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Packagesilfhirprofileig
Resource TypeStructureMap
IdStructureMap-ExtractTheatrePacuObservation.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/savannahghi/sil_fhir_profile_ig/StructureMap-ExtractTheatrePacuObservation.html
URLhttps://fhir.slade360.co.ke/fhir/StructureMap/ExtractTheatrePacuObservation
Version0.1.0
Statusactive
Date2026-09-11T12:18:36+00:00
NameExtractTheatrePacuObservation
TitleTheatre PACU Observation Extraction
DescriptionEvery reading as its own Observation under its real LOINC code, taking the round's own timestamp, plus a MedicationAdministration for anything given. Recovery is the window in which a patient deteriorates fastest, and a set of observations collapsed onto one instant cannot show a trend at all.

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Narrative

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

Generated Narrative: StructureMap ExtractTheatrePacuObservation

/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractTheatrePacuObservation'
/// name = 'ExtractTheatrePacuObservation'
/// title = 'Theatre PACU Observation Extraction'
/// status = 'active'
/// description = 'Every reading as its own Observation under its real LOINC code, taking the round\'s own timestamp, plus a MedicationAdministration for anything given. Recovery is the window in which a patient deteriorates fastest, and a set of observations collapsed onto one instant cannot show a trend at all.'

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

group ExtractTheatrePacuObservation(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "setBundleType";
  qr.item as row where (linkId = 'round') then {
    row.item as it where ((linkId = 'round/temperature') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetVitalSignsCategory(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 = '8310-5' "cd";
          it -> cg.display = 'Body temperature' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      row -> obs then SetPacuRowTime(row, obs) "rowTime";
    } "vital_round_8310_5";
    row.item as it where ((linkId = 'round/pulse') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetVitalSignsCategory(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 = '8867-4' "cd";
          it -> cg.display = 'Heart rate' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      row -> obs then SetPacuRowTime(row, obs) "rowTime";
    } "vital_round_8867_4";
    row.item as it where ((linkId = 'round/respiratory-rate') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetVitalSignsCategory(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 = '9279-1' "cd";
          it -> cg.display = 'Respiratory rate' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      row -> obs then SetPacuRowTime(row, obs) "rowTime";
    } "vital_round_9279_1";
    row.item as it where ((linkId = 'round/oxygen-saturation') and answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetVitalSignsCategory(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 = '59408-5' "cd";
          it -> cg.display = 'Oxygen saturation in Arterial blood by Pulse oximetry' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as v -> obs.value = v;
      };
      row -> obs then SetPacuRowTime(row, obs) "rowTime";
    } "vital_round_59408_5";
    row.item as it where ((linkId = 'round/blood-pressure') and item.answer.value.ofType(Quantity).exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetVitalSignsCategory(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 = '85354-9' "cd";
          it -> cg.display = 'Blood pressure panel with all children optional' "dsp";
        } "coding";
      } "code";
      it.item as sbp where ((linkId = 'round/blood-pressure/systolic') and answer.value.ofType(Quantity).exists()) -> obs.component as comp then {
        sbp -> comp.code as cc then {
          sbp -> cc.coding as cg then {
            sbp -> cg.system = 'http://loinc.org' "sys";
            sbp -> cg.code = '8480-6' "cd";
            sbp -> cg.display = 'Systolic blood pressure' "dsp";
          } "coding";
        } "code";
        sbp -> comp then SetComponentValue(sbp, comp) "value";
      } "comp_8480_6";
      it.item as dbp where ((linkId = 'round/blood-pressure/diastolic') and answer.value.ofType(Quantity).exists()) -> obs.component as comp then {
        dbp -> comp.code as cc then {
          dbp -> cc.coding as cg then {
            dbp -> cg.system = 'http://loinc.org' "sys";
            dbp -> cg.code = '8462-4' "cd";
            dbp -> cg.display = 'Diastolic blood pressure' "dsp";
          } "coding";
        } "code";
        dbp -> comp then SetComponentValue(dbp, comp) "value";
      } "comp_8462_4";
      row -> obs then SetPacuRowTime(row, obs) "rowTime";
    } "bp_round";
    row.item as it where ((linkId = 'round/drugs') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('MedicationAdministration') as ma then {
      qr ->  ma,  entry then BuildMedicationAdministrationBase(qr, ma, entry) "base";
      it -> ma.status = 'completed' "status";
      qr.encounter as e -> ma.encounter = e;
      it.answer first as a then {
        a.value as txt ->  ma.medication as med,  med.concept as mc,  mc.text = txt "medicationText";
      };
      row.item as at where ((linkId = 'round/at') and answer.value.exists()) then {
        at.answer first as a then {
          a.value as v -> ma.occurence = v "occurrence";
        };
      } "atRule";
      row.item as rb where ((linkId = 'round/recorded-by') and answer.value.exists()) then {
        rb.answer first as a then {
          a.value as ref ->  ma.performer as p,  p.actor = create('CodeableReference') as cr,  cr.reference = ref "performer";
        };
      } "byRule";
    } "pacuDrug";
    row.item as it where ((linkId = 'round/remarks') and answer.value.exists()) ->  bundle.entry as entry,  entry.resource = create('Observation') as obs then {
      qr ->  obs,  entry then BuildObsBase(qr, obs, entry) "base";
      qr -> obs then SetSurveyCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'http://loinc.org' "sys";
          it -> cg.code = '34746-8' "cd";
          it -> cg.display = 'Nurse Note' "dsp";
        } "coding";
        it -> cc.text = 'Remark on a recovery-room observation round' "codeText";
      } "code";
      it.answer first as a then {
        a.value as txt ->  obs.note as n,  n.text = txt "text";
      };
    } "narr_34746_8";
  } "roundRows";
}

// The row's own timestamp on everything extracted from that row.
group SetPacuRowTime(source row, target obs : Observation) {
  row.item as it where ((linkId = 'round/at') and answer.value.exists()) then {
    it.answer first as a then {
      a.value as v -> obs.effective = v "effective";
    };
  } "rowTimeRule";
  row.item as it where ((linkId = 'round/recorded-by') and answer.value.exists()) then {
    it.answer first as a then {
      a.value as ref -> obs.performer = ref "by";
    };
  } "rowByRule";
}

// ─────────────────────────────────────────────────────────────────────────────
// 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 SetVitalSignsCategory(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 = 'vital-signs' "categoryCode";
      qr -> coding.display = 'Vital Signs' "categoryDisplay";
    } "categoryCoding";
  } "category";
}

group BuildMedicationAdministrationBase(source qr : QR, target r : MedicationAdministration, target entry) {
  qr -> r then SetResponseProvenance(qr, r) "responseProvenance";
  qr -> r.id = uuid() then SetMedicationAdministrationFullUrl(r, entry) "idAndFullUrl";
  qr -> entry.request as request then {
    qr -> request.method = 'POST' "requestMethod";
    qr -> request.url = 'MedicationAdministration' "requestUrl";
  } "entryRequest";
  qr.subject as s -> r.subject = s;
  // The response's own time, as a floor. A row that names the time it was given
  // overwrites this; a form whose time column was taken off on review would
  // otherwise produce an administration with no time at all, which is not a
  // record of an administration. Same fallback BuildObsBase already applies.
  qr.authored as t -> r.occurence = t "occurrenceFallback";
}

group SetMedicationAdministrationFullUrl(source r : MedicationAdministration, target entry) {
  r.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/MedicationAdministration/', 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 = 'theatre-pacu-observation' "provenanceCode";
      qr -> t.display = 'Theatre PACU observation 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": "ExtractTheatrePacuObservation",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractTheatrePacuObservation",
  "version": "0.1.0",
  "name": "ExtractTheatrePacuObservation",
  "title": "Theatre PACU Observation 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": "Every reading as its own Observation under its real LOINC code, taking the round's own timestamp, plus a MedicationAdministration for anything given. Recovery is the window in which a patient deteriorates fastest, and a set of observations collapsed onto one instant cannot show a trend at all.",
  "structure": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
      "mode": "source",
      "alias": "QR"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Bundle",
      "mode": "target",
      "alias": "Bundle"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/Observation",
      "mode": "target",
      "alias": "Observation"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
      "mode": "target",
      "alias": "MedicationAdministration"
    }
  ],
  "group": [
    {
      "name": "ExtractTheatrePacuObservation",
      "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": "roundRows",
          "source": [
            {
              "context": "qr",
              "element": "item",
              "variable": "row",
              "condition": "linkId = 'round'"
            }
          ],
          "rule": [
            {
              "name": "vital_round_8310_5",
              "source": [
                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/temperature') and answer.value.ofType(Quantity).exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetVitalSignsCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
                        }
                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "8310-5"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Body temperature"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "v"
                        }
                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "rowTime",
                  "source": [
                    {
                      "context": "row"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetPacuRowTime",
                      "parameter": [
                        {
                          "valueId": "row"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "vital_round_8867_4",
              "source": [
                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/pulse') and answer.value.ofType(Quantity).exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetVitalSignsCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                },
                {
                  "name": "code",
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                    {
                      "context": "it"
                    }
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                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
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                        {
                          "context": "it"
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                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
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                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
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                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "8867-4"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Heart rate"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
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                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "v"
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                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "rowTime",
                  "source": [
                    {
                      "context": "row"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetPacuRowTime",
                      "parameter": [
                        {
                          "valueId": "row"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "vital_round_9279_1",
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                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/respiratory-rate') and answer.value.ofType(Quantity).exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetVitalSignsCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
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                  "target": [
                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
                        }
                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "9279-1"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Respiratory rate"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
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                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "v"
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                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "rowTime",
                  "source": [
                    {
                      "context": "row"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetPacuRowTime",
                      "parameter": [
                        {
                          "valueId": "row"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "vital_round_59408_5",
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                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/oxygen-saturation') and answer.value.ofType(Quantity).exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
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                }
              ],
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                {
                  "name": "base",
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                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetVitalSignsCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
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                  "target": [
                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
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                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
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                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "59408-5"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Oxygen saturation in Arterial blood by Pulse oximetry"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
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                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
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                      "name": "value",
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                        {
                          "context": "a",
                          "element": "value",
                          "variable": "v"
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                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "value",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "v"
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                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "rowTime",
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                    {
                      "context": "row"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetPacuRowTime",
                      "parameter": [
                        {
                          "valueId": "row"
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                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "bp_round",
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                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/blood-pressure') and item.answer.value.ofType(Quantity).exists()"
                }
              ],
              "target": [
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                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
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                }
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                  "name": "base",
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                    {
                      "context": "qr"
                    }
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                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
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                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
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                        {
                          "valueId": "qr"
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                        {
                          "valueId": "obs"
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                        {
                          "valueId": "entry"
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                      ]
                    }
                  ]
                },
                {
                  "name": "category",
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                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetVitalSignsCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
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                        {
                          "valueId": "obs"
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                      ]
                    }
                  ]
                },
                {
                  "name": "code",
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                    {
                      "context": "it"
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                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
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                  ],
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                      "name": "coding",
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                        {
                          "context": "it"
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                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
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                      ],
                      "rule": [
                        {
                          "name": "sys",
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                            {
                              "context": "it"
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                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
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                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
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                            {
                              "context": "it"
                            }
                          ],
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                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "85354-9"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Blood pressure panel with all children optional"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "comp_8480_6",
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                    {
                      "context": "it",
                      "element": "item",
                      "variable": "sbp",
                      "condition": "(linkId = 'round/blood-pressure/systolic') and answer.value.ofType(Quantity).exists()"
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                  ],
                  "target": [
                    {
                      "context": "obs",
                      "element": "component",
                      "variable": "comp"
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                      "name": "code",
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                        {
                          "context": "sbp"
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                        {
                          "context": "comp",
                          "element": "code",
                          "variable": "cc"
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                      ],
                      "rule": [
                        {
                          "name": "coding",
                          "source": [
                            {
                              "context": "sbp"
                            }
                          ],
                          "target": [
                            {
                              "context": "cc",
                              "element": "coding",
                              "variable": "cg"
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                          ],
                          "rule": [
                            {
                              "name": "sys",
                              "source": [
                                {
                                  "context": "sbp"
                                }
                              ],
                              "target": [
                                {
                                  "context": "cg",
                                  "element": "system",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "http://loinc.org"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "cd",
                              "source": [
                                {
                                  "context": "sbp"
                                }
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                              "target": [
                                {
                                  "context": "cg",
                                  "element": "code",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "8480-6"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "dsp",
                              "source": [
                                {
                                  "context": "sbp"
                                }
                              ],
                              "target": [
                                {
                                  "context": "cg",
                                  "element": "display",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "Systolic blood pressure"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "sbp"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp"
                        }
                      ],
                      "dependent": [
                        {
                          "name": "SetComponentValue",
                          "parameter": [
                            {
                              "valueId": "sbp"
                            },
                            {
                              "valueId": "comp"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "comp_8462_4",
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                    {
                      "context": "it",
                      "element": "item",
                      "variable": "dbp",
                      "condition": "(linkId = 'round/blood-pressure/diastolic') and answer.value.ofType(Quantity).exists()"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs",
                      "element": "component",
                      "variable": "comp"
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                  ],
                  "rule": [
                    {
                      "name": "code",
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                        {
                          "context": "dbp"
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                      ],
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                        {
                          "context": "comp",
                          "element": "code",
                          "variable": "cc"
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                      ],
                      "rule": [
                        {
                          "name": "coding",
                          "source": [
                            {
                              "context": "dbp"
                            }
                          ],
                          "target": [
                            {
                              "context": "cc",
                              "element": "coding",
                              "variable": "cg"
                            }
                          ],
                          "rule": [
                            {
                              "name": "sys",
                              "source": [
                                {
                                  "context": "dbp"
                                }
                              ],
                              "target": [
                                {
                                  "context": "cg",
                                  "element": "system",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "http://loinc.org"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "cd",
                              "source": [
                                {
                                  "context": "dbp"
                                }
                              ],
                              "target": [
                                {
                                  "context": "cg",
                                  "element": "code",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "8462-4"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name": "dsp",
                              "source": [
                                {
                                  "context": "dbp"
                                }
                              ],
                              "target": [
                                {
                                  "context": "cg",
                                  "element": "display",
                                  "transform": "copy",
                                  "parameter": [
                                    {
                                      "valueString": "Diastolic blood pressure"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "value",
                      "source": [
                        {
                          "context": "dbp"
                        }
                      ],
                      "target": [
                        {
                          "context": "comp"
                        }
                      ],
                      "dependent": [
                        {
                          "name": "SetComponentValue",
                          "parameter": [
                            {
                              "valueId": "dbp"
                            },
                            {
                              "valueId": "comp"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "rowTime",
                  "source": [
                    {
                      "context": "row"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetPacuRowTime",
                      "parameter": [
                        {
                          "valueId": "row"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "pacuDrug",
              "source": [
                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/drugs') and answer.value.exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "ma",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "MedicationAdministration"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "ma"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildMedicationAdministrationBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "ma"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "status",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "ma",
                      "element": "status",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "completed"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "encounter",
                  "source": [
                    {
                      "context": "qr",
                      "element": "encounter",
                      "variable": "e"
                    }
                  ],
                  "target": [
                    {
                      "context": "ma",
                      "element": "encounter",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "e"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "medicationText",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "txt"
                        }
                      ],
                      "target": [
                        {
                          "context": "ma",
                          "element": "medication",
                          "variable": "med"
                        },
                        {
                          "context": "med",
                          "element": "concept",
                          "variable": "mc"
                        },
                        {
                          "context": "mc",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "txt"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "atRule",
                  "source": [
                    {
                      "context": "row",
                      "element": "item",
                      "variable": "at",
                      "condition": "(linkId = 'round/at') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "at",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "a"
                        }
                      ],
                      "rule": [
                        {
                          "name": "occurrence",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "v"
                            }
                          ],
                          "target": [
                            {
                              "context": "ma",
                              "element": "occurence",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "v"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "byRule",
                  "source": [
                    {
                      "context": "row",
                      "element": "item",
                      "variable": "rb",
                      "condition": "(linkId = 'round/recorded-by') and answer.value.exists()"
                    }
                  ],
                  "rule": [
                    {
                      "name": "answer",
                      "source": [
                        {
                          "context": "rb",
                          "element": "answer",
                          "listMode": "first",
                          "variable": "a"
                        }
                      ],
                      "rule": [
                        {
                          "name": "performer",
                          "source": [
                            {
                              "context": "a",
                              "element": "value",
                              "variable": "ref"
                            }
                          ],
                          "target": [
                            {
                              "context": "ma",
                              "element": "performer",
                              "variable": "p"
                            },
                            {
                              "context": "p",
                              "element": "actor",
                              "variable": "cr",
                              "transform": "create",
                              "parameter": [
                                {
                                  "valueString": "CodeableReference"
                                }
                              ]
                            },
                            {
                              "context": "cr",
                              "element": "reference",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueId": "ref"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name": "narr_34746_8",
              "source": [
                {
                  "context": "row",
                  "element": "item",
                  "variable": "it",
                  "condition": "(linkId = 'round/remarks') and answer.value.exists()"
                }
              ],
              "target": [
                {
                  "context": "bundle",
                  "element": "entry",
                  "variable": "entry"
                },
                {
                  "context": "entry",
                  "element": "resource",
                  "variable": "obs",
                  "transform": "create",
                  "parameter": [
                    {
                      "valueString": "Observation"
                    }
                  ]
                }
              ],
              "rule": [
                {
                  "name": "base",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    },
                    {
                      "context": "entry"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "BuildObsBase",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        },
                        {
                          "valueId": "entry"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "category",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs"
                    }
                  ],
                  "dependent": [
                    {
                      "name": "SetSurveyCategory",
                      "parameter": [
                        {
                          "valueId": "qr"
                        },
                        {
                          "valueId": "obs"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "code",
                  "source": [
                    {
                      "context": "it"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs",
                      "element": "code",
                      "variable": "cc"
                    }
                  ],
                  "rule": [
                    {
                      "name": "coding",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "coding",
                          "variable": "cg"
                        }
                      ],
                      "rule": [
                        {
                          "name": "sys",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "system",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "http://loinc.org"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "cd",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "code",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "34746-8"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name": "dsp",
                          "source": [
                            {
                              "context": "it"
                            }
                          ],
                          "target": [
                            {
                              "context": "cg",
                              "element": "display",
                              "transform": "copy",
                              "parameter": [
                                {
                                  "valueString": "Nurse Note"
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name": "codeText",
                      "source": [
                        {
                          "context": "it"
                        }
                      ],
                      "target": [
                        {
                          "context": "cc",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueString": "Remark on a recovery-room observation round"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "answer",
                  "source": [
                    {
                      "context": "it",
                      "element": "answer",
                      "listMode": "first",
                      "variable": "a"
                    }
                  ],
                  "rule": [
                    {
                      "name": "text",
                      "source": [
                        {
                          "context": "a",
                          "element": "value",
                          "variable": "txt"
                        }
                      ],
                      "target": [
                        {
                          "context": "obs",
                          "element": "note",
                          "variable": "n"
                        },
                        {
                          "context": "n",
                          "element": "text",
                          "transform": "copy",
                          "parameter": [
                            {
                              "valueId": "txt"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "SetPacuRowTime",
      "documentation": "The row's own timestamp on everything extracted from that row.",
      "input": [
        {
          "name": "row",
          "mode": "source"
        },
        {
          "name": "obs",
          "type": "Observation",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "rowTimeRule",
          "source": [
            {
              "context": "row",
              "element": "item",
              "variable": "it",
              "condition": "(linkId = 'round/at') 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": "obs",
                      "element": "effective",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "v"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "rowByRule",
          "source": [
            {
              "context": "row",
              "element": "item",
              "variable": "it",
              "condition": "(linkId = 'round/recorded-by') and answer.value.exists()"
            }
          ],
          "rule": [
            {
              "name": "answer",
              "source": [
                {
                  "context": "it",
                  "element": "answer",
                  "listMode": "first",
                  "variable": "a"
                }
              ],
              "rule": [
                {
                  "name": "by",
                  "source": [
                    {
                      "context": "a",
                      "element": "value",
                      "variable": "ref"
                    }
                  ],
                  "target": [
                    {
                      "context": "obs",
                      "element": "performer",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueId": "ref"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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": "SetVitalSignsCategory",
      "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": "vital-signs"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "categoryDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "coding",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Vital Signs"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "BuildMedicationAdministrationBase",
      "input": [
        {
          "name": "qr",
          "type": "QR",
          "mode": "source"
        },
        {
          "name": "r",
          "type": "MedicationAdministration",
          "mode": "target"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "responseProvenance",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r"
            }
          ],
          "dependent": [
            {
              "name": "SetResponseProvenance",
              "parameter": [
                {
                  "valueId": "qr"
                },
                {
                  "valueId": "r"
                }
              ]
            }
          ]
        },
        {
          "name": "idAndFullUrl",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "id",
              "transform": "uuid"
            }
          ],
          "dependent": [
            {
              "name": "SetMedicationAdministrationFullUrl",
              "parameter": [
                {
                  "valueId": "r"
                },
                {
                  "valueId": "entry"
                }
              ]
            }
          ]
        },
        {
          "name": "entryRequest",
          "source": [
            {
              "context": "qr"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "request",
              "variable": "request"
            }
          ],
          "rule": [
            {
              "name": "requestMethod",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "method",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "POST"
                    }
                  ]
                }
              ]
            },
            {
              "name": "requestUrl",
              "source": [
                {
                  "context": "qr"
                }
              ],
              "target": [
                {
                  "context": "request",
                  "element": "url",
                  "transform": "copy",
                  "parameter": [
                    {
                      "valueString": "MedicationAdministration"
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "name": "subject",
          "source": [
            {
              "context": "qr",
              "element": "subject",
              "variable": "s"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "subject",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "s"
                }
              ]
            }
          ]
        },
        {
          "name": "occurrenceFallback",
          "source": [
            {
              "context": "qr",
              "element": "authored",
              "variable": "t"
            }
          ],
          "target": [
            {
              "context": "r",
              "element": "occurence",
              "transform": "copy",
              "parameter": [
                {
                  "valueId": "t"
                }
              ]
            }
          ],
          "documentation": "The response's own time, as a floor. A row that names the time it was given\r\noverwrites this; a form whose time column was taken off on review would\r\notherwise produce an administration with no time at all, which is not a\r\nrecord of an administration. Same fallback BuildObsBase already applies."
        }
      ]
    },
    {
      "name": "SetMedicationAdministrationFullUrl",
      "input": [
        {
          "name": "r",
          "type": "MedicationAdministration",
          "mode": "source"
        },
        {
          "name": "entry",
          "mode": "target"
        }
      ],
      "rule": [
        {
          "name": "assignFullUrl",
          "source": [
            {
              "context": "r",
              "element": "id",
              "variable": "id"
            }
          ],
          "target": [
            {
              "context": "entry",
              "element": "fullUrl",
              "transform": "append",
              "parameter": [
                {
                  "valueString": "https://fhir.slade360.co.ke/fhir/MedicationAdministration/"
                },
                {
                  "valueId": "id"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "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": "theatre-pacu-observation"
                        }
                      ]
                    }
                  ]
                },
                {
                  "name": "provenanceDisplay",
                  "source": [
                    {
                      "context": "qr"
                    }
                  ],
                  "target": [
                    {
                      "context": "t",
                      "element": "display",
                      "transform": "copy",
                      "parameter": [
                        {
                          "valueString": "Theatre PACU observation 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."
        }
      ]
    }
  ]
}