequestCode";
    qr -> sr.performerType as pt then {
      qr -> pt.coding as coding then {
        qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/practitioner-specialty-codesystem' "performerTypeSystem";
        qr -> coding.code = 'nutritionist' "performerTypeCode";
      } "performerTypeCoding";
      qr -> pt.text = 'Nutritionist' "performerTypeText";
    } "performerType";
    qr.subject as s -> sr.subject = s;
    qr.encounter as e -> sr.encounter = e;
    qr.authored as t -> sr.authoredOn = t "authoredOn";
    qr.author as a -> sr.requester = a "requesterFromAuthor";
    qr where (author.exists().not()) then {
      qr.source as src -> sr.requester = src "requesterFromSource";
    } "requesterFallback";
    // Why this referral exists: the score that triggered it.
    obs.id as oid -> sr.reason as reason then {
      oid -> reason.reference = create('Reference') as ref then {
        oid -> ref.reference = append('Observation/', oid) "reasonRef";
      } "reasonTarget";
    } "reason";
    qr -> sr.supportingInfo as si then {
      qr -> si.reference = create('Reference') as ref then {
        qr.id as qid -> ref.reference = qid "supportingInfoRef";
      } "supportingInfoTarget";
    } "linkQuestionnaireResponse";
  } "dietitianReferral";
}

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

group BuildRiskBase(source qr : QR, source obs : Observation, target ra : RiskAssessment, target entry) {
  qr -> ra.id = uuid() then SetRiskAssessmentFullUrl(ra, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'RiskAssessment' "requestUrl";
  } "entryRequest";
  qr -> ra.status = 'final' "status";
  qr.subject as s -> ra.subject = s;
  qr.encounter as e -> ra.encounter = e;
  qr.authored as t -> ra.occurrence = t "occurrence";
  qr.author as a -> ra.performer = a "performerFromAuthor";
  qr where (author.exists().not()) then {
    qr.source as src -> ra.performer = src "performerFromSource";
  } "performerFallback";
  qr -> ra.basis = create('Reference') as qref then {
    qr.id as qid -> qref.reference = qid "basisQuestionnaireResponse";
  } "basisResponse";
  obs.id as oid -> ra.basis = create('Reference') as oref then {
    oid -> oref.reference = append('Observation/', oid) "basisObservationRef";
  } "basisObservation";
}

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

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

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

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

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

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


Source1

{
  "resourceType": "StructureMap",
  "id": "ExtractInpatientNutritionScreening",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientNutritionScreening",
  "version": "0.1.0",
  "name": "ExtractInpatientNutritionScreening",
  "title": "Inpatient Nutrition Screening (MUST) Extraction",
  "status": "active",
  "date": "2026-09-11T12:18:36+00:00",
  "publisher": "Kathurima Kimathi",
  "contact": [
    {
      "name": "Kathurima Kimathi",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.linkedin.com/in/kathurima-kimathi/"
        },
        {
          "system": "email",
          "value": "kathurimakimathi415@gmail.com"
        }
      ]
    },
    {
      "name": "Oscar John",
      "telecom": [
        {
          "system": "email",
          "value": "oscarjohnotieno@gmail.com",
          "use": "work"
        }
      ]
    },
    {
      "name": "Kennedy Omondi",
      "telecom": [
        {
          "system": "email",
          "value": "kennankole@gmail.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The MUST score becomes one Observation carrying the total with its three steps as components, plus a RiskAssessment for the band. The nutritional plan becomes a CarePlan, and a score in the high-risk band raises a dietitian referral. That referral is intent `proposal` and status `draft` deliberately: a map should not put an active order in a dietitian's queue on its own, so it arrives as something a clinician signs.",
  "structure": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
      "mode": "source",
      "alias": "QR"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Bundle",
      "mode": "target",
      "alias": "Bundle"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Observation",
      "mode": "target",
      "alias": "Observation"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
      "mode": "target",
      "alias": "RiskAssessment"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "mode": "target",
      "alias": "CarePlan"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
      "mode": "target",
      "alias": "ServiceRequest"
    }
  ],
  "group": [
    {
      "name": "ExtractInpatientNutritionScreening",
      "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": "mustRule",
          "source": [
            {
              "context": "qr",
              "element": "item",
              "variable": "gM",
              "condition": "(linkId = 'must') and item.answer.value.ofType(Coding).exists()"
            }
          ],
          "rule": [
            {
              "name": "mustObservation",
              "source": [
                {
                  "context": "gM"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entryM"
                },
                {
                  "context": "entryM",
                  "element": "resource",
                  "variable": "obsM",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "mustBase",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM"
                    },
                    {
                      "context": "entryM"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obsM"
                        },
                        {
                          "valueId": "entryM"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "mustCategory",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetSurveyCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obsM"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "mustCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM",
                      "element": "code",
                      "variable": "code"
                    }
                  ],
                  "rule": [
                    {
                      "name": "codeCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "code",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "codeSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "codeCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "101789-6"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "codeDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Malnutrition risk screening"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "codeText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "code",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "MUST score"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "mustTotalRule",
                  "source": [
                    {
                      "context": "gM",
                      "condition": "item.answer.value.ofType(Coding).count() = 3"
                    }
                  ],
                  "rule": [
                    {
                      "name": "mustTotalValue",
                      "source": [
                        {
                          "context": "gM"
                        }
                      ],
                      "target": [
                        {
                          "context": "obsM",
                          "element": "value",
                          "transform": "evaluate",
                          "parameter": [
                            {
                              "valueId": "gM"
                            },
                            {
                              "valueString": "iif(item.where(linkId = 'must.total').answer.value.exists(), item.where(linkId = 'must.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))"
                            }
                          ]
                        }
                      ]
                    }
                  ],
                  "documentation": "The submitted total wins; otherwise sum the answers, reading each\r\nweight off the tail of its code (must-loss-2 is worth 2). Guarded on\r\nall three steps being answered -- MUST is a sum of three, and a sum of\r\ntwo banded as low risk would send a wasting patient home."
                },
                {
                  "name": "mustBmiRule",
                  "source": [
                    {
                      "context": "gM",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'must.bmi') and answer.value.exists()"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM",
                      "element": "component",
                      "variable": "comp"
                    }
                  ],
                  "rule": [
                    {
                      "name": "bmiCode",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp",
                          "element": "code",
                          "variable": "code"
                        }
                      ],
                      "rule": [
                        {
                          "name": "codeCoding",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "code",
                              "element": "coding",
                              "variable": "coding"
                            }
                          ],
                          "rule": [
                            {
                              "name": "codeSystem",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "system",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "codeCode",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "code",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "must-bmi-score"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "codeDisplay",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "display",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "BMI score (MUST)"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "bmiValue",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp"
                        }
                      ],
                      "dependent": [
                        {
                          "name": "SetComponentCodedValue",
                          "parameter": [
                            {
                              "valueId": "it"
                            },
                            {
                              "valueId": "comp"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "mustLossRule",
                  "source": [
                    {
                      "context": "gM",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'must.loss') and answer.value.exists()"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM",
                      "element": "component",
                      "variable": "comp"
                    }
                  ],
                  "rule": [
                    {
                      "name": "lossCode",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp",
                          "element": "code",
                          "variable": "code"
                        }
                      ],
                      "rule": [
                        {
                          "name": "codeCoding",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "code",
                              "element": "coding",
                              "variable": "coding"
                            }
                          ],
                          "rule": [
                            {
                              "name": "codeSystem",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "system",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "codeCode",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "code",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "must-weight-loss-score"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "codeDisplay",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "display",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "Unplanned weight loss score (MUST)"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "lossValue",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp"
                        }
                      ],
                      "dependent": [
                        {
                          "name": "SetComponentCodedValue",
                          "parameter": [
                            {
                              "valueId": "it"
                            },
                            {
                              "valueId": "comp"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "mustAcuteRule",
                  "source": [
                    {
                      "context": "gM",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'must.acute') and answer.value.exists()"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM",
                      "element": "component",
                      "variable": "comp"
                    }
                  ],
                  "rule": [
                    {
                      "name": "acuteCode",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp",
                          "element": "code",
                          "variable": "code"
                        }
                      ],
                      "rule": [
                        {
                          "name": "codeCoding",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "code",
                              "element": "coding",
                              "variable": "coding"
                            }
                          ],
                          "rule": [
                            {
                              "name": "codeSystem",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "system",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "codeCode",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "code",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "must-acute-disease-score"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "codeDisplay",
                              "source": [
                                {
                                  "context": "it"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "display",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "Acute disease effect score (MUST)"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "acuteValue",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp"
                        }
                      ],
                      "dependent": [
                        {
                          "name": "SetComponentCodedValue",
                          "parameter": [
                            {
                              "valueId": "it"
                            },
                            {
                              "valueId": "comp"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "mustBand",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM"
                    },
                    {
                      "context": "bundle"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "AddMustRiskAssessment",
                      "parameter": [
                        {
                          "valueId": "obsM"
                        },
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "bundle"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "dietitianReferral",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obsM"
                    },
                    {
                      "context": "bundle"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "AddDietitianReferral",
                      "parameter": [
                        {
                          "valueId": "obsM"
                        },
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "bundle"
                        }
                      ]
                    }
                  ],
                  "documentation": "BAPEN's management guidance for a MUST of 2 or more is to refer to a\r\ndietitian, so a high-risk score raises the referral rather than leaving\r\nit to be remembered. Draft and proposal: it needs a signature."
                }
              ]
            }
          ],
          "documentation": "── MUST score ─────────────────────────────────────────────────────────────\r\nLOINC has 101789-6 for the screening itself and 101807-6 for its result\r\nindicator, but nothing for the three steps, so those carry local codes."
        },
        {
          "name": "planRule",
          "source": [
            {
              "context": "qr",
              "element": "item",
              "variable": "itP",
              "condition": "(linkId = 'plan') and answer.value.exists()"
            }
          ],
          "rule": [
            {
              "name": "planAnswer",
              "source": [
                {
                  "context": "itP",
                  "element": "answer",
                  "listMode": "first",
                  "variable": "aP"
                }
              ],
              "rule": [
                {
                  "name": "carePlan",
                  "source": [
                    {
                      "context": "aP"
                    }
                  ],
                  "target": [
                    {
                      "context": "bundle",
                      "element": "entry",
                      "variable": "entryC"
                    },
                    {
                      "context": "entryC",
                      "element": "resource",
                      "variable": "plan",
                      "transform": "create",
                      "parameter": [
                        {
                          "valueString": "CarePlan"
                        }
                      ]
                    }
                  ],
                  "rule": [
                    {
                      "name": "idAndFullUrl",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "id",
                          "transform": "uuid"
                        }
                      ],
                      "dependent": [
                        {
                          "name": "SetCarePlanFullUrl",
                          "parameter": [
                            {
                              "valueId": "plan"
                            },
                            {
                              "valueId": "entryC"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "entryRequest",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "entryC",
                          "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": "CarePlan"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "status",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "status",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "active"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "intent",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "intent",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "plan"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "category",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "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": "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "categoryCode",
                              "source": [
                                {
                                  "context": "qr"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "code",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "nutrition-care-plan"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "categoryDisplay",
                              "source": [
                                {
                                  "context": "qr"
                                }
                              ],
                              "target": [
                                {
                                  "context": "coding",
                                  "element": "display",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "Nutritional plan"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "title",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "title",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Nutritional plan"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "description",
                      "source": [
                        {
                          "context": "aP",
                          "element": "value",
                          "variable": "v"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "description",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "subject",
                      "source": [
                        {
                          "context": "qr",
                          "element": "subject",
                          "variable": "s"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "subject",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "s"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "encounter",
                      "source": [
                        {
                          "context": "qr",
                          "element": "encounter",
                          "variable": "e"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "encounter",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "e"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "created",
                      "source": [
                        {
                          "context": "qr",
                          "element": "authored",
                          "variable": "t"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "created",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "t"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "contributorFromAuthor",
                      "source": [
                        {
                          "context": "qr",
                          "element": "author",
                          "variable": "a"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "contributor",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "a"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "contributorFallback",
                      "source": [
                        {
                          "context": "qr",
                          "condition": "author.exists().not()"
                        }
                      ],
                      "rule": [
                        {
                          "name": "contributorFromSource",
                          "source": [
                            {
                              "context": "qr",
                              "element": "source",
                              "variable": "src"
                            }
                          ],
                          "target": [
                            {
                              "context": "plan",
                              "element": "contributor",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "src"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "linkQuestionnaireResponse",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "plan",
                          "element": "supportingInfo",
                          "variable": "ref",
                          "transform": "create",
                          "parameter": [
                            {
                              "valueString": "Reference"
                            }
                          ]
                        }
                      ],
                      "rule": [
                        {
                          "name": "supportingInfoRef",
                          "source": [
                            {
                              "context": "qr",
                              "element": "id",
                              "variable": "qid"
                            }
                          ],
                          "target": [
                            {
                              "context": "ref",
                              "element": "reference",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "qid"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ],
          "documentation": "── Nutritional plan ───────────────────────────────────────────────────────"
        }
      ]
    },
    {
      "name": "AddMustRiskAssessment",
      "documentation": "─────────────────────────────────────────────────────────────────────────────\r\nMUST bands (BAPEN): 0 low risk, 1 medium risk, 2 or more high risk.\r\n─────────────────────────────────────────────────────────────────────────────",
      "input": [
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "bundle",
          "type": "Bundle",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "mustLow",
          "source": [
            {
              "context": "obs",
              "condition": "value.ofType(integer) = 0"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetMustRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "riskCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "low"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Low likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Low risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "mustMedium",
          "source": [
            {
              "context": "obs",
              "condition": "value.ofType(integer) = 1"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetMustRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "riskCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "moderate"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Moderate likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Medium risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "mustHigh",
          "source": [
            {
              "context": "obs",
              "condition": "value.ofType(integer) >= 2"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ra",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "RiskAssessment"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "riskBase",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildRiskBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "obs"
                    },
                    {
                      "valueId": "ra"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "riskCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra"
                }
              ],
              "dependent": [
                {
                  "name": "SetMustRiskCode",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ra"
                    }
                  ]
                }
              ]
            },
            {
              "name": "prediction",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "prediction",
                  "variable": "pred"
                }
              ],
              "rule": [
                {
                  "name": "qualitativeRisk",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pred",
                      "element": "qualitativeRisk",
                      "variable": "risk"
                    }
                  ],
                  "rule": [
                    {
                      "name": "riskCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "riskSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://terminology.hl7.org/CodeSystem/risk-probability"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "high"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "riskDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "High likelihood"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "riskText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "risk",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "High risk"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetMustRiskCode",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "ra",
          "type": "RiskAssessment",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "code",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "code",
              "variable": "code"
            }
          ],
          "rule": [
            {
              "name": "codeCoding",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "code",
                  "element": "coding",
                  "variable": "coding"
                }
              ],
              "rule": [
                {
                  "name": "codeSystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://loinc.org"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "codeCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "101807-6"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "codeDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Malnutrition risk screen results indicator"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "AddDietitianReferral",
      "input": [
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "bundle",
          "type": "Bundle",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "dietitianReferral",
          "source": [
            {
              "context": "obs",
              "condition": "value.ofType(integer) >= 2"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "sr",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "ServiceRequest"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "idAndFullUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "id",
                  "transform": "uuid"
                }
              ],
              "dependent": [
                {
                  "name": "SetServiceRequestFullUrl",
                  "parameter": [
                    {
                      "valueId": "sr"
                    },
                    {
                      "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": "status",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "status",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "draft"
                    }
                  ]
                }
              ]
            },
            {
              "name": "intent",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "intent",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "proposal"
                    }
                  ]
                }
              ]
            },
            {
              "name": "priority",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "priority",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "routine"
                    }
                  ]
                }
              ]
            },
            {
              "name": "serviceRequestCode",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "code",
                  "variable": "codeRef"
                }
              ],
              "rule": [
                {
                  "name": "codeConcept",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "codeRef",
                      "element": "concept",
                      "variable": "concept"
                    }
                  ],
                  "rule": [
                    {
                      "name": "codeCoding",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "concept",
                          "element": "coding",
                          "variable": "coding"
                        }
                      ],
                      "rule": [
                        {
                          "name": "codeSystem",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "codeCode",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "dietitian-referral"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "codeDisplay",
                          "source": [
                            {
                              "context": "qr"
                            }
                          ],
                          "target": [
                            {
                              "context": "coding",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Referral to a dietitian"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "codeText",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "concept",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Referral to a dietitian"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "documentation": "R5 ServiceRequest.code is a CodeableReference, so the concept sits one\r\nlevel down."
            },
            {
              "name": "performerType",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "performerType",
                  "variable": "pt"
                }
              ],
              "rule": [
                {
                  "name": "performerTypeCoding",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pt",
                      "element": "coding",
                      "variable": "coding"
                    }
                  ],
                  "rule": [
                    {
                      "name": "performerTypeSystem",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "coding",
                          "element": "system",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "https://fhir.slade360.co.ke/fhir/CodeSystem/practitioner-specialty-codesystem"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "performerTypeCode",
                      "source": [
                        {
                          "context": "qr"
                        }
                      ],
                      "target": [
                        {
                          "context": "coding",
                          "element": "code",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "nutritionist"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "performerTypeText",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "pt",
                      "element": "text",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Nutritionist"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "subject",
              "source": [
                {
                  "context": "qr",
                  "element": "subject",
                  "variable": "s"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "subject",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "s"
                    }
                  ]
                }
              ]
            },
            {
              "name": "encounter",
              "source": [
                {
                  "context": "qr",
                  "element": "encounter",
                  "variable": "e"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "encounter",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "e"
                    }
                  ]
                }
              ]
            },
            {
              "name": "authoredOn",
              "source": [
                {
                  "context": "qr",
                  "element": "authored",
                  "variable": "t"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "authoredOn",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "t"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requesterFromAuthor",
              "source": [
                {
                  "context": "qr",
                  "element": "author",
                  "variable": "a"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "requester",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "a"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requesterFallback",
              "source": [
                {
                  "context": "qr",
                  "condition": "author.exists().not()"
                }
              ],
              "rule": [
                {
                  "name": "requesterFromSource",
                  "source": [
                    {
                      "context": "qr",
                      "element": "source",
                      "variable": "src"
                    }
                  ],
                  "target": [
                    {
                      "context": "sr",
                      "element": "requester",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "src"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "reason",
              "source": [
                {
                  "context": "obs",
                  "element": "id",
                  "variable": "oid"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "reason",
                  "variable": "reason"
                }
              ],
              "rule": [
                {
                  "name": "reasonTarget",
                  "source": [
                    {
                      "context": "oid"
                    }
                  ],
                  "target": [
                    {
                      "context": "reason",
                      "element": "reference",
                      "variable": "ref",
                      "transform": "create",
                      "parameter": [
                        {
                          "valueString": "Reference"
                        }
                      ]
                    }
                  ],
                  "rule": [
                    {
                      "name": "reasonRef",
                      "source": [
                        {
                          "context": "oid"
                        }
                      ],
                      "target": [
                        {
                          "context": "ref",
                          "element": "reference",
                          "transform": "append",
                          "parameter": [
                            {
                              "valueString": "Observation/"
                            },
                            {
                              "valueId": "oid"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ],
              "documentation": "Why this referral exists: the score that triggered it."
            },
            {
              "name": "linkQuestionnaireResponse",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "sr",
                  "element": "supportingInfo",
                  "variable": "si"
                }
              ],
              "rule": [
                {
                  "name": "supportingInfoTarget",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "si",
                      "element": "reference",
                      "variable": "ref",
                      "transform": "create",
                      "parameter": [
                        {
                          "valueString": "Reference"
                        }
                      ]
                    }
                  ],
                  "rule": [
                    {
                      "name": "supportingInfoRef",
                      "source": [
                        {
                          "context": "qr",
                          "element": "id",
                          "variable": "qid"
                        }
                      ],
                      "target": [
                        {
                          "context": "ref",
                          "element": "reference",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "qid"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildObsBase",
      "documentation": "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each map rather than imported: the transform\r\nengine resolves `imports` against whatever StructureMaps happen to be on the\r\nserver, and a form that stops extracting because a shared map was not\r\nuploaded is a worse failure than a duplicated group.\r\n─────────────────────────────────────────────────────────────────────────────\r\nTwo notes on what the publisher's StructureMap validator says about this file.\r\nSource parameters below are left untyped on purpose. Writing `: Element` makes\r\nthe validator compare QuestionnaireResponse.item against the literal 'Element'\r\nand report them as incompatible with each other, which is noise, not a finding.\r\nUntyped, it says only that it cannot check the paths.\r\n`evaluate(context, expression)` is flagged as \"takes 1 parameter but 2 were\r\nfound\". Leave it. The FML parser in the same jar refuses the one-argument form\r\noutright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher\r\nis objecting to what its own compiler emits. Two arguments is the only form that\r\ncompiles, and it is what the R5 transform engine executes.",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetObservationFullUrl",
              "parameter": [
                {
                  "valueId": "obs"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "status",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "status",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "final"
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "effective",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "effective",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromSource",
          "source": [
            {
              "context": "qr",
              "element": "source",
              "variable": "src"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "performer",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "src"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "source.exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromAuthor",
              "source": [
                {
                  "context": "qr",
                  "element": "author",
                  "variable": "a"
                }
              ],
              "target": [
                {
                  "context": "obs",
                  "element": "performer",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "a"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "linkQuestionnaireResponse",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "derivedFrom",
              "variable": "ref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "derivedFromRef",
              "source": [
                {
                  "context": "qr",
                  "element": "id",
                  "variable": "qid"
                }
              ],
              "target": [
                {
                  "context": "ref",
                  "element": "reference",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "qid"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildRiskBase",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "ra",
          "type": "RiskAssessment",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetRiskAssessmentFullUrl",
              "parameter": [
                {
                  "valueId": "ra"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "RiskAssessment"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "status",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "status",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "final"
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "occurrence",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "occurrence",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromAuthor",
          "source": [
            {
              "context": "qr",
              "element": "author",
              "variable": "a"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "performer",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "a"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "author.exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromSource",
              "source": [
                {
                  "context": "qr",
                  "element": "source",
                  "variable": "src"
                }
              ],
              "target": [
                {
                  "context": "ra",
                  "element": "performer",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "src"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "basisResponse",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "basis",
              "variable": "qref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "basisQuestionnaireResponse",
              "source": [
                {
                  "context": "qr",
                  "element": "id",
                  "variable": "qid"
                }
              ],
              "target": [
                {
                  "context": "qref",
                  "element": "reference",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "qid"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "basisObservation",
          "source": [
            {
              "context": "obs",
              "element": "id",
              "variable": "oid"
            }
          ],
          "target": [
            {
              "context": "ra",
              "element": "basis",
              "variable": "oref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "basisObservationRef",
              "source": [
                {
                  "context": "oid"
                }
              ],
              "target": [
                {
                  "context": "oref",
                  "element": "reference",
                  "transform": "append",
                  "parameter": [
                    {
                      "valueString": "Observation/"
                    },
                    {
                      "valueId": "oid"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetComponentCodedValue",
      "input": [
        {
          "name": "it",
          "mode": "source"
        },
        {
          "name": "comp",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "componentAnswer",
          "source": [
            {
              "context": "it",
              "element": "answer",
              "listMode": "first",
              "variable": "a"
            }
          ],
          "rule": [
            {
              "name": "codedValue",
              "source": [
                {
                  "context": "a",
                  "element": "value",
                  "variable": "cv"
                }
              ],
              "target": [
                {
                  "context": "comp",
                  "element": "value",
                  "variable": "cc",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "CodeableConcept"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "valueCoding",
                  "source": [
                    {
                      "context": "cv"
                    }
                  ],
                  "target": [
                    {
                      "context": "cc",
                      "element": "coding",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "cv"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "valueText",
                  "source": [
                    {
                      "context": "cv",
                      "element": "display",
                      "variable": "d"
                    }
                  ],
                  "target": [
                    {
                      "context": "cc",
                      "element": "text",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "d"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetSurveyCategory",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "category",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "category",
              "variable": "cat"
            }
          ],
          "rule": [
            {
              "name": "categoryCoding",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "cat",
                  "element": "coding",
                  "variable": "coding"
                }
              ],
              "rule": [
                {
                  "name": "categorySystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://terminology.hl7.org/CodeSystem/observation-category"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "survey"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Survey"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetObservationFullUrl",
      "input": [
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "obs",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/Observation/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetRiskAssessmentFullUrl",
      "input": [
        {
          "name": "ra",
          "type": "RiskAssessment",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "ra",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/RiskAssessment/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetCarePlanFullUrl",
      "input": [
        {
          "name": "plan",
          "type": "CarePlan",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "plan",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/CarePlan/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetServiceRequestFullUrl",
      "input": [
        {
          "name": "sr",
          "type": "ServiceRequest",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "sr",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/ServiceRequest/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}