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Packagesilfhirprofileig
Resource TypeStructureMap
IdStructureMap-ExtractOutpatientSummary.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractOutpatientSummary.html
URLhttps://fhir.slade360.co.ke/fhir/StructureMap/ExtractOutpatientSummary
Version0.1.0
Statusactive
Date2026-09-11T12:18:36+00:00
NameExtractOutpatientSummary
TitleOut-patient Summary Extraction
DescriptionA ClinicalImpression whose summary is the provisional diagnosis and whose supportingInfo names the complaints Observation, plus a Condition with verificationStatus provisional. Provisional is the point: this is written at the end of a single out-patient visit, and a Condition that does not say so reads as settled to everything downstream that looks at it.

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Narrative

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

Generated Narrative: StructureMap ExtractOutpatientSummary

/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractOutpatientSummary'
/// name = 'ExtractOutpatientSummary'
/// title = 'Out-patient Summary Extraction'
/// status = 'active'
/// description = 'A ClinicalImpression whose summary is the provisional diagnosis and whose supportingInfo names the complaints Observation, plus a Condition with verificationStatus provisional. Provisional is the point: this is written at the end of a single out-patient visit, and a Condition that does not say so reads as settled to everything downstream that looks at it.'

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/ClinicalImpression" alias ClinicalImpression as target
uses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as target

group ExtractOutpatientSummary(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "setBundleType";
  qr ->  bundle.entry as entry,  entry.resource = create('ClinicalImpression') as ci then {
    qr ->  ci,  entry then BuildClinicalImpressionBase(qr, ci, entry) "base";
    qr -> ci.status = 'completed' "status";
    qr.encounter as e -> ci.encounter = e;
    qr.authored as t -> ci.date = t "date";
    qr -> ci.description = 'Out-patient visit summary' "description";
    qr.item as g where (linkId = 'visit') then {
      g.item as it where ((linkId = 'visit/clinician') and answer.value.exists()) then {
        it.answer first as a then {
          a.value as ref -> ci.performer = ref "performer";
        };
      } "clinicianRule";
      g.item as it where ((linkId = 'visit/date') and answer.value.exists()) then {
        it.answer first as a then {
          a.value as v -> ci.effective = cast(v, 'dateTime') "effective";
        };
      } "dateRule";
    } "visitGroup";
    qr.item as g where (linkId = 'provisional-diagnosis') then {
      g.item as it where ((linkId = 'provisional-diagnosis/text') and answer.value.exists()) then {
        it.answer first as a then {
          a.value as txt -> ci.summary = txt "summary";
        };
      } "summaryRule";
    } "diagnosisGroupForSummary";
    // The complaints, as an Observation the impression names.
    qr.item as it where ((linkId = 'complaints') and answer.value.exists()) ->  bundle.entry as sentry,  sentry.resource = create('Observation') as sobs then {
      qr ->  sobs,  sentry then BuildObsBase(qr, sobs, sentry) "base";
      qr -> sobs then SetSurveyCategory(qr, sobs) "category";
      it -> sobs.code as scc then {
        it -> scc.coding as scg then {
          it -> scg.system = 'http://loinc.org' "sys";
          it -> scg.code = '10154-3' "cd";
          it -> scg.display = 'Chief complaint Narrative - Reported' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as txt ->  sobs.note as n,  n.text = txt "text";
      };
      it ->  ci.supportingInfo = create('Reference') as sref,  sref.reference = reference(sobs) "linkSupporting";
    } "complaintsObservation";
  } "outpatientImpression";
  qr.item as it where ((linkId = 'interventions') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
    qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
    qr -> obs then SetSurveyCategory(qr, obs) "category";
    it -> obs.code as cc then {
      it -> cc.coding as cg then {
        it -> cg.system = 'http://loinc.org' "sys";
        it -> cg.code = '62387-6' "cd";
        it -> cg.display = 'Interventions Narrative' "dsp";
      } "coding";
      it -> cc.text = 'Interventions carried out at the out-patient visit' "codeText";
    } "code";
    it.answer first as a then {
      a.value as txt ->  obs.note as n,  n.text = txt "text";
    };
  } "narr_62387_6";
  qr.item as it where ((linkId = 'plan') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
    qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
    qr -> obs then SetSurveyCategory(qr, obs) "category";
    it -> obs.code as cc then {
      it -> cc.coding as cg then {
        it -> cg.system = 'http://loinc.org' "sys";
        it -> cg.code = '18776-5' "cd";
        it -> cg.display = 'Plan of care note' "dsp";
      } "coding";
      it -> cc.text = 'Plan and follow-up from the out-patient visit' "codeText";
    } "code";
    it.answer first as a then {
      a.value as txt ->  obs.note as n,  n.text = txt "text";
    };
  } "narr_18776_5";
  // ── The provisional diagnosis ───────────────────────────────────────────
  qr.item as g where (linkId = 'provisional-diagnosis') then {
    g.item as it where ((linkId = 'provisional-diagnosis/text') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('Condition') as cond then {
      qr ->  cond,  entry then BuildConditionBase(qr, cond, entry) "base";
      it -> cond.clinicalStatus as cs then {
        it -> cs.coding as cg then {
          it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "sys";
          it -> cg.code = 'active' "cd";
          it -> cg.display = 'Active' "dsp";
        } "coding";
      } "clinicalStatus";
      it -> cond.verificationStatus as vs then {
        it -> vs.coding as cg then {
          it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-ver-status' "sys";
          it -> cg.code = 'provisional' "cd";
          it -> cg.display = 'Provisional' "dsp";
        } "coding";
      } "verificationStatus";
      it -> cond.category as cat then {
        it -> cat.coding as cg then {
          it -> cg.system = 'http://terminology.hl7.org/CodeSystem/condition-category' "sys";
          it -> cg.code = 'encounter-diagnosis' "cd";
          it -> cg.display = 'Encounter Diagnosis' "dsp";
        } "coding";
      } "category";
      it.answer first as a then {
        a.value as txt ->  cond.code as cc,  cc.text = txt "codeText";
      };
      qr.authored as t -> cond.recordedDate = t "recordedDate";
      qr.encounter as e -> cond.encounter = e;
      g.item as ex where ((linkId = 'provisional-diagnosis/condition') and answer.value.exists()) then {
        ex.answer first as ea then {
          ea.value as existing ->  cond.evidence as ev,  ev.reference = existing "evidenceReference";
        };
      } "existingRule";
    } "provisionalCondition";
  } "diagnosisGroup";
}

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

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

// The two answer shapes a component can carry. Both read the answer through the
// untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its
// typed property name fails at transform time on HAPI R5 with "Attempt to read
// invalid property ... on QuestionnaireResponse.item.answer".
group SetComponentCodedValue(source it, target comp) {
  it.answer first as a then {
    a.value as cv -> comp.value = create('CodeableConcept') as cc then {
      cv -> cc.coding = cv "valueCoding";
      cv.display as d -> cc.text = d "valueText";
    } "codedValue";
  } "componentAnswer";
}

group SetComponentValue(source it, target comp) {
  it.answer first as a then {
    a.value as v -> comp.value = v "plainValue";
  } "componentAnswer";
}

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

group BuildClinicalImpressionBase(source qr : QR, target r : ClinicalImpression, target entry) {
  qr -> r then SetResponseProvenance(qr, r) "responseProvenance";
  qr -> r.id = uuid() then SetClinicalImpressionFullUrl(r, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'ClinicalImpression' "requestUrl";
  } "entryRequest";
  qr.subject as s -> r.subject = s;
}

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

group BuildConditionBase(source qr : QR, target r : Condition, target entry) {
  qr -> r then SetResponseProvenance(qr, r) "responseProvenance";
  qr -> r.id = uuid() then SetConditionFullUrl(r, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'Condition' "requestUrl";
  } "entryRequest";
  qr.subject as s -> r.subject = s;
}

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

// ── Provenance and tenancy ───────────────────────────────────────────────────
// Two tags on everything this map creates. The first says which questionnaire
// produced it, so a form that reopens mid-admission recalls its own earlier
// entries and not another form's. The second copies the tenant tags off the
// response, because nothing else on the path puts them there.
// The code is the form's document type, not the questionnaire's id: every
// environment mints its own ids, and there is only one set of maps, so an id
// here would tie the tag to whichever environment stamped it.
// ── Provenance and tenancy ───────────────────────────────────────────────────
group SetResponseProvenance(source qr : QR, target r) {
  qr -> r.meta as m then {
    qr -> m.tag as t then {
      qr -> t.system = 'http://slade360edi.com/questionnaire-provenance' "provenanceSystem";
      qr -> t.code = 'outpatient-summary' "provenanceCode";
      qr -> t.display = 'Out-patient summary form' "provenanceDisplay";
    } "provenanceTag";
  } "provenanceMeta";
  // Every tag the response carries, onto the resource. `meta` is 0..1, so this
  // lands on the same meta the rule above created rather than a second one.
  qr.meta as qm then {
    qm.tag as qt ->  r.meta as m,  m.tag = qt "copyTag";
  } "tenantTags";
}


Source1

{
  "resourceType": "StructureMap",
  "id": "ExtractOutpatientSummary",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractOutpatientSummary",
  "version": "0.1.0",
  "name": "ExtractOutpatientSummary",
  "title": "Out-patient Summary 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": "A ClinicalImpression whose summary is the provisional diagnosis and whose supportingInfo names the complaints Observation, plus a Condition with verificationStatus provisional. Provisional is the point: this is written at the end of a single out-patient visit, and a Condition that does not say so reads as settled to everything downstream that looks at it.",
  "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/ClinicalImpression",
      "mode": "target",
      "alias": "ClinicalImpression"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Condition",
      "mode": "target",
      "alias": "Condition"
    }
  ],
  "group": [
    {
      "name": "ExtractOutpatientSummary",
      "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": "outpatientImpression",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "bundle",
              "element": "entry",
              "variable": "entry"
            },
            {
              "context": "entry",
              "element": "resource",
              "variable": "ci",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "ClinicalImpression"
                }
              ]
            }
          ],
          "rule": [
            {
              "name": "base",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ci"
                },
                {
                  "context": "entry"
                }
              ],
              "dependent": [
                {
                  "name": "BuildClinicalImpressionBase",
                  "parameter": [
                    {
                      "valueId": "qr"
                    },
                    {
                      "valueId": "ci"
                    },
                    {
                      "valueId": "entry"
                    }
                  ]
                }
              ]
            },
            {
              "name": "status",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ci",
                  "element": "status",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "completed"
                    }
                  ]
                }
              ]
            },
            {
              "name": "encounter",
              "source": [
                {
                  "context": "qr",
                  "element": "encounter",
                  "variable": "e"
                }
              ],
              "target": [
                {
                  "context": "ci",
                  "element": "encounter",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "e"
                    }
                  ]
                }
              ]
            },
            {
              "name": "date",
              "source": [
                {
                  "context": "qr",
                  "element": "authored",
                  "variable": "t"
                }
              ],
              "target": [
                {
                  "context": "ci",
                  "element": "date",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "t"
                    }
                  ]
                }
              ]
            },
            {
              "name": "description",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "ci",
                  "element": "description",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "Out-patient visit summary"
                    }
                  ]
                }
              ]
            },
            {
              "name": "visitGroup",
              "source": [
                {
                  "context": "qr",
                  "element": "item",
                  "variable": "g",
                  "condition": "linkId = 'visit'"
                }
              ],
              "rule": [
                {
                  "name": "clinicianRule",
                  "source": [
                    {
                      "context": "g",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'visit/clinician') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "it",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "a"
                        }
                      ],
                      "rule": [
                        {
                          "name": "performer",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "ref"
                            }
                          ],
                          "target": [
                            {
                              "context": "ci",
                              "element": "performer",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "ref"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "dateRule",
                  "source": [
                    {
                      "context": "g",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'visit/date') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "it",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "a"
                        }
                      ],
                      "rule": [
                        {
                          "name": "effective",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "v"
                            }
                          ],
                          "target": [
                            {
                              "context": "ci",
                              "element": "effective",
                              "transform": "cast",
                              "parameter": [
                                {
                                  "valueId": "v"
                                },
                                {
                                  "valueString": "dateTime"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "diagnosisGroupForSummary",
              "source": [
                {
                  "context": "qr",
                  "element": "item",
                  "variable": "g",
                  "condition": "linkId = 'provisional-diagnosis'"
                }
              ],
              "rule": [
                {
                  "name": "summaryRule",
                  "source": [
                    {
                      "context": "g",
                      "element": "item",
                      "variable": "it",
                      "condition": "(linkId = 'provisional-diagnosis/text') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "it",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "a"
                        }
                      ],
                      "rule": [
                        {
                          "name": "summary",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "txt"
                            }
                          ],
                          "target": [
                            {
                              "context": "ci",
                              "element": "summary",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "txt"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "complaintsObservation",
              "source": [
                {
                  "context": "qr",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'complaints') and answer.value.exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "sentry"
                },
                {
                  "context": "sentry",
                  "element": "resource",
                  "variable": "sobs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "sobs"
                    },
                    {
                      "context": "sentry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "sobs"
                        },
                        {
                          "valueId": "sentry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "sobs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetSurveyCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "sobs"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
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                            }
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                          "target": [
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                              "context": "scg",
                              "element": "display",
                              "transform": "copy",
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                                  "valueString": "Chief complaint Narrative - Reported"
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                          "element": "system",
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                              "valueString": "http://loinc.org"
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                          "context": "it"
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                          "element": "code",
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                              "valueString": "18776-5"
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                          "context": "it"
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                          "element": "display",
                          "transform": "copy",
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                      "name": "BuildConditionBase",
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                          "valueId": "qr"
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                          "valueId": "entry"
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                },
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                      "context": "cond",
                      "element": "clinicalStatus",
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                          "context": "it"
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                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
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                                  "valueString": "http://terminology.hl7.org/CodeSystem/condition-clinical"
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                              ]
                            }
                          ]
                        },
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                              "context": "it"
                            }
                          ],
                          "target": [
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                              "context": "cg",
                              "element": "code",
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                                  "valueString": "active"
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                              "context": "it"
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                          "target": [
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                              "context": "cg",
                              "element": "display",
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                                  "valueString": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
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                          "name": "cd",
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                              "context": "it"
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                              "context": "cg",
                              "element": "code",
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                                  "valueString": "provisional"
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                          "name": "dsp",
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                              "context": "it"
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                          "target": [
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                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
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                                  "valueString": "Provisional"
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                      "context": "it"
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                          "name": "sys",
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                              "context": "it"
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                              "context": "cg",
                              "element": "system",
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                                  "valueString": "http://terminology.hl7.org/CodeSystem/condition-category"
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                          "name": "cd",
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                            {
                              "context": "it"
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                          "target": [
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                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
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                                  "valueString": "encounter-diagnosis"
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                          ]
                        },
                        {
                          "name": "dsp",
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                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
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                              "parameter": [
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                                  "valueString": "Encounter Diagnosis"
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                },
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                      ],
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                          "context": "cond",
                          "element": "code",
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                          "context": "cc",
                          "element": "text",
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                          "parameter": [
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                              "valueId": "txt"
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                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "recordedDate",
                  "source": [
                    {
                      "context": "qr",
                      "element": "authored",
                      "variable": "t"
                    }
                  ],
                  "target": [
                    {
                      "context": "cond",
                      "element": "recordedDate",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "t"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "encounter",
                  "source": [
                    {
                      "context": "qr",
                      "element": "encounter",
                      "variable": "e"
                    }
                  ],
                  "target": [
                    {
                      "context": "cond",
                      "element": "encounter",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "e"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "existingRule",
                  "source": [
                    {
                      "context": "g",
                      "element": "item",
                      "variable": "ex",
                      "condition": "(linkId = 'provisional-diagnosis/condition') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "ex",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "ea"
                        }
                      ],
                      "rule": [
                        {
                          "name": "evidenceReference",
                          "source": [
                            {
                              "context": "ea",
                              "element": "value",
                              "variable": "existing"
                            }
                          ],
                          "target": [
                            {
                              "context": "cond",
                              "element": "evidence",
                              "variable": "ev"
                            },
                            {
                              "context": "ev",
                              "element": "reference",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "existing"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ],
          "documentation": "── The provisional diagnosis ───────────────────────────────────────────"
        }
      ]
    },
    {
      "name": "BuildObsBase",
      "documentation": "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each map rather than imported: the transform\r\nengine resolves `imports` against whatever StructureMaps happen to be on the\r\nserver, and a form that stops extracting because a shared map was not\r\nuploaded is a worse failure than a duplicated group.\r\nTwo notes on what the publisher's StructureMap validator says about this file.\r\nSource parameters below are left untyped on purpose. Writing `: Element` makes\r\nthe validator compare QuestionnaireResponse.item against the literal 'Element'\r\nand report them as incompatible with each other, which is noise, not a finding.\r\n`evaluate(context, expression)` is flagged as \"takes 1 parameter but 2 were\r\nfound\". Leave it. The FML parser in the same jar refuses the one-argument form\r\noutright -- it wants a parameter, a comma, then the FHIRPath -- so the\r\npublisher is objecting to what its own compiler emits. Two arguments is the\r\nonly form that compiles, and it is what the R5 transform engine executes.\r\n─────────────────────────────────────────────────────────────────────────────",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "obs"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetObservationFullUrl",
              "parameter": [
                {
                  "valueId": "obs"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "status",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "status",
              "transform": "copy",
              "parameter": [
                {
                  "valueString": "final"
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "encounter",
          "source": [
            {
              "context": "qr",
              "element": "encounter",
              "variable": "e"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "encounter",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "e"
                }
              ]
            }
          ]
        },
        {
          "name": "effective",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "effective",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFromSource",
          "source": [
            {
              "context": "qr",
              "element": "source",
              "variable": "src"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "performer",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "src"
                }
              ]
            }
          ]
        },
        {
          "name": "performerFallback",
          "source": [
            {
              "context": "qr",
              "condition": "source.exists().not()"
            }
          ],
          "rule": [
            {
              "name": "performerFromAuthor",
              "source": [
                {
                  "context": "qr",
                  "element": "author",
                  "variable": "a"
                }
              ],
              "target": [
                {
                  "context": "obs",
                  "element": "performer",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "a"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "linkQuestionnaireResponse",
          "source": [
            {
              "context": "qr",
              "element": "id",
              "variable": "qid",
              "condition": "$this.hasValue()"
            }
          ],
          "target": [
            {
              "context": "obs",
              "element": "derivedFrom",
              "variable": "ref",
              "transform": "create",
              "parameter": [
                {
                  "valueString": "Reference"
                }
              ]
            },
            {
              "context": "ref",
              "element": "reference",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "qid"
                }
              ]
            }
          ],
          "documentation": "A stored response's id already reads \"QuestionnaireResponse/<id>\", so it is\r\na relative reference as it stands. The hasValue() guard is what stops an\r\nunsaved response -- one posted straight to $extract rather than saved first\r\n-- from writing \"QuestionnaireResponse/null\" into the record."
        }
      ]
    },
    {
      "name": "SetObservationFullUrl",
      "input": [
        {
          "name": "obs",
          "type": "Observation",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "obs",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/Observation/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetComponentCodedValue",
      "documentation": "The two answer shapes a component can carry. Both read the answer through the\r\nuntyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its\r\ntyped property name fails at transform time on HAPI R5 with \"Attempt to read\r\ninvalid property ... on QuestionnaireResponse.item.answer\".",
      "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": "SetComponentValue",
      "input": [
        {
          "name": "it",
          "mode": "source"
        },
        {
          "name": "comp",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "componentAnswer",
          "source": [
            {
              "context": "it",
              "element": "answer",
              "listMode": "first",
              "variable": "a"
            }
          ],
          "rule": [
            {
              "name": "plainValue",
              "source": [
                {
                  "context": "a",
                  "element": "value",
                  "variable": "v"
                }
              ],
              "target": [
                {
                  "context": "comp",
                  "element": "value",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "v"
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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": "BuildClinicalImpressionBase",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "type": "ClinicalImpression",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetClinicalImpressionFullUrl",
              "parameter": [
                {
                  "valueId": "r"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "ClinicalImpression"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetClinicalImpressionFullUrl",
      "input": [
        {
          "name": "r",
          "type": "ClinicalImpression",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "r",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/ClinicalImpression/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildConditionBase",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "type": "Condition",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetConditionFullUrl",
              "parameter": [
                {
                  "valueId": "r"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "Condition"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetConditionFullUrl",
      "input": [
        {
          "name": "r",
          "type": "Condition",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "r",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/Condition/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetResponseProvenance",
      "documentation": "── Provenance and tenancy ───────────────────────────────────────────────────\r\nTwo tags on everything this map creates. The first says which questionnaire\r\nproduced it, so a form that reopens mid-admission recalls its own earlier\r\nentries and not another form's. The second copies the tenant tags off the\r\nresponse, because nothing else on the path puts them there.\r\nThe code is the form's document type, not the questionnaire's id: every\r\nenvironment mints its own ids, and there is only one set of maps, so an id\r\nhere would tie the tag to whichever environment stamped it.\r\n── Provenance and tenancy ───────────────────────────────────────────────────",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "provenanceMeta",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "meta",
              "variable": "m"
            }
          ],
          "rule": [
            {
              "name": "provenanceTag",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "m",
                  "element": "tag",
                  "variable": "t"
                }
              ],
              "rule": [
                {
                  "name": "provenanceSystem",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "system",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "http://slade360edi.com/questionnaire-provenance"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "provenanceCode",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "code",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "outpatient-summary"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "provenanceDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Out-patient summary form"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "tenantTags",
          "source": [
            {
              "context": "qr",
              "element": "meta",
              "variable": "qm"
            }
          ],
          "rule": [
            {
              "name": "copyTag",
              "source": [
                {
                  "context": "qm",
                  "element": "tag",
                  "variable": "qt"
                }
              ],
              "target": [
                {
                  "context": "r",
                  "element": "meta",
                  "variable": "m"
                },
                {
                  "context": "m",
                  "element": "tag",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueId": "qt"
                    }
                  ]
                }
              ]
            }
          ],
          "documentation": "Every tag the response carries, onto the resource. `meta` is 0..1, so this\r\nlands on the same meta the rule above created rather than a second one."
        }
      ]
    }
  ]
}