SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

: Discharge Clearance: Clinical Readiness Extraction - TTL Representation

Active as of 2026-09-14

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/StructureMap/ExtractDischargeClearanceClinicalReadiness> a fhir:StructureMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ExtractDischargeClearanceClinicalReadiness"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap ExtractDischargeClearanceClinicalReadiness</b></p><a name=\"ExtractDischargeClearanceClinicalReadiness\"> </a><a name=\"hcExtractDischargeClearanceClinicalReadiness\"> </a><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractDischargeClearanceClinicalReadiness'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'ExtractDischargeClearanceClinicalReadiness'</span>\r\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Discharge Clearance: Clinical Readiness Extraction'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>\r\n<span style=\"color: #cc00cc\">/// <b>description</b> = </span><span style=\"color: blue\">'Turns the discharging clinician\\'s readiness attestation into four survey Observations: oral intake, mobility, pain control and the condition the patient is leaving in. Each is its own Observation because a clinician answers four separate questions and one flat resource would let an answer to one stand in for an answer to another. The handover sentence rides as a note on the condition Observation rather than becoming a fifth: it is prose about the discharge, and an Observation whose value is a paragraph answers no query. Nothing here writes to the Encounter -- closing the stay and recording the discharge disposition belong to the EMR\\'s discharge workflow, and the condition a patient leaves in is a different axis from where they went. The signature the form collects is a typed name, which SGHIObservation cannot carry as a performer, so it stays in the response and out of the extracted resources.'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/questionnaireresponse.html\" title=\"QuestionnaireResponse\">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style=\"color: navy\">&quot; </span><b>alias </b>QR <b>as </b><b>source</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/bundle.html\" title=\"Bundle\">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style=\"color: navy\">&quot; </span><b>alias </b>Bundle <b>as </b><b>target</b>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/observation.html\" title=\"Observation\">http://hl7.org/fhir/StructureDefinition/Observation</a><span style=\"color: navy\">&quot; </span><b>alias </b>Observation <b>as </b><b>target</b>\r\n\r\n<b>group </b>ExtractDischargeClearanceClinicalReadiness<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">bundle</span><span style=\"color: navy\"> : </span>Bundle<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  qr<span style=\"color: navy\"><b> -&gt; </b></span>bundle.type = <span style=\"color: blue\">'transaction'</span> <i>&quot;setBundleType&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 301989955559 — &quot;Oral intake tolerated&quot;</span>\r\n  qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '301989955559') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      a<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span> obs<span style=\"color: navy\">, </span> entry<b> then </b>BuildClearanceObs<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;oralIntakeBase&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.code<b> as </b><span style=\"color: maroon\">oralIntakeCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          qr<span style=\"color: navy\"><b> -&gt; </b></span>oralIntakeCodeCc.coding<b> as </b><span style=\"color: maroon\">oralIntakeCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            qr<span style=\"color: navy\"><b> -&gt; </b></span>oralIntakeCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;oralIntakeCodeSystem&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>oralIntakeCodeCoding.code = <span style=\"color: blue\">'oral-intake-at-discharge'</span> <i>&quot;oralIntakeCodeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>oralIntakeCodeCoding.display = <span style=\"color: blue\">'Oral intake tolerated at discharge'</span> <i>&quot;oralIntakeCodeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;oralIntakeCodeCodingRule&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;oralIntakeCode&quot;</i><span style=\"color: navy\">;</span>\r\n        a<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>&quot;oralIntakeValue&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;oralIntakeObs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;oralIntakeAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;oralIntakeRule&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 507198101338 — &quot;Mobility&quot;</span>\r\n  qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '507198101338') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      a<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span> obs<span style=\"color: navy\">, </span> entry<b> then </b>BuildClearanceObs<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;mobilityBase&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.code<b> as </b><span style=\"color: maroon\">mobilityCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          qr<span style=\"color: navy\"><b> -&gt; </b></span>mobilityCodeCc.coding<b> as </b><span style=\"color: maroon\">mobilityCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            qr<span style=\"color: navy\"><b> -&gt; </b></span>mobilityCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;mobilityCodeSystem&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>mobilityCodeCoding.code = <span style=\"color: blue\">'mobility-at-discharge'</span> <i>&quot;mobilityCodeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>mobilityCodeCoding.display = <span style=\"color: blue\">'Mobility at discharge'</span> <i>&quot;mobilityCodeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;mobilityCodeCodingRule&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;mobilityCode&quot;</i><span style=\"color: navy\">;</span>\r\n        a<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>&quot;mobilityValue&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;mobilityObs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;mobilityAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;mobilityRule&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 852812667233 — &quot;Pain controlled&quot;</span>\r\n  qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '852812667233') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      a<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span> obs<span style=\"color: navy\">, </span> entry<b> then </b>BuildClearanceObs<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;painControlBase&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.code<b> as </b><span style=\"color: maroon\">painControlCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          qr<span style=\"color: navy\"><b> -&gt; </b></span>painControlCodeCc.coding<b> as </b><span style=\"color: maroon\">painControlCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            qr<span style=\"color: navy\"><b> -&gt; </b></span>painControlCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;painControlCodeSystem&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>painControlCodeCoding.code = <span style=\"color: blue\">'pain-control-at-discharge'</span> <i>&quot;painControlCodeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>painControlCodeCoding.display = <span style=\"color: blue\">'Pain control at discharge'</span> <i>&quot;painControlCodeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;painControlCodeCodingRule&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;painControlCode&quot;</i><span style=\"color: navy\">;</span>\r\n        a<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>&quot;painControlValue&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;painControlObs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;painControlAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;painControlRule&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 108099570999 — &quot;Condition at discharge&quot;. This one carries the</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">free-text handover as a note, so it is the Observation a reader lands on</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">when they want the clinician's own words.</span>\r\n  qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '108099570999') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    it.answer first<b> as </b><span style=\"color: maroon\">a</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      a<span style=\"color: navy\"><b> -&gt; </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">entry</span><span style=\"color: navy\">, </span> entry.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span> obs<span style=\"color: navy\">, </span> entry<b> then </b>BuildClearanceObs<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;conditionBase&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.code<b> as </b><span style=\"color: maroon\">conditionCodeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          qr<span style=\"color: navy\"><b> -&gt; </b></span>conditionCodeCc.coding<b> as </b><span style=\"color: maroon\">conditionCodeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            qr<span style=\"color: navy\"><b> -&gt; </b></span>conditionCodeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;conditionCodeSystem&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>conditionCodeCoding.code = <span style=\"color: blue\">'patient-condition-at-discharge'</span> <i>&quot;conditionCodeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>conditionCodeCoding.display = <span style=\"color: blue\">'Condition at discharge'</span> <i>&quot;conditionCodeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;conditionCodeCodingRule&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;conditionCode&quot;</i><span style=\"color: navy\">;</span>\r\n        a<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>SetCodedValue<span style=\"color: navy\">(</span><span style=\"color: maroon\">a</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>&quot;conditionValue&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">// </span><span style=\"color: green\">linkId 474741611141 — &quot;Anything the next clinician should know&quot;</span>\r\n        qr.item<b> as </b><span style=\"color: maroon\">itNote</span><b> where </b><span style=\"color: navy\">(</span>(linkId = '474741611141') and answer.value.exists()<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          itNote.answer first<b> as </b><span style=\"color: maroon\">aNote</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            aNote.value<b> as </b><span style=\"color: maroon\">nv</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.note<b> as </b><span style=\"color: maroon\">note</span><b> then</b><span style=\"color: navy\"> {\r\n</span>              nv<span style=\"color: navy\"><b> -&gt; </b></span>note.text = <span style=\"color: maroon\">nv</span> <i>&quot;handoverNoteText&quot;</i><span style=\"color: navy\">;</span>\r\n              qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -&gt; </b></span>note.time = <span style=\"color: maroon\">t</span> <i>&quot;handoverNoteTime&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span> <i>&quot;handoverNote&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;handoverNoteAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;handoverNoteRule&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;conditionObs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;conditionAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;conditionRule&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Shared scaffolding. Repeated in each clearance map rather than imported: the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">transform engine resolves `imports` against whatever StructureMaps happen to</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">be on the server, and a clearance that stops extracting because a shared map</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">was not uploaded is a worse failure than a duplicated group.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">Source parameters are left untyped on purpose. Writing `: Element` makes the</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">publisher's StructureMap validator compare QuestionnaireResponse.item against</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">the literal 'Element' and report them as incompatible, which is noise.</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">─────────────────────────────────────────────────────────────────────────────</span>\r\n<b>group </b>BuildClearanceObs<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.id = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span><b> then </b>SetObservationFullUrl<span style=\"color: navy\">(</span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span> <i>&quot;idAndFullUrl&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>entry.request<b> as </b><span style=\"color: maroon\">request</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr<span style=\"color: navy\"><b> -&gt; </b></span>request.method = <span style=\"color: blue\">'POST'</span> <i>&quot;requestMethod&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>request.url = <span style=\"color: blue\">'Observation'</span> <i>&quot;requestUrl&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;entryRequest&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.status = <span style=\"color: blue\">'final'</span> <i>&quot;status&quot;</i><span style=\"color: navy\">;</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.category<b> as </b><span style=\"color: maroon\">categoryCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr<span style=\"color: navy\"><b> -&gt; </b></span>categoryCc.coding<b> as </b><span style=\"color: maroon\">categoryCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      qr<span style=\"color: navy\"><b> -&gt; </b></span>categoryCoding.system = <span style=\"color: blue\">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;categorySystem&quot;</i><span style=\"color: navy\">;</span>\r\n      qr<span style=\"color: navy\"><b> -&gt; </b></span>categoryCoding.code = <span style=\"color: blue\">'survey'</span> <i>&quot;categoryCode&quot;</i><span style=\"color: navy\">;</span>\r\n      qr<span style=\"color: navy\"><b> -&gt; </b></span>categoryCoding.display = <span style=\"color: blue\">'Survey'</span> <i>&quot;categoryDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;categoryCodingRule&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;category&quot;</i><span style=\"color: navy\">;</span>\r\n  qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n  qr.encounter<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.encounter = <span style=\"color: maroon\">e</span><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">`effective`, not `effectiveInstant`: the R5 transform engine writes choice</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">elements by their base name and rejects the typed form.</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Advantage stamps `authored` when the clearances are submitted, not when each</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">was signed, so a clearance signed at two in the morning and submitted at the</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">handover carries the handover time. Sending the signature time on the</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">response would fix it at the source; there is nothing on the response for a</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">map to read it from.</span>\r\n  qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.effective = <span style=\"color: maroon\">t</span> <i>&quot;effective&quot;</i><span style=\"color: navy\">;</span>\r\n  qr.authored<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.issued = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">t</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'instant'</span><span style=\"color: navy\">)</span> <i>&quot;issued&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">The facility, not the person who signed: SGHIObservation admits only an</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Organization or a Patient as performer, and the form's signature is a typed</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">name that resolves to neither.</span>\r\n  qr.source<b> as </b><span style=\"color: maroon\">src</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.performer = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">perf</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    src.reference<b> as </b><span style=\"color: maroon\">ref</span><span style=\"color: navy\"><b> -&gt; </b></span>perf.reference = <span style=\"color: maroon\">ref</span> <i>&quot;performerRef&quot;</i><span style=\"color: navy\">;</span>\r\n    src.display<b> as </b><span style=\"color: maroon\">disp</span><span style=\"color: navy\"><b> -&gt; </b></span>perf.display = <span style=\"color: maroon\">disp</span> <i>&quot;performerDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;performer&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">One identifier per resource. Copying the response's own would give every</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">Observation from a single form the same business identity.</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.identifier<b> as </b><span style=\"color: maroon\">ident</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr<span style=\"color: navy\"><b> -&gt; </b></span>ident.use = <span style=\"color: blue\">'official'</span> <i>&quot;identifierUse&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>ident.type<b> as </b><span style=\"color: maroon\">identifierTypeCc</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      qr<span style=\"color: navy\"><b> -&gt; </b></span>identifierTypeCc.coding<b> as </b><span style=\"color: maroon\">identifierTypeCoding</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>identifierTypeCoding.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem'</span> <i>&quot;identifierTypeSystem&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>identifierTypeCoding.code = <span style=\"color: blue\">'default-id'</span> <i>&quot;identifierTypeCode&quot;</i><span style=\"color: navy\">;</span>\r\n        qr<span style=\"color: navy\"><b> -&gt; </b></span>identifierTypeCoding.display = <span style=\"color: blue\">'Default Resource Identifier'</span> <i>&quot;identifierTypeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span> <i>&quot;identifierTypeCodingRule&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;identifierType&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>ident.system = <span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem'</span> <i>&quot;identifierSystem&quot;</i><span style=\"color: navy\">;</span>\r\n    qr<span style=\"color: navy\"><b> -&gt; </b></span>ident.value = <b>uuid</b><span style=\"color: navy\">(</span><span style=\"color: navy\">)</span> <i>&quot;identifierValue&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.source<b> as </b><span style=\"color: maroon\">src</span><span style=\"color: navy\"><b> -&gt; </b></span>ident.assigner = <span style=\"color: maroon\">src</span> <i>&quot;identifierAssigner&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;identifier&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">No append: under this engine `qr.id` already resolves to the type-qualified</span>\r\n  <span style=\"color: navy\">// </span><span style=\"color: green\">relative reference, so prefixing it again produces a reference to nothing.</span>\r\n  qr<span style=\"color: navy\"><b> -&gt; </b></span>obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">ref</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    qr.id<b> as </b><span style=\"color: maroon\">qid</span><span style=\"color: navy\"><b> -&gt; </b></span>ref.reference = <span style=\"color: maroon\">qid</span> <i>&quot;derivedFromRef&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;linkQuestionnaireResponse&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetCodedValue<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">a</span>, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  a.value<b> as </b><span style=\"color: maroon\">cv</span><span style=\"color: navy\"><b> -&gt; </b></span>obs.value = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">concept</span><b> then</b><span style=\"color: navy\"> {\r\n</span>    cv<span style=\"color: navy\"><b> -&gt; </b></span>concept.coding = <span style=\"color: maroon\">cv</span> <i>&quot;valueCoding&quot;</i><span style=\"color: navy\">;</span>\r\n    cv.display<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -&gt; </b></span>concept.text = <span style=\"color: maroon\">d</span> <i>&quot;valueText&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;codedValue&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>SetObservationFullUrl<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">entry</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span>  obs.id<b> as </b><span style=\"color: maroon\">id</span><span style=\"color: navy\"><b> -&gt; </b></span>entry.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'https://fhir.slade360.co.ke/fhir/Observation/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">id</span><span style=\"color: navy\">)</span> <i>&quot;assignFullUrl&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [ fhir:v "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractDischargeClearanceClinicalReadiness"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "ExtractDischargeClearanceClinicalReadiness"] ; # 
  fhir:title [ fhir:v "Discharge Clearance: Clinical Readiness Extraction"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2026-09-14T06:31:13+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Kathurima Kimathi"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "Kathurima Kimathi" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "https://www.linkedin.com/in/kathurima-kimathi/" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "kathurimakimathi415@gmail.com" ]
     ] )
  ] [
     fhir:name [ fhir:v "Oscar John" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "oscarjohnotieno@gmail.com" ] ;
       fhir:use [ fhir:v "work" ]
     ] )
  ] [
     fhir:name [ fhir:v "Kennedy Omondi" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "kennankole@gmail.com" ] ;
       fhir:use [ fhir:v "work" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Turns the discharging clinician's readiness attestation into four survey Observations: oral intake, mobility, pain control and the condition the patient is leaving in. Each is its own Observation because a clinician answers four separate questions and one flat resource would let an answer to one stand in for an answer to another. The handover sentence rides as a note on the condition Observation rather than becoming a fifth: it is prose about the discharge, and an Observation whose value is a paragraph answers no query. Nothing here writes to the Encounter -- closing the stay and recording the discharge disposition belong to the EMR's discharge workflow, and the condition a patient leaves in is a different axis from where they went. The signature the form collects is a typed name, which SGHIObservation cannot carry as a performer, so it stays in the response and out of the extracted resources."] ; # 
  fhir:structure ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"^^xsd:anyURI ;
       fhir:link <http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse>
     ] ;
     fhir:mode [ fhir:v "source" ] ;
     fhir:alias [ fhir:v "QR" ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/Bundle"^^xsd:anyURI ;
       fhir:link <http://hl7.org/fhir/StructureDefinition/Bundle>
     ] ;
     fhir:mode [ fhir:v "target" ] ;
     fhir:alias [ fhir:v "Bundle" ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
       fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>
     ] ;
     fhir:mode [ fhir:v "target" ] ;
     fhir:alias [ fhir:v "Observation" ]
  ] ) ; # 
  fhir:group ( [
     fhir:name [ fhir:v "ExtractDischargeClearanceClinicalReadiness" ] ;
     fhir:input ( [
       fhir:name [ fhir:v "qr" ] ;
       fhir:type [ fhir:v "QR" ] ;
       fhir:mode [ fhir:v "source" ]
     ] [
       fhir:name [ fhir:v "bundle" ] ;
       fhir:type [ fhir:v "Bundle" ] ;
       fhir:mode [ fhir:v "target" ]
     ] ) ;
     fhir:rule ( [
       fhir:name [ fhir:v "setBundleType" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "bundle" ] ;
         fhir:element [ fhir:v "type" ] ;
         fhir:transform [ fhir:v "copy" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:string ;
             fhir:v "transaction"
           ]
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "oralIntakeRule" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "item" ] ;
         fhir:variable [ fhir:v "it" ] ;
         fhir:condition [ fhir:v "(linkId = '301989955559') and answer.value.exists()" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "oralIntakeAnswer" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "it" ] ;
           fhir:element [ fhir:v "answer" ] ;
           fhir:listMode [ fhir:v "first" ] ;
           fhir:variable [ fhir:v "a" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "oralIntakeObs" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "a" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "bundle" ] ;
             fhir:element [ fhir:v "entry" ] ;
             fhir:variable [ fhir:v "entry" ]
           ] [
             fhir:context [ fhir:v "entry" ] ;
             fhir:element [ fhir:v "resource" ] ;
             fhir:variable [ fhir:v "obs" ] ;
             fhir:transform [ fhir:v "create" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "Observation"
               ]
             ] )
           ] ) ;
           fhir:rule ( [
             fhir:name [ fhir:v "oralIntakeBase" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] [
               fhir:context [ fhir:v "entry" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "BuildClearanceObs" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "qr"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "entry"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "oralIntakeCode" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ] ;
               fhir:element [ fhir:v "code" ] ;
               fhir:variable [ fhir:v "oralIntakeCodeCc" ]
             ] ) ;
             fhir:rule ( [
               fhir:name [ fhir:v "oralIntakeCodeCodingRule" ] ;
               fhir:source ( [
                 fhir:context [ fhir:v "qr" ]
               ] ) ;
               fhir:target ( [
                 fhir:context [ fhir:v "oralIntakeCodeCc" ] ;
                 fhir:element [ fhir:v "coding" ] ;
                 fhir:variable [ fhir:v "oralIntakeCodeCoding" ]
               ] ) ;
               fhir:rule ( [
                 fhir:name [ fhir:v "oralIntakeCodeSystem" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "oralIntakeCodeCoding" ] ;
                   fhir:element [ fhir:v "system" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "oralIntakeCodeCode" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "oralIntakeCodeCoding" ] ;
                   fhir:element [ fhir:v "code" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "oral-intake-at-discharge"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "oralIntakeCodeDisplay" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "oralIntakeCodeCoding" ] ;
                   fhir:element [ fhir:v "display" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "Oral intake tolerated at discharge"
                     ]
                   ] )
                 ] )
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "oralIntakeValue" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "a" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "SetCodedValue" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "a"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] )
             ] )
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "linkId 301989955559 — \"Oral intake tolerated\"" ]
     ] [
       fhir:name [ fhir:v "mobilityRule" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "item" ] ;
         fhir:variable [ fhir:v "it" ] ;
         fhir:condition [ fhir:v "(linkId = '507198101338') and answer.value.exists()" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "mobilityAnswer" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "it" ] ;
           fhir:element [ fhir:v "answer" ] ;
           fhir:listMode [ fhir:v "first" ] ;
           fhir:variable [ fhir:v "a" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "mobilityObs" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "a" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "bundle" ] ;
             fhir:element [ fhir:v "entry" ] ;
             fhir:variable [ fhir:v "entry" ]
           ] [
             fhir:context [ fhir:v "entry" ] ;
             fhir:element [ fhir:v "resource" ] ;
             fhir:variable [ fhir:v "obs" ] ;
             fhir:transform [ fhir:v "create" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "Observation"
               ]
             ] )
           ] ) ;
           fhir:rule ( [
             fhir:name [ fhir:v "mobilityBase" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] [
               fhir:context [ fhir:v "entry" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "BuildClearanceObs" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "qr"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "entry"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "mobilityCode" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ] ;
               fhir:element [ fhir:v "code" ] ;
               fhir:variable [ fhir:v "mobilityCodeCc" ]
             ] ) ;
             fhir:rule ( [
               fhir:name [ fhir:v "mobilityCodeCodingRule" ] ;
               fhir:source ( [
                 fhir:context [ fhir:v "qr" ]
               ] ) ;
               fhir:target ( [
                 fhir:context [ fhir:v "mobilityCodeCc" ] ;
                 fhir:element [ fhir:v "coding" ] ;
                 fhir:variable [ fhir:v "mobilityCodeCoding" ]
               ] ) ;
               fhir:rule ( [
                 fhir:name [ fhir:v "mobilityCodeSystem" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "mobilityCodeCoding" ] ;
                   fhir:element [ fhir:v "system" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "mobilityCodeCode" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "mobilityCodeCoding" ] ;
                   fhir:element [ fhir:v "code" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "mobility-at-discharge"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "mobilityCodeDisplay" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "mobilityCodeCoding" ] ;
                   fhir:element [ fhir:v "display" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "Mobility at discharge"
                     ]
                   ] )
                 ] )
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "mobilityValue" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "a" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "SetCodedValue" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "a"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] )
             ] )
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "linkId 507198101338 — \"Mobility\"" ]
     ] [
       fhir:name [ fhir:v "painControlRule" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "item" ] ;
         fhir:variable [ fhir:v "it" ] ;
         fhir:condition [ fhir:v "(linkId = '852812667233') and answer.value.exists()" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "painControlAnswer" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "it" ] ;
           fhir:element [ fhir:v "answer" ] ;
           fhir:listMode [ fhir:v "first" ] ;
           fhir:variable [ fhir:v "a" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "painControlObs" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "a" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "bundle" ] ;
             fhir:element [ fhir:v "entry" ] ;
             fhir:variable [ fhir:v "entry" ]
           ] [
             fhir:context [ fhir:v "entry" ] ;
             fhir:element [ fhir:v "resource" ] ;
             fhir:variable [ fhir:v "obs" ] ;
             fhir:transform [ fhir:v "create" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "Observation"
               ]
             ] )
           ] ) ;
           fhir:rule ( [
             fhir:name [ fhir:v "painControlBase" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] [
               fhir:context [ fhir:v "entry" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "BuildClearanceObs" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "qr"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "entry"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "painControlCode" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ] ;
               fhir:element [ fhir:v "code" ] ;
               fhir:variable [ fhir:v "painControlCodeCc" ]
             ] ) ;
             fhir:rule ( [
               fhir:name [ fhir:v "painControlCodeCodingRule" ] ;
               fhir:source ( [
                 fhir:context [ fhir:v "qr" ]
               ] ) ;
               fhir:target ( [
                 fhir:context [ fhir:v "painControlCodeCc" ] ;
                 fhir:element [ fhir:v "coding" ] ;
                 fhir:variable [ fhir:v "painControlCodeCoding" ]
               ] ) ;
               fhir:rule ( [
                 fhir:name [ fhir:v "painControlCodeSystem" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "painControlCodeCoding" ] ;
                   fhir:element [ fhir:v "system" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "painControlCodeCode" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "painControlCodeCoding" ] ;
                   fhir:element [ fhir:v "code" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "pain-control-at-discharge"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "painControlCodeDisplay" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "painControlCodeCoding" ] ;
                   fhir:element [ fhir:v "display" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "Pain control at discharge"
                     ]
                   ] )
                 ] )
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "painControlValue" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "a" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "SetCodedValue" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "a"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] )
             ] )
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "linkId 852812667233 — \"Pain controlled\"" ]
     ] [
       fhir:name [ fhir:v "conditionRule" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "item" ] ;
         fhir:variable [ fhir:v "it" ] ;
         fhir:condition [ fhir:v "(linkId = '108099570999') and answer.value.exists()" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "conditionAnswer" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "it" ] ;
           fhir:element [ fhir:v "answer" ] ;
           fhir:listMode [ fhir:v "first" ] ;
           fhir:variable [ fhir:v "a" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "conditionObs" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "a" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "bundle" ] ;
             fhir:element [ fhir:v "entry" ] ;
             fhir:variable [ fhir:v "entry" ]
           ] [
             fhir:context [ fhir:v "entry" ] ;
             fhir:element [ fhir:v "resource" ] ;
             fhir:variable [ fhir:v "obs" ] ;
             fhir:transform [ fhir:v "create" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "Observation"
               ]
             ] )
           ] ) ;
           fhir:rule ( [
             fhir:name [ fhir:v "conditionBase" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] [
               fhir:context [ fhir:v "entry" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "BuildClearanceObs" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "qr"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "entry"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "conditionCode" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ] ;
               fhir:element [ fhir:v "code" ] ;
               fhir:variable [ fhir:v "conditionCodeCc" ]
             ] ) ;
             fhir:rule ( [
               fhir:name [ fhir:v "conditionCodeCodingRule" ] ;
               fhir:source ( [
                 fhir:context [ fhir:v "qr" ]
               ] ) ;
               fhir:target ( [
                 fhir:context [ fhir:v "conditionCodeCc" ] ;
                 fhir:element [ fhir:v "coding" ] ;
                 fhir:variable [ fhir:v "conditionCodeCoding" ]
               ] ) ;
               fhir:rule ( [
                 fhir:name [ fhir:v "conditionCodeSystem" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "conditionCodeCoding" ] ;
                   fhir:element [ fhir:v "system" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "conditionCodeCode" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "conditionCodeCoding" ] ;
                   fhir:element [ fhir:v "code" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "patient-condition-at-discharge"
                     ]
                   ] )
                 ] )
               ] [
                 fhir:name [ fhir:v "conditionCodeDisplay" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "qr" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "conditionCodeCoding" ] ;
                   fhir:element [ fhir:v "display" ] ;
                   fhir:transform [ fhir:v "copy" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "Condition at discharge"
                     ]
                   ] )
                 ] )
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "conditionValue" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "a" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "obs" ]
             ] ) ;
             fhir:dependent ( [
               fhir:name [ fhir:v "SetCodedValue" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "a"
                 ]
               ] [
                 fhir:value [
                   a fhir:id ;
                   fhir:v "obs"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "handoverNoteRule" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ] ;
               fhir:element [ fhir:v "item" ] ;
               fhir:variable [ fhir:v "itNote" ] ;
               fhir:condition [ fhir:v "(linkId = '474741611141') and answer.value.exists()" ]
             ] ) ;
             fhir:rule ( [
               fhir:name [ fhir:v "handoverNoteAnswer" ] ;
               fhir:source ( [
                 fhir:context [ fhir:v "itNote" ] ;
                 fhir:element [ fhir:v "answer" ] ;
                 fhir:listMode [ fhir:v "first" ] ;
                 fhir:variable [ fhir:v "aNote" ]
               ] ) ;
               fhir:rule ( [
                 fhir:name [ fhir:v "handoverNote" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "aNote" ] ;
                   fhir:element [ fhir:v "value" ] ;
                   fhir:variable [ fhir:v "nv" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "obs" ] ;
                   fhir:element [ fhir:v "note" ] ;
                   fhir:variable [ fhir:v "note" ]
                 ] ) ;
                 fhir:rule ( [
                   fhir:name [ fhir:v "handoverNoteText" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "nv" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "note" ] ;
                     fhir:element [ fhir:v "text" ] ;
                     fhir:transform [ fhir:v "copy" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "nv"
                       ]
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "handoverNoteTime" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "qr" ] ;
                     fhir:element [ fhir:v "authored" ] ;
                     fhir:variable [ fhir:v "t" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "note" ] ;
                     fhir:element [ fhir:v "time" ] ;
                     fhir:transform [ fhir:v "copy" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "t"
                       ]
                     ] )
                   ] )
                 ] )
               ] )
             ] ) ;
             fhir:documentation [ fhir:v "linkId 474741611141 — \"Anything the next clinician should know\"" ]
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "linkId 108099570999 — \"Condition at discharge\". This one carries the\r\nfree-text handover as a note, so it is the Observation a reader lands on\r\nwhen they want the clinician's own words." ]
     ] )
  ] [
     fhir:name [ fhir:v "BuildClearanceObs" ] ;
     fhir:documentation [ fhir:v "─────────────────────────────────────────────────────────────────────────────\r\nShared scaffolding. Repeated in each clearance map rather than imported: the\r\ntransform engine resolves `imports` against whatever StructureMaps happen to\r\nbe on the server, and a clearance that stops extracting because a shared map\r\nwas not uploaded is a worse failure than a duplicated group.\r\nSource parameters are left untyped on purpose. Writing `: Element` makes the\r\npublisher's StructureMap validator compare QuestionnaireResponse.item against\r\nthe literal 'Element' and report them as incompatible, which is noise.\r\n─────────────────────────────────────────────────────────────────────────────" ] ;
     fhir:input ( [
       fhir:name [ fhir:v "qr" ] ;
       fhir:type [ fhir:v "QR" ] ;
       fhir:mode [ fhir:v "source" ]
     ] [
       fhir:name [ fhir:v "obs" ] ;
       fhir:type [ fhir:v "Observation" ] ;
       fhir:mode [ fhir:v "target" ]
     ] [
       fhir:name [ fhir:v "entry" ] ;
       fhir:mode [ fhir:v "target" ]
     ] ) ;
     fhir:rule ( [
       fhir:name [ fhir:v "idAndFullUrl" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "id" ] ;
         fhir:transform [ fhir:v "uuid" ]
       ] ) ;
       fhir:dependent ( [
         fhir:name [ fhir:v "SetObservationFullUrl" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:id ;
             fhir:v "obs"
           ]
         ] [
           fhir:value [
             a fhir:id ;
             fhir:v "entry"
           ]
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "entryRequest" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "entry" ] ;
         fhir:element [ fhir:v "request" ] ;
         fhir:variable [ fhir:v "request" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "requestMethod" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "request" ] ;
           fhir:element [ fhir:v "method" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:string ;
               fhir:v "POST"
             ]
           ] )
         ] )
       ] [
         fhir:name [ fhir:v "requestUrl" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "request" ] ;
           fhir:element [ fhir:v "url" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:string ;
               fhir:v "Observation"
             ]
           ] )
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "status" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "status" ] ;
         fhir:transform [ fhir:v "copy" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:string ;
             fhir:v "final"
           ]
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "category" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "category" ] ;
         fhir:variable [ fhir:v "categoryCc" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "categoryCodingRule" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "categoryCc" ] ;
           fhir:element [ fhir:v "coding" ] ;
           fhir:variable [ fhir:v "categoryCoding" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "categorySystem" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "qr" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "categoryCoding" ] ;
             fhir:element [ fhir:v "system" ] ;
             fhir:transform [ fhir:v "copy" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"
               ]
             ] )
           ] )
         ] [
           fhir:name [ fhir:v "categoryCode" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "qr" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "categoryCoding" ] ;
             fhir:element [ fhir:v "code" ] ;
             fhir:transform [ fhir:v "copy" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "survey"
               ]
             ] )
           ] )
         ] [
           fhir:name [ fhir:v "categoryDisplay" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "qr" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "categoryCoding" ] ;
             fhir:element [ fhir:v "display" ] ;
             fhir:transform [ fhir:v "copy" ] ;
             fhir:parameter ( [
               fhir:value [
                 a fhir:string ;
                 fhir:v "Survey"
               ]
             ] )
           ] )
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "subject" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "subject" ] ;
         fhir:variable [ fhir:v "s" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "subject" ] ;
         fhir:transform [ fhir:v "copy" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:id ;
             fhir:v "s"
           ]
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "encounter" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "encounter" ] ;
         fhir:variable [ fhir:v "e" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "encounter" ] ;
         fhir:transform [ fhir:v "copy" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:id ;
             fhir:v "e"
           ]
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "effective" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "authored" ] ;
         fhir:variable [ fhir:v "t" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "effective" ] ;
         fhir:transform [ fhir:v "copy" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:id ;
             fhir:v "t"
           ]
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "`effective`, not `effectiveInstant`: the R5 transform engine writes choice\r\nelements by their base name and rejects the typed form.\r\nAdvantage stamps `authored` when the clearances are submitted, not when each\r\nwas signed, so a clearance signed at two in the morning and submitted at the\r\nhandover carries the handover time. Sending the signature time on the\r\nresponse would fix it at the source; there is nothing on the response for a\r\nmap to read it from." ]
     ] [
       fhir:name [ fhir:v "issued" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "authored" ] ;
         fhir:variable [ fhir:v "t" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "issued" ] ;
         fhir:transform [ fhir:v "cast" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:id ;
             fhir:v "t"
           ]
         ] [
           fhir:value [
             a fhir:string ;
             fhir:v "instant"
           ]
         ] )
       ] )
     ] [
       fhir:name [ fhir:v "performer" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ] ;
         fhir:element [ fhir:v "source" ] ;
         fhir:variable [ fhir:v "src" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "performer" ] ;
         fhir:variable [ fhir:v "perf" ] ;
         fhir:transform [ fhir:v "create" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:string ;
             fhir:v "Reference"
           ]
         ] )
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "performerRef" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "src" ] ;
           fhir:element [ fhir:v "reference" ] ;
           fhir:variable [ fhir:v "ref" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "perf" ] ;
           fhir:element [ fhir:v "reference" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:id ;
               fhir:v "ref"
             ]
           ] )
         ] )
       ] [
         fhir:name [ fhir:v "performerDisplay" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "src" ] ;
           fhir:element [ fhir:v "display" ] ;
           fhir:variable [ fhir:v "disp" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "perf" ] ;
           fhir:element [ fhir:v "display" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:id ;
               fhir:v "disp"
             ]
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "The facility, not the person who signed: SGHIObservation admits only an\r\nOrganization or a Patient as performer, and the form's signature is a typed\r\nname that resolves to neither." ]
     ] [
       fhir:name [ fhir:v "identifier" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "identifier" ] ;
         fhir:variable [ fhir:v "ident" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "identifierUse" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "ident" ] ;
           fhir:element [ fhir:v "use" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:string ;
               fhir:v "official"
             ]
           ] )
         ] )
       ] [
         fhir:name [ fhir:v "identifierType" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "ident" ] ;
           fhir:element [ fhir:v "type" ] ;
           fhir:variable [ fhir:v "identifierTypeCc" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "identifierTypeCodingRule" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "qr" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "identifierTypeCc" ] ;
             fhir:element [ fhir:v "coding" ] ;
             fhir:variable [ fhir:v "identifierTypeCoding" ]
           ] ) ;
           fhir:rule ( [
             fhir:name [ fhir:v "identifierTypeSystem" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "identifierTypeCoding" ] ;
               fhir:element [ fhir:v "system" ] ;
               fhir:transform [ fhir:v "copy" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:string ;
                   fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "identifierTypeCode" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "identifierTypeCoding" ] ;
               fhir:element [ fhir:v "code" ] ;
               fhir:transform [ fhir:v "copy" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:string ;
                   fhir:v "default-id"
                 ]
               ] )
             ] )
           ] [
             fhir:name [ fhir:v "identifierTypeDisplay" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "qr" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "identifierTypeCoding" ] ;
               fhir:element [ fhir:v "display" ] ;
               fhir:transform [ fhir:v "copy" ] ;
               fhir:parameter ( [
                 fhir:value [
                   a fhir:string ;
                   fhir:v "Default Resource Identifier"
                 ]
               ] )
             ] )
           ] )
         ] )
       ] [
         fhir:name [ fhir:v "identifierSystem" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "ident" ] ;
           fhir:element [ fhir:v "system" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:string ;
               fhir:v "https://fhir.slade360.co.ke/fhir/CodeSystem/default-identifier-codesystem"
             ]
           ] )
         ] )
       ] [
         fhir:name [ fhir:v "identifierValue" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "ident" ] ;
           fhir:element [ fhir:v "value" ] ;
           fhir:transform [ fhir:v "uuid" ]
         ] )
       ] [
         fhir:name [ fhir:v "identifierAssigner" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ] ;
           fhir:element [ fhir:v "source" ] ;
           fhir:variable [ fhir:v "src" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "ident" ] ;
           fhir:element [ fhir:v "assigner" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:id ;
               fhir:v "src"
             ]
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "One identifier per resource. Copying the response's own would give every\r\nObservation from a single form the same business identity." ]
     ] [
       fhir:name [ fhir:v "linkQuestionnaireResponse" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "qr" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "derivedFrom" ] ;
         fhir:variable [ fhir:v "ref" ] ;
         fhir:transform [ fhir:v "create" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:string ;
             fhir:v "Reference"
           ]
         ] )
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "derivedFromRef" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "qr" ] ;
           fhir:element [ fhir:v "id" ] ;
           fhir:variable [ fhir:v "qid" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "ref" ] ;
           fhir:element [ fhir:v "reference" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:id ;
               fhir:v "qid"
             ]
           ] )
         ] )
       ] ) ;
       fhir:documentation [ fhir:v "No append: under this engine `qr.id` already resolves to the type-qualified\r\nrelative reference, so prefixing it again produces a reference to nothing." ]
     ] )
  ] [
     fhir:name [ fhir:v "SetCodedValue" ] ;
     fhir:input ( [
       fhir:name [ fhir:v "a" ] ;
       fhir:mode [ fhir:v "source" ]
     ] [
       fhir:name [ fhir:v "obs" ] ;
       fhir:type [ fhir:v "Observation" ] ;
       fhir:mode [ fhir:v "target" ]
     ] ) ;
     fhir:rule ( [
       fhir:name [ fhir:v "codedValue" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "a" ] ;
         fhir:element [ fhir:v "value" ] ;
         fhir:variable [ fhir:v "cv" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "value" ] ;
         fhir:variable [ fhir:v "concept" ] ;
         fhir:transform [ fhir:v "create" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:string ;
             fhir:v "CodeableConcept"
           ]
         ] )
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "valueCoding" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "cv" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "concept" ] ;
           fhir:element [ fhir:v "coding" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:id ;
               fhir:v "cv"
             ]
           ] )
         ] )
       ] [
         fhir:name [ fhir:v "valueText" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "cv" ] ;
           fhir:element [ fhir:v "display" ] ;
           fhir:variable [ fhir:v "d" ]
         ] ) ;
         fhir:target ( [
           fhir:context [ fhir:v "concept" ] ;
           fhir:element [ fhir:v "text" ] ;
           fhir:transform [ fhir:v "copy" ] ;
           fhir:parameter ( [
             fhir:value [
               a fhir:id ;
               fhir:v "d"
             ]
           ] )
         ] )
       ] )
     ] )
  ] [
     fhir:name [ fhir:v "SetObservationFullUrl" ] ;
     fhir:input ( [
       fhir:name [ fhir:v "obs" ] ;
       fhir:type [ fhir:v "Observation" ] ;
       fhir:mode [ fhir:v "source" ]
     ] [
       fhir:name [ fhir:v "entry" ] ;
       fhir:mode [ fhir:v "target" ]
     ] ) ;
     fhir:rule ( [
       fhir:name [ fhir:v "assignFullUrl" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "obs" ] ;
         fhir:element [ fhir:v "id" ] ;
         fhir:variable [ fhir:v "id" ]
       ] ) ;
       fhir:target ( [
         fhir:context [ fhir:v "entry" ] ;
         fhir:element [ fhir:v "fullUrl" ] ;
         fhir:transform [ fhir:v "append" ] ;
         fhir:parameter ( [
           fhir:value [
             a fhir:string ;
             fhir:v "https://fhir.slade360.co.ke/fhir/Observation/"
           ]
         ] [
           fhir:value [
             a fhir:id ;
             fhir:v "id"
           ]
         ] )
       ] )
     ] )
  ] ) . #