Generated Narrative: StructureMap ExtractHeadInjuryChart

/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractHeadInjuryChart'
/// name = 'ExtractHeadInjuryChart'
/// title = 'Head Injury and Craniotomy Chart Extraction'
/// status = 'active'
/// description = 'The conscious level goes out under the chart\'s own four-point scale and a local code, not as a Glasgow Coma Scale total. This sheet prints four levels with its own wording -- fully conscious, conscious but confused, semi conscious, coma -- and forcing them onto GCS or AVPU would invent a precision the paper does not have. Coma carries a critically-low interpretation because that is the row that gets someone to theatre. Pupils are one Observation per eye with a SNOMED body site, because which side is dilating is the whole question, and movement and paralysis are recorded limb by limb for the same reason.'

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

group ExtractHeadInjuryChart(source qr : QR, target bundle : Bundle) {
  qr -> bundle.type = 'transaction' "setBundleType";
  // ── Other injuries ──────────────────────────────────────────────────────
  // A repeating coded answer, so "chest and spine" stays a different patient
  // from "chest".
  qr.item as g where (linkId = 'other-injuries') then {
    g.item as it where ((linkId = 'other-injuries/site') 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 SetExamCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          it -> cg.code = 'injury-other-injury-present' "cd";
          it -> cg.display = 'Other injury present' "dsp";
        } "coding";
      } "code";
      it.answer as a then {
        a.value as cv -> obs.component as comp then {
          cv -> comp.code as cc then {
            cv -> cc.coding as cg then {
              cv -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
              cv -> cg.code = 'injury-site' "cd";
              cv -> cg.display = 'Site of another injury' "dsp";
            } "coding";
          } "code";
          cv -> comp.value = create('CodeableConcept') as vc then {
            cv -> vc.coding = cv "valueCoding";
            cv.display as d -> vc.text = d "valueText";
          } "codedValue";
        } "siteComponent";
      } "sites";
      g.item as it where (linkId = 'other-injuries/detail') then {
        it.answer first as a then {
          a.value as txt ->  obs.note as n,  n.text = txt "text";
        };
      } "note";
    } "otherInjuries";
  } "otherInjuriesGroup";
  // ── One round ───────────────────────────────────────────────────────────
  qr.item as g where (linkId = 'round') then {
    g.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;
      };
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "hivital_8310_5";
    g.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;
      };
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "hivital_8867_4";
    g.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;
      };
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "hivital_9279_1";
    g.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";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "roundBloodPressure";
    // ── The conscious level ───────────────────────────────────────────────
    // Coma is flagged critically low. That row is what gets someone to CT and
    // then to theatre, and a reader should not have to interpret the wording.
    g.item as it where ((linkId = 'round/conscious-level') 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 SetExamCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          it -> cg.code = 'head-injury-conscious-level-on-the-head-injury-chart' "cd";
          it -> cg.display = 'Conscious level on the head injury chart' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as cv -> obs.value = create('CodeableConcept') as vc then {
          cv -> vc.coding = cv "valueCoding";
          cv.display as d -> vc.text = d "valueText";
        } "codedValue";
      };
      it.answer first as a then {
        a.value as cv where (code = 'conscious-coma') -> obs.interpretation as interp then {
          cv -> interp.coding as icg then {
            cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys";
            cv -> icg.code = 'LL' "cd";
            cv -> icg.display = 'Critically low' "dsp";
          } "coding";
        } "comaInterp";
      } "comaInterpretation";
      it.answer first as a then {
        a.value as cv where (code = 'conscious-semi') -> obs.interpretation as interp then {
          cv -> interp.coding as icg then {
            cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys";
            cv -> icg.code = 'A' "cd";
            cv -> icg.display = 'Abnormal' "dsp";
          } "coding";
        } "semiInterp";
      } "semiInterpretation";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "consciousLevel";
    // ── Fits ──────────────────────────────────────────────────────────────
    g.item as it where ((linkId = 'round/fits') 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 SetExamCategory(qr, obs) "category";
      it -> obs.code as cc then {
        it -> cc.coding as cg then {
          it -> cg.system = 'http://snomed.info/sct' "sys";
          it -> cg.code = '91175000' "cd";
          it -> cg.display = 'Seizure' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as cv -> obs.value = create('CodeableConcept') as vc then {
          cv -> vc.coding = cv "valueCoding";
          cv.display as d -> vc.text = d "valueText";
        } "codedValue";
      };
      it.answer first as a then {
        a.value as cv where (code = 'finding-present') -> obs.interpretation as interp then {
          cv -> interp.coding as icg then {
            cv -> icg.system = 'http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation' "sys";
            cv -> icg.code = 'A' "cd";
            cv -> icg.display = 'Abnormal' "dsp";
          } "coding";
        } "fitInterp";
      } "fitInterpretation";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "fits";
    g.item as pg where ((linkId = 'round/right-pupil') and item.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 SetExamCategory(qr, obs) "category";
      pg -> obs.code as cc then {
        pg -> cc.coding as cg then {
          pg -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          pg -> cg.code = 'neuro-right-pupil-assessment' "cd";
          pg -> cg.display = 'Right pupil assessment' "dsp";
        } "coding";
      } "code";
      pg -> obs.bodySite as bsc then {
        pg -> bsc.coding as bcg then {
          pg -> bcg.system = 'http://snomed.info/sct' "sys";
          pg -> bcg.code = '18944008' "cd";
          pg -> bcg.display = 'Right eye structure' "dsp";
        } "coding";
      } "bodySite";
      pg.item as it where ((linkId = 'round/right-pupil/size') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'neuro-pupil-size' "cd";
            it -> cg.display = 'Pupil size' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentValue(it, comp) "value";
      } "comp_neuro_pupil_size";
      pg.item as it where ((linkId = 'round/right-pupil/reaction') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'neuro-pupil-reaction' "cd";
            it -> cg.display = 'Pupil reaction' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_neuro_pupil_reaction";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "pupil_right";
    g.item as pg where ((linkId = 'round/left-pupil') and item.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 SetExamCategory(qr, obs) "category";
      pg -> obs.code as cc then {
        pg -> cc.coding as cg then {
          pg -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          pg -> cg.code = 'neuro-left-pupil-assessment' "cd";
          pg -> cg.display = 'Left pupil assessment' "dsp";
        } "coding";
      } "code";
      pg -> obs.bodySite as bsc then {
        pg -> bsc.coding as bcg then {
          pg -> bcg.system = 'http://snomed.info/sct' "sys";
          pg -> bcg.code = '8966001' "cd";
          pg -> bcg.display = 'Left eye structure' "dsp";
        } "coding";
      } "bodySite";
      pg.item as it where ((linkId = 'round/left-pupil/size') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'neuro-pupil-size' "cd";
            it -> cg.display = 'Pupil size' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentValue(it, comp) "value";
      } "comp_neuro_pupil_size2";
      pg.item as it where ((linkId = 'round/left-pupil/reaction') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'neuro-pupil-reaction' "cd";
            it -> cg.display = 'Pupil reaction' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_neuro_pupil_reaction2";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "pupil_left";
    // ── Movement and paralysis, limb by limb ──────────────────────────────
    // Two panels rather than eight loose Observations, and limb by limb rather
    // than one summary, because a new weakness on one side is the finding and a
    // summary cannot carry it.
    g.item as m where ((linkId = 'round/spontaneous-movement') and item.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 SetExamCategory(qr, obs) "category";
      m -> obs.code as cc then {
        m -> cc.coding as cg then {
          m -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          m -> cg.code = 'head-injury-spontaneous-movement-by-limb' "cd";
          m -> cg.display = 'Spontaneous movement by limb' "dsp";
        } "coding";
      } "code";
      m.item as it where ((linkId = 'round/spontaneous-movement/right-arm') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-spontaneous-movement-right-arm' "cd";
            it -> cg.display = 'Spontaneous movement, right arm' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_spontaneous_movement_right_arm";
      m.item as it where ((linkId = 'round/spontaneous-movement/right-leg') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-spontaneous-movement-right-leg' "cd";
            it -> cg.display = 'Spontaneous movement, right leg' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_spontaneous_movement_right_leg";
      m.item as it where ((linkId = 'round/spontaneous-movement/left-arm') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-spontaneous-movement-left-arm' "cd";
            it -> cg.display = 'Spontaneous movement, left arm' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_spontaneous_movement_left_arm";
      m.item as it where ((linkId = 'round/spontaneous-movement/left-leg') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-spontaneous-movement-left-leg' "cd";
            it -> cg.display = 'Spontaneous movement, left leg' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_spontaneous_movement_left_leg";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "spontaneousMovement";
    g.item as p where ((linkId = 'round/paralysis') and item.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 SetExamCategory(qr, obs) "category";
      p -> obs.code as cc then {
        p -> cc.coding as cg then {
          p -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          p -> cg.code = 'head-injury-paralysis-by-limb' "cd";
          p -> cg.display = 'Paralysis by limb' "dsp";
        } "coding";
      } "code";
      p.item as it where ((linkId = 'round/paralysis/right-arm') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-paralysis-right-arm' "cd";
            it -> cg.display = 'Paralysis, right arm' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_paralysis_right_arm";
      p.item as it where ((linkId = 'round/paralysis/right-leg') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-paralysis-right-leg' "cd";
            it -> cg.display = 'Paralysis, right leg' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_paralysis_right_leg";
      p.item as it where ((linkId = 'round/paralysis/left-arm') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-paralysis-left-arm' "cd";
            it -> cg.display = 'Paralysis, left arm' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_paralysis_left_arm";
      p.item as it where ((linkId = 'round/paralysis/left-leg') and answer.value.exists()) -> obs.component as comp then {
        it -> comp.code as cc then {
          it -> cc.coding as cg then {
            it -> cg.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
            it -> cg.code = 'head-injury-paralysis-left-leg' "cd";
            it -> cg.display = 'Paralysis, left leg' "dsp";
          } "coding";
        } "code";
        it -> comp then SetComponentCodedValue(it, comp) "value";
      } "comp_head_injury_paralysis_left_leg";
      g -> obs then SetHeadInjuryRound(g, obs) "roundContext";
    } "paralysis";
    g.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 = 'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem' "sys";
          it -> cg.code = 'head-injury-remarks-on-a-head-injury-round' "cd";
          it -> cg.display = 'Remarks on a head injury round' "dsp";
        } "coding";
      } "code";
      it.answer first as a then {
        a.value as txt ->  obs.note as n,  n.text = txt "text";
      };
    } "narr_head_injury_remarks_on_a_head_injury_round";
  } "roundRows";
}

// The round's own timestamp on every Observation from it. Unlike the ICU
// charts this sheet prints a full date and time per column rather than a clock
// hour, so it becomes Observation.effective properly.
group SetHeadInjuryRound(source g, target obs : Observation) {
  g.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";
    };
  } "roundTimeRule";
  g.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 "performer";
    };
  } "recordedByRule";
}

// ─────────────────────────────────────────────────────────────────────────────
// 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 SetExamCategory(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 = 'exam' "categoryCode";
      qr -> coding.display = 'Exam' "categoryDisplay";
    } "categoryCoding";
  } "category";
}

// ── 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 = 'head-injury-chart' "provenanceCode";
      qr -> t.display = 'Head injury and craniotomy chart' "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";
}