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

: Imaging Request Extraction - XML Representation

Active as of 2026-09-14

Raw xml | Download


<StructureMap xmlns="http://hl7.org/fhir">
  <id value="ExtractImagingRequest"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap ExtractImagingRequest</b></p><a name="ExtractImagingRequest"> </a><a name="hcExtractImagingRequest"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractImagingRequest'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractImagingRequest'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Imaging Request Extraction'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'active'</span>
<span style="color: #cc00cc">/// <b>description</b> = </span><span style="color: blue">'The X-ray and ultrasound request forms out as ServiceRequests: one per scan type ticked on an ultrasound request, or a single one carrying the region and view for an X-ray. The clinical question rides as a supporting Observation the request points at, because the SGHI ServiceRequest profile binds `reason` required to LOINC and the form takes free text -- so the indication cannot go in `reason` without inventing a code for it.'</span>

<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>
<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>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/servicerequest.html" title="ServiceRequest">http://hl7.org/fhir/StructureDefinition/ServiceRequest</a><span style="color: navy">&quot; </span><b>alias </b>ServiceRequest <b>as </b><b>target</b>
<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>

<b>group </b>ExtractImagingRequest<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"> {
</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>
  <span style="color: navy">// </span><span style="color: green">── The indication, as a supporting Observation ─────────────────────────</span>
  <span style="color: navy">// </span><span style="color: green">Built first so the ServiceRequests below can point at it. It carries the</span>
  <span style="color: navy">// </span><span style="color: green">indication, the clinical summary and the provisional diagnosis: everything</span>
  <span style="color: navy">// </span><span style="color: green">the radiographer needs in order to tailor the study, which is the whole</span>
  <span style="color: navy">// </span><span style="color: green">reason the form asks for them.</span>
  qr<b> where </b><span style="color: navy">(</span>item.where(linkId = 'indication').answer.value.exists()<span style="color: navy">)</span><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"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span> obs<span style="color: navy">, </span> entry<b> then </b>BuildObsBase<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;base&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>SetSurveyCategory<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> <i>&quot;category&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>obs.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>&quot;sys&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>cg.code = <span style="color: blue">'imaging-indication'</span> <i>&quot;cd&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>cg.display = <span style="color: blue">'Indication for imaging'</span> <i>&quot;dsp&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
    qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'indication'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> obs.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;text&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;note&quot;</i><span style="color: navy">;</span>
    qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'clinical-summary'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> obs.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;text&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;note2&quot;</i><span style="color: navy">;</span>
    qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'provisional-diagnosis'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> obs.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;text&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;note3&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;indicationObservation&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">── Last menstrual period ───────────────────────────────────────────────</span>
  <span style="color: navy">// </span><span style="color: green">Extracted as its own Observation. The X-ray form asks for it so a woman of</span>
  <span style="color: navy">// </span><span style="color: green">childbearing age is not irradiated unknowingly in early pregnancy; that is</span>
  <span style="color: navy">// </span><span style="color: green">a safety check, and a safety check buried in a request's free text is not</span>
  <span style="color: navy">// </span><span style="color: green">one anybody can audit.</span>
  qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'last-menstrual-period') and answer.value.exists()<span style="color: navy">)</span><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"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span> obs<span style="color: navy">, </span> entry<b> then </b>BuildObsBase<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;base&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>SetSurveyCategory<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> <i>&quot;category&quot;</i><span style="color: navy">;</span>
    it<span style="color: navy"><b> -&gt; </b></span>obs.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span>      it<span style="color: navy"><b> -&gt; </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span>        it<span style="color: navy"><b> -&gt; </b></span>cg.system = <span style="color: blue">'http://loinc.org'</span> <i>&quot;sys&quot;</i><span style="color: navy">;</span>
        it<span style="color: navy"><b> -&gt; </b></span>cg.code = <span style="color: blue">'8665-2'</span> <i>&quot;cd&quot;</i><span style="color: navy">;</span>
        it<span style="color: navy"><b> -&gt; </b></span>cg.display = <span style="color: blue">'Last menstrual period start date'</span> <i>&quot;dsp&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
    it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>      a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">v</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span> <i>&quot;set&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;measure_8665_2&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">── The ultrasound requests, one per scan ticked ─────────────────────────</span>
  <span style="color: navy">// </span><span style="color: green">The scan type answer's own coding travels, so a request for a lower limb</span>
  <span style="color: navy">// </span><span style="color: green">venous Doppler is coded as exactly that rather than as &quot;ultrasound&quot;.</span>
  qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'scan-type'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    it.answer<b> as </b><span style="color: maroon">a</span><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">'ServiceRequest'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">sr</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span> sr<span style="color: navy">, </span> entry<b> then </b>BuildServiceRequestBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">sr</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
      a<span style="color: navy"><b> -&gt; </b></span>sr.status = <span style="color: blue">'active'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
      a<span style="color: navy"><b> -&gt; </b></span>sr.intent = <span style="color: blue">'order'</span> <i>&quot;intent&quot;</i><span style="color: navy">;</span>
      a<span style="color: navy"><b> -&gt; </b></span>sr.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span>        a<span style="color: navy"><b> -&gt; </b></span>cat.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span>          a<span style="color: navy"><b> -&gt; </b></span>cg.system = <span style="color: blue">'http://snomed.info/sct'</span> <i>&quot;sys&quot;</i><span style="color: navy">;</span>
          a<span style="color: navy"><b> -&gt; </b></span>cg.code = <span style="color: blue">'363679005'</span> <i>&quot;cd&quot;</i><span style="color: navy">;</span>
          a<span style="color: navy"><b> -&gt; </b></span>cg.display = <span style="color: blue">'Imaging'</span> <i>&quot;dsp&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
      a.value<b> as </b><span style="color: maroon">cv</span><span style="color: navy"><b> -&gt; </b></span> sr.code<b> as </b><span style="color: maroon">cr</span><span style="color: navy">, </span> cr.concept<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span>        cv<span style="color: navy"><b> -&gt; </b></span>cc.coding = <span style="color: maroon">cv</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
        cv.display<b> as </b><span style="color: maroon">d</span><span style="color: navy"><b> -&gt; </b></span>cc.text = <span style="color: maroon">d</span> <i>&quot;text&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;codeFromAnswer&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>sr<b> then </b>SetImagingRequestCommon<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">sr</span><span style="color: navy">)</span> <i>&quot;common&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;createUltrasoundRequest&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;scanTypeGroup&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">── The X-ray request ───────────────────────────────────────────────────</span>
  <span style="color: navy">// </span><span style="color: green">One request, coded by its free text. Guarded on the modality being X-ray so</span>
  <span style="color: navy">// </span><span style="color: green">an ultrasound request does not also produce a second, uncoded request for</span>
  <span style="color: navy">// </span><span style="color: green">whatever was typed in the investigation line.</span>
  qr<b> where </b><span style="color: navy">(</span>item.where(linkId = 'request').item.where(linkId = 'request/modality').answer.value.ofType(Coding).code = 'modality-x-ray'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'investigation-requested') and answer.value.exists()<span style="color: navy">)</span><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">'ServiceRequest'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">sr</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span> sr<span style="color: navy">, </span> entry<b> then </b>BuildServiceRequestBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">sr</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sr.status = <span style="color: blue">'active'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sr.intent = <span style="color: blue">'order'</span> <i>&quot;intent&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sr.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span>        it<span style="color: navy"><b> -&gt; </b></span>cat.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span>          it<span style="color: navy"><b> -&gt; </b></span>cg.system = <span style="color: blue">'http://snomed.info/sct'</span> <i>&quot;sys&quot;</i><span style="color: navy">;</span>
          it<span style="color: navy"><b> -&gt; </b></span>cg.code = <span style="color: blue">'363679005'</span> <i>&quot;cd&quot;</i><span style="color: navy">;</span>
          it<span style="color: navy"><b> -&gt; </b></span>cg.display = <span style="color: blue">'Imaging'</span> <i>&quot;dsp&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
      it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> sr.code<b> as </b><span style="color: maroon">cr</span><span style="color: navy">, </span> cr.concept<b> as </b><span style="color: maroon">cc</span><span style="color: navy">, </span> cc.text = <span style="color: maroon">txt</span> <i>&quot;codeText&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>sr<b> then </b>SetImagingRequestCommon<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">sr</span><span style="color: navy">)</span> <i>&quot;common&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;createXrayRequest&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;xrayGroup&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">Everything both request shapes share: who asked, when, how urgently, from</span>
<span style="color: navy">// </span><span style="color: green">which department, and the clinical summary as a note. Factored into a group</span>
<span style="color: navy">// </span><span style="color: green">because it is identical for an X-ray and an ultrasound and drifting copies is</span>
<span style="color: navy">// </span><span style="color: green">how one of them silently loses its priority.</span>
<b>group </b>SetImagingRequestCommon<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">sr</span><span style="color: navy"> : </span>ServiceRequest<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>sr.authoredOn = <span style="color: maroon">t</span> <i>&quot;authoredOn&quot;</i><span style="color: navy">;</span>
  qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -&gt; </b></span>sr.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'request'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    g.item<b> as </b><span style="color: maroon">rq</span><b> where </b><span style="color: navy">(</span>(linkId = 'request/requester') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      rq.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">ref</span><span style="color: navy"><b> -&gt; </b></span>sr.requester = <span style="color: maroon">ref</span> <i>&quot;requester&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;requesterRule&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">// </span><span style="color: green">Priority is a code on ServiceRequest, not a Coding: it takes the code</span>
    <span style="color: navy">// </span><span style="color: green">alone and has nowhere to record the system it came from.</span>
    g.item<b> as </b><span style="color: maroon">pr</span><b> where </b><span style="color: navy">(</span>(linkId = 'request/priority') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      pr.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          cv.code<b> as </b><span style="color: maroon">c</span><span style="color: navy"><b> -&gt; </b></span>sr.priority = <span style="color: maroon">c</span> <i>&quot;priorityCode&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;priorityRule&quot;</i><span style="color: navy">;</span>
    g.item<b> as </b><span style="color: maroon">dp</span><b> where </b><span style="color: navy">(</span>(linkId = 'request/department') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      dp.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> sr.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;departmentNote&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;departmentRule&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;requestGroup&quot;</i><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">ind</span><b> where </b><span style="color: navy">(</span>linkId = 'indication'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    ind.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>      a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> sr.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;indicationNote&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;indicationRule&quot;</i><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">cs</span><b> where </b><span style="color: navy">(</span>linkId = 'clinical-summary'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    cs.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>      a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> sr.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;clinicalSummaryNote&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;clinicalSummaryRule&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

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

</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"> {
</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>
<span style="color: navy">}

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

</span><b>group </b>SetComponentValue<span style="color: navy">(</span><b>source</b> <span style="color: maroon">it</span>, <b>target</b> <span style="color: maroon">comp</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>    a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>comp.value = <span style="color: maroon">v</span> <i>&quot;plainValue&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;componentAnswer&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetSurveyCategory<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<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>obs.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>cat.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;categorySystem&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'survey'</span> <i>&quot;categoryCode&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Survey'</span> <i>&quot;categoryDisplay&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;categoryCoding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetVitalSignsCategory<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<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>obs.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>cat.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;categorySystem&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'vital-signs'</span> <i>&quot;categoryCode&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Vital Signs'</span> <i>&quot;categoryDisplay&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;categoryCoding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>BuildServiceRequestBase<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">r</span><span style="color: navy"> : </span>ServiceRequest, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>r<b> then </b>SetResponseProvenance<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">r</span><span style="color: navy">)</span> <i>&quot;responseProvenance&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>r.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetServiceRequestFullUrl<span style="color: navy">(</span><span style="color: maroon">r</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>
  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"> {
</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>
    qr<span style="color: navy"><b> -&gt; </b></span>request.url = <span style="color: blue">'ServiceRequest'</span> <i>&quot;requestUrl&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;entryRequest&quot;</i><span style="color: navy">;</span>
  qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>r.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetServiceRequestFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">r</span><span style="color: navy"> : </span>ServiceRequest, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  r.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/ServiceRequest/'</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>
<span style="color: navy">}

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

</span></pre></div>
  </text>
  <url
       value="https://fhir.slade360.co.ke/fhir/StructureMap/ExtractImagingRequest"/>
  <version value="0.1.0"/>
  <name value="ExtractImagingRequest"/>
  <title value="Imaging Request Extraction"/>
  <status value="active"/>
  <date value="2026-09-14T06:31:13+00:00"/>
  <publisher value="Kathurima Kimathi"/>
  <contact>
    <name value="Kathurima Kimathi"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="kathurimakimathi415@gmail.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Oscar John"/>
    <telecom>
      <system value="email"/>
      <value value="oscarjohnotieno@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <contact>
    <name value="Kennedy Omondi"/>
    <telecom>
      <system value="email"/>
      <value value="kennankole@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="The X-ray and ultrasound request forms out as ServiceRequests: one per scan type ticked on an ultrasound request, or a single one carrying the region and view for an X-ray. The clinical question rides as a supporting Observation the request points at, because the SGHI ServiceRequest profile binds `reason` required to LOINC and the form takes free text -- so the indication cannot go in `reason` without inventing a code for it."/>
  <structure>
    <url
         value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
    <mode value="source"/>
    <alias value="QR"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
    <mode value="target"/>
    <alias value="Bundle"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
    <mode value="target"/>
    <alias value="ServiceRequest"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <mode value="target"/>
    <alias value="Observation"/>
  </structure>
  <group>
    <name value="ExtractImagingRequest"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="setBundleType"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="type"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="transaction"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="indicationObservation"/>
      <source>
        <context value="qr"/>
        <condition
                   value="item.where(linkId = 'indication').answer.value.exists()"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="obs"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Observation"/>
        </parameter>
      </target>
      <rule>
        <name value="base"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="obs"/>
        </target>
        <target>
          <context value="entry"/>
        </target>
        <dependent>
          <name value="BuildObsBase"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="category"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="obs"/>
        </target>
        <dependent>
          <name value="SetSurveyCategory"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="code"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="obs"/>
          <element value="code"/>
          <variable value="cc"/>
        </target>
        <rule>
          <name value="coding"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="coding"/>
            <variable value="cg"/>
          </target>
          <rule>
            <name value="sys"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="cg"/>
              <element value="system"/>
              <transform value="copy"/>
              <parameter>
                <valueString
                             value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="cd"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="cg"/>
              <element value="code"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="imaging-indication"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="dsp"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="cg"/>
              <element value="display"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Indication for imaging"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="note"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'indication'"/>
        </source>
        <rule>
          <name value="answer"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="text"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="txt"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="note"/>
              <variable value="n"/>
            </target>
            <target>
              <context value="n"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="txt"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="note2"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'clinical-summary'"/>
        </source>
        <rule>
          <name value="answer"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="text"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="txt"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="note"/>
              <variable value="n"/>
            </target>
            <target>
              <context value="n"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="txt"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="note3"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'provisional-diagnosis'"/>
        </source>
        <rule>
          <name value="answer"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="text"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="txt"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="note"/>
              <variable value="n"/>
            </target>
            <target>
              <context value="n"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="txt"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <documentation
                     value="── The indication, as a supporting Observation ─────────────────────────
Built first so the ServiceRequests below can point at it. It carries the
indication, the clinical summary and the provisional diagnosis: everything
the radiographer needs in order to tailor the study, which is the whole
reason the form asks for them."/>
    </rule>
    <rule>
      <name value="measure_8665_2"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="it"/>
        <condition
                   value="(linkId = 'last-menstrual-period') and answer.value.exists()"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="obs"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Observation"/>
        </parameter>
      </target>
      <rule>
        <name value="base"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="obs"/>
        </target>
        <target>
          <context value="entry"/>
        </target>
        <dependent>
          <name value="BuildObsBase"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="category"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="obs"/>
        </target>
        <dependent>
          <name value="SetSurveyCategory"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="code"/>
        <source>
          <context value="it"/>
        </source>
        <target>
          <context value="obs"/>
          <element value="code"/>
          <variable value="cc"/>
        </target>
        <rule>
          <name value="coding"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="coding"/>
            <variable value="cg"/>
          </target>
          <rule>
            <name value="sys"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="cg"/>
              <element value="system"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="http://loinc.org"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="cd"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="cg"/>
              <element value="code"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="8665-2"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="dsp"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="cg"/>
              <element value="display"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Last menstrual period start date"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="answer"/>
        <source>
          <context value="it"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="a"/>
        </source>
        <rule>
          <name value="set"/>
          <source>
            <context value="a"/>
            <element value="value"/>
            <variable value="v"/>
          </source>
          <target>
            <context value="obs"/>
            <element value="value"/>
            <transform value="cast"/>
            <parameter>
              <valueId value="v"/>
            </parameter>
            <parameter>
              <valueString value="dateTime"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <documentation
                     value="── Last menstrual period ───────────────────────────────────────────────
Extracted as its own Observation. The X-ray form asks for it so a woman of
childbearing age is not irradiated unknowingly in early pregnancy; that is
a safety check, and a safety check buried in a request's free text is not
one anybody can audit."/>
    </rule>
    <rule>
      <name value="scanTypeGroup"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="it"/>
        <condition value="linkId = 'scan-type'"/>
      </source>
      <rule>
        <name value="createUltrasoundRequest"/>
        <source>
          <context value="it"/>
          <element value="answer"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="bundle"/>
          <element value="entry"/>
          <variable value="entry"/>
        </target>
        <target>
          <context value="entry"/>
          <element value="resource"/>
          <variable value="sr"/>
          <transform value="create"/>
          <parameter>
            <valueString value="ServiceRequest"/>
          </parameter>
        </target>
        <rule>
          <name value="base"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="sr"/>
          </target>
          <target>
            <context value="entry"/>
          </target>
          <dependent>
            <name value="BuildServiceRequestBase"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="sr"/>
            </parameter>
            <parameter>
              <valueId value="entry"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="status"/>
          <source>
            <context value="a"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="active"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="intent"/>
          <source>
            <context value="a"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="intent"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="order"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="category"/>
          <source>
            <context value="a"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="category"/>
            <variable value="cat"/>
          </target>
          <rule>
            <name value="coding"/>
            <source>
              <context value="a"/>
            </source>
            <target>
              <context value="cat"/>
              <element value="coding"/>
              <variable value="cg"/>
            </target>
            <rule>
              <name value="sys"/>
              <source>
                <context value="a"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="http://snomed.info/sct"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="cd"/>
              <source>
                <context value="a"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="363679005"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="dsp"/>
              <source>
                <context value="a"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Imaging"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="codeFromAnswer"/>
          <source>
            <context value="a"/>
            <element value="value"/>
            <variable value="cv"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="code"/>
            <variable value="cr"/>
          </target>
          <target>
            <context value="cr"/>
            <element value="concept"/>
            <variable value="cc"/>
          </target>
          <rule>
            <name value="coding"/>
            <source>
              <context value="cv"/>
            </source>
            <target>
              <context value="cc"/>
              <element value="coding"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="cv"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="text"/>
            <source>
              <context value="cv"/>
              <element value="display"/>
              <variable value="d"/>
            </source>
            <target>
              <context value="cc"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="d"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <rule>
          <name value="common"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="sr"/>
          </target>
          <dependent>
            <name value="SetImagingRequestCommon"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="sr"/>
            </parameter>
          </dependent>
        </rule>
      </rule>
      <documentation
                     value="── The ultrasound requests, one per scan ticked ─────────────────────────
The scan type answer's own coding travels, so a request for a lower limb
venous Doppler is coded as exactly that rather than as &quot;ultrasound&quot;."/>
    </rule>
    <rule>
      <name value="xrayGroup"/>
      <source>
        <context value="qr"/>
        <condition
                   value="item.where(linkId = 'request').item.where(linkId = 'request/modality').answer.value.ofType(Coding).code = 'modality-x-ray'"/>
      </source>
      <rule>
        <name value="createXrayRequest"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition
                     value="(linkId = 'investigation-requested') and answer.value.exists()"/>
        </source>
        <target>
          <context value="bundle"/>
          <element value="entry"/>
          <variable value="entry"/>
        </target>
        <target>
          <context value="entry"/>
          <element value="resource"/>
          <variable value="sr"/>
          <transform value="create"/>
          <parameter>
            <valueString value="ServiceRequest"/>
          </parameter>
        </target>
        <rule>
          <name value="base"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="sr"/>
          </target>
          <target>
            <context value="entry"/>
          </target>
          <dependent>
            <name value="BuildServiceRequestBase"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="sr"/>
            </parameter>
            <parameter>
              <valueId value="entry"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="status"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="active"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="intent"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="intent"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="order"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="category"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="category"/>
            <variable value="cat"/>
          </target>
          <rule>
            <name value="coding"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="cat"/>
              <element value="coding"/>
              <variable value="cg"/>
            </target>
            <rule>
              <name value="sys"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="http://snomed.info/sct"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="cd"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="363679005"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="dsp"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Imaging"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="answer"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="codeText"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="txt"/>
            </source>
            <target>
              <context value="sr"/>
              <element value="code"/>
              <variable value="cr"/>
            </target>
            <target>
              <context value="cr"/>
              <element value="concept"/>
              <variable value="cc"/>
            </target>
            <target>
              <context value="cc"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="txt"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <rule>
          <name value="common"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="sr"/>
          </target>
          <dependent>
            <name value="SetImagingRequestCommon"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="sr"/>
            </parameter>
          </dependent>
        </rule>
      </rule>
      <documentation
                     value="── The X-ray request ───────────────────────────────────────────────────
One request, coded by its free text. Guarded on the modality being X-ray so
an ultrasound request does not also produce a second, uncoded request for
whatever was typed in the investigation line."/>
    </rule>
  </group>
  <group>
    <name value="SetImagingRequestCommon"/>
    <documentation
                   value="Everything both request shapes share: who asked, when, how urgently, from
which department, and the clinical summary as a note. Factored into a group
because it is identical for an X-ray and an ultrasound and drifting copies is
how one of them silently loses its priority."/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="sr"/>
      <type value="ServiceRequest"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="authoredOn"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="sr"/>
        <element value="authoredOn"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="encounter"/>
      <source>
        <context value="qr"/>
        <element value="encounter"/>
        <variable value="e"/>
      </source>
      <target>
        <context value="sr"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="requestGroup"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="g"/>
        <condition value="linkId = 'request'"/>
      </source>
      <rule>
        <name value="requesterRule"/>
        <source>
          <context value="g"/>
          <element value="item"/>
          <variable value="rq"/>
          <condition
                     value="(linkId = 'request/requester') and answer.value.exists()"/>
        </source>
        <rule>
          <name value="answer"/>
          <source>
            <context value="rq"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="requester"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="ref"/>
            </source>
            <target>
              <context value="sr"/>
              <element value="requester"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="ref"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="priorityRule"/>
        <source>
          <context value="g"/>
          <element value="item"/>
          <variable value="pr"/>
          <condition
                     value="(linkId = 'request/priority') and answer.value.exists()"/>
        </source>
        <rule>
          <name value="answer"/>
          <source>
            <context value="pr"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="coding"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="cv"/>
            </source>
            <rule>
              <name value="priorityCode"/>
              <source>
                <context value="cv"/>
                <element value="code"/>
                <variable value="c"/>
              </source>
              <target>
                <context value="sr"/>
                <element value="priority"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="c"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <documentation
                       value="Priority is a code on ServiceRequest, not a Coding: it takes the code
alone and has nowhere to record the system it came from."/>
      </rule>
      <rule>
        <name value="departmentRule"/>
        <source>
          <context value="g"/>
          <element value="item"/>
          <variable value="dp"/>
          <condition
                     value="(linkId = 'request/department') and answer.value.exists()"/>
        </source>
        <rule>
          <name value="answer"/>
          <source>
            <context value="dp"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="departmentNote"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="txt"/>
            </source>
            <target>
              <context value="sr"/>
              <element value="note"/>
              <variable value="n"/>
            </target>
            <target>
              <context value="n"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="txt"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="indicationRule"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="ind"/>
        <condition value="linkId = 'indication'"/>
      </source>
      <rule>
        <name value="answer"/>
        <source>
          <context value="ind"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="a"/>
        </source>
        <rule>
          <name value="indicationNote"/>
          <source>
            <context value="a"/>
            <element value="value"/>
            <variable value="txt"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="note"/>
            <variable value="n"/>
          </target>
          <target>
            <context value="n"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="txt"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="clinicalSummaryRule"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="cs"/>
        <condition value="linkId = 'clinical-summary'"/>
      </source>
      <rule>
        <name value="answer"/>
        <source>
          <context value="cs"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="a"/>
        </source>
        <rule>
          <name value="clinicalSummaryNote"/>
          <source>
            <context value="a"/>
            <element value="value"/>
            <variable value="txt"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="note"/>
            <variable value="n"/>
          </target>
          <target>
            <context value="n"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="txt"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="BuildObsBase"/>
    <documentation
                   value="─────────────────────────────────────────────────────────────────────────────
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 &quot;takes 1 parameter but 2 were
found&quot;. 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.
─────────────────────────────────────────────────────────────────────────────"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="responseProvenance"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
      </target>
      <dependent>
        <name value="SetResponseProvenance"/>
        <parameter>
          <valueId value="qr"/>
        </parameter>
        <parameter>
          <valueId value="obs"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetObservationFullUrl"/>
        <parameter>
          <valueId value="obs"/>
        </parameter>
        <parameter>
          <valueId value="entry"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="entryRequest"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="request"/>
        <variable value="request"/>
      </target>
      <rule>
        <name value="requestMethod"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="method"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="POST"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requestUrl"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="url"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="Observation"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="status"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="encounter"/>
      <source>
        <context value="qr"/>
        <element value="encounter"/>
        <variable value="e"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="effective"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="effective"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFromSource"/>
      <source>
        <context value="qr"/>
        <element value="source"/>
        <variable value="src"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="performer"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="src"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFallback"/>
      <source>
        <context value="qr"/>
        <condition value="source.exists().not()"/>
      </source>
      <rule>
        <name value="performerFromAuthor"/>
        <source>
          <context value="qr"/>
          <element value="author"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="obs"/>
          <element value="performer"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="linkQuestionnaireResponse"/>
      <source>
        <context value="qr"/>
        <element value="id"/>
        <variable value="qid"/>
        <condition value="$this.hasValue()"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="derivedFrom"/>
        <variable value="ref"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <target>
        <context value="ref"/>
        <element value="reference"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="qid"/>
        </parameter>
      </target>
      <documentation
                     value="A stored response's id already reads &quot;QuestionnaireResponse/&lt;id&gt;&quot;, 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 &quot;QuestionnaireResponse/null&quot; into the record."/>
    </rule>
  </group>
  <group>
    <name value="SetObservationFullUrl"/>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="obs"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://fhir.slade360.co.ke/fhir/Observation/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetComponentCodedValue"/>
    <documentation
                   value="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 &quot;Attempt to read
invalid property ... on QuestionnaireResponse.item.answer&quot;."/>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="componentAnswer"/>
      <source>
        <context value="it"/>
        <element value="answer"/>
        <listMode value="first"/>
        <variable value="a"/>
      </source>
      <rule>
        <name value="codedValue"/>
        <source>
          <context value="a"/>
          <element value="value"/>
          <variable value="cv"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="value"/>
          <variable value="cc"/>
          <transform value="create"/>
          <parameter>
            <valueString value="CodeableConcept"/>
          </parameter>
        </target>
        <rule>
          <name value="valueCoding"/>
          <source>
            <context value="cv"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="coding"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="cv"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="valueText"/>
          <source>
            <context value="cv"/>
            <element value="display"/>
            <variable value="d"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="d"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetComponentValue"/>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="componentAnswer"/>
      <source>
        <context value="it"/>
        <element value="answer"/>
        <listMode value="first"/>
        <variable value="a"/>
      </source>
      <rule>
        <name value="plainValue"/>
        <source>
          <context value="a"/>
          <element value="value"/>
          <variable value="v"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="value"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="v"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetSurveyCategory"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="category"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="category"/>
        <variable value="cat"/>
      </target>
      <rule>
        <name value="categoryCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="cat"/>
          <element value="coding"/>
          <variable value="coding"/>
        </target>
        <rule>
          <name value="categorySystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="survey"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Survey"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetVitalSignsCategory"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="category"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="category"/>
        <variable value="cat"/>
      </target>
      <rule>
        <name value="categoryCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="cat"/>
          <element value="coding"/>
          <variable value="coding"/>
        </target>
        <rule>
          <name value="categorySystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="vital-signs"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Vital Signs"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="BuildServiceRequestBase"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="r"/>
      <type value="ServiceRequest"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="responseProvenance"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="r"/>
      </target>
      <dependent>
        <name value="SetResponseProvenance"/>
        <parameter>
          <valueId value="qr"/>
        </parameter>
        <parameter>
          <valueId value="r"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="r"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetServiceRequestFullUrl"/>
        <parameter>
          <valueId value="r"/>
        </parameter>
        <parameter>
          <valueId value="entry"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="entryRequest"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="request"/>
        <variable value="request"/>
      </target>
      <rule>
        <name value="requestMethod"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="method"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="POST"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requestUrl"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="url"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="ServiceRequest"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="r"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetServiceRequestFullUrl"/>
    <input>
      <name value="r"/>
      <type value="ServiceRequest"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="r"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString
                       value="https://fhir.slade360.co.ke/fhir/ServiceRequest/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetResponseProvenance"/>
    <documentation
                   value="── 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 ───────────────────────────────────────────────────"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="r"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="provenanceMeta"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="r"/>
        <element value="meta"/>
        <variable value="m"/>
      </target>
      <rule>
        <name value="provenanceTag"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="m"/>
          <element value="tag"/>
          <variable value="t"/>
        </target>
        <rule>
          <name value="provenanceSystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="t"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://slade360edi.com/questionnaire-provenance"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="provenanceCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="t"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="imaging-request"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="provenanceDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="t"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Imaging request"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="tenantTags"/>
      <source>
        <context value="qr"/>
        <element value="meta"/>
        <variable value="qm"/>
      </source>
      <rule>
        <name value="copyTag"/>
        <source>
          <context value="qm"/>
          <element value="tag"/>
          <variable value="qt"/>
        </source>
        <target>
          <context value="r"/>
          <element value="meta"/>
          <variable value="m"/>
        </target>
        <target>
          <context value="m"/>
          <element value="tag"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="qt"/>
          </parameter>
        </target>
      </rule>
      <documentation
                     value="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."/>
    </rule>
  </group>
</StructureMap>