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

: Inpatient Admission Note Extraction - XML Representation

Active as of 2026-10-06

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="ExtractInpatientAdmissionNote"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap ExtractInpatientAdmissionNote</b></p><a name="ExtractInpatientAdmissionNote"> </a><a name="hcExtractInpatientAdmissionNote"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientAdmissionNote'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractInpatientAdmissionNote'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Inpatient Admission Note 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">'Turns a response to the inpatient admission note into a Composition with one section per heading, plus a Condition for the impression -- the one line on this form that belongs on the problem list. The Condition is verificationStatus `provisional` because an admitting impression is exactly that; the team confirms or replaces it as the stay goes on. Its code carries the clinician\'s wording as text rather than an ICD-11 coding, because the form asks for prose and guessing a diagnosis code from prose is not something a map should do.'</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/composition.html" title="Composition">http://hl7.org/fhir/StructureDefinition/Composition</a><span style="color: navy">&quot; </span><b>alias </b>Composition <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/condition.html" title="Condition">http://hl7.org/fhir/StructureDefinition/Condition</a><span style="color: navy">&quot; </span><b>alias </b>Condition <b>as </b><b>target</b>

<b>group </b>ExtractInpatientAdmissionNote<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>
  qr<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">'Composition'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>comp<b> then </b>CopyResponseTags<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>&quot;responseTags&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span> comp<span style="color: navy">, </span> entry<b> then </b>BuildNoteBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;noteBase&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>comp.name = <span style="color: blue">'InpatientAdmissionNote'</span> <i>&quot;noteName&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>comp.title = <span style="color: blue">'Admission note'</span> <i>&quot;noteTitle&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>comp.type<b> as </b><span style="color: maroon">ty</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>ty.coding<b> as </b><span style="color: maroon">sghi</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>sghi.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem'</span> <i>&quot;sghiSystem&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>sghi.code = <span style="color: blue">'admission-note'</span> <i>&quot;sghiCode&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>sghi.display = <span style="color: blue">'Admission note'</span> <i>&quot;sghiDisplay&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;sghiCoding&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>ty.coding<b> as </b><span style="color: maroon">loinc</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>loinc.system = <span style="color: blue">'http://loinc.org'</span> <i>&quot;loincSystem&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>loinc.code = <span style="color: blue">'34117-2'</span> <i>&quot;loincCode&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>loinc.display = <span style="color: blue">'History and physical note'</span> <i>&quot;loincDisplay&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;loincCoding&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>ty.text = <span style="color: blue">'Admission note'</span> <i>&quot;typeText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;noteType&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 = 'history') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.section<b> as </b><span style="color: maroon">sec</span><b> then</b><span style="color: navy"> {
</span>      it<span style="color: navy"><b> -&gt; </b></span>sec.title = <span style="color: blue">'History'</span> <i>&quot;historyTitle&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">sec</span><span style="color: navy">)</span> <i>&quot;historyText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;historyRule&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 = 'exam') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.section<b> as </b><span style="color: maroon">sec</span><b> then</b><span style="color: navy"> {
</span>      it<span style="color: navy"><b> -&gt; </b></span>sec.title = <span style="color: blue">'Examination'</span> <i>&quot;examTitle&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">sec</span><span style="color: navy">)</span> <i>&quot;examText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;examRule&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">// </span><span style="color: green">The impression is both a section of the note and a Condition. It stays in</span>
    <span style="color: navy">// </span><span style="color: green">the document so the note reads whole, and it also lands on the problem</span>
    <span style="color: navy">// </span><span style="color: green">list so the rest of the stay can hang off it.</span>
    qr.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'impression') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.section<b> as </b><span style="color: maroon">sec</span><b> then</b><span style="color: navy"> {
</span>      it<span style="color: navy"><b> -&gt; </b></span>sec.title = <span style="color: blue">'Impression'</span> <i>&quot;impressionTitle&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">sec</span><span style="color: navy">)</span> <i>&quot;impressionText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;impressionSectionRule&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 = 'plan') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.section<b> as </b><span style="color: maroon">sec</span><b> then</b><span style="color: navy"> {
</span>      it<span style="color: navy"><b> -&gt; </b></span>sec.title = <span style="color: blue">'Initial plan'</span> <i>&quot;planTitle&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>sec<b> then </b>AddSectionText<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">sec</span><span style="color: navy">)</span> <i>&quot;planText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;planRule&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;composition&quot;</i><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">itImp</span><b> where </b><span style="color: navy">(</span>(linkId = 'impression') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    itImp.answer first<b> as </b><span style="color: maroon">aImp</span><b> then</b><span style="color: navy"> {
</span>      aImp<span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entryC</span><span style="color: navy">, </span> entryC.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Condition'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cond</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>cond<b> then </b>CopyResponseTags<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">cond</span><span style="color: navy">)</span> <i>&quot;responseTags&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span> cond<span style="color: navy">, </span> entryC<b> then </b>BuildConditionBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">cond</span><span style="color: navy">, </span><span style="color: maroon">entryC</span><span style="color: navy">)</span> <i>&quot;conditionBase&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>cond.verificationStatus<b> as </b><span style="color: maroon">vs</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>vs.coding<b> as </b><span style="color: maroon">vsc</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>vsc.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/condition-ver-status'</span> <i>&quot;verSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>vsc.code = <span style="color: blue">'provisional'</span> <i>&quot;verCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>vsc.display = <span style="color: blue">'Provisional'</span> <i>&quot;verDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;verCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;verificationStatus&quot;</i><span style="color: navy">;</span>
        aImp.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>cond.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span>          v<span style="color: navy"><b> -&gt; </b></span>code.text = <span style="color: maroon">v</span> <i>&quot;codeText&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;conditionCode&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;condition&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;impressionAnswer&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;impressionConditionRule&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 note scaffolding. Repeated in each note map rather than imported: the</span>
<span style="color: navy">// </span><span style="color: green">transform engine resolves `imports` against whatever StructureMaps happen to</span>
<span style="color: navy">// </span><span style="color: green">be on the server, and a note that stops extracting because a shared map was</span>
<span style="color: navy">// </span><span style="color: green">not uploaded is a worse failure than a duplicated group.</span>
<span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</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">Untyped, it says only that it cannot check the paths.</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 publisher</span>
<span style="color: navy">// </span><span style="color: green">is objecting to what its own compiler emits. Two arguments is the only form that</span>
<span style="color: navy">// </span><span style="color: green">compiles, and it is what the R5 transform engine executes.</span>
<b>group </b>BuildNoteBase<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">comp</span><span style="color: navy"> : </span>Composition, <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>comp.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetCompositionFullUrl<span style="color: navy">(</span><span style="color: maroon">comp</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">'Composition'</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>comp.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><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.contains('://').not() and reference.startsWith('#').not() and reference.startsWith('urn:').not())) or reference.empty()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
  qr.encounter<b> as </b><span style="color: maroon">e</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Composition.date is 1..1. `authored` is only 0..1 on the response, so when a</span>
  <span style="color: navy">// </span><span style="color: green">client sends none the extraction time stands in. It is a poor substitute for</span>
  <span style="color: navy">// </span><span style="color: green">when the note was written, but a document with no date at all is worse, and</span>
  <span style="color: navy">// </span><span style="color: green">extraction happens moments after submission in practice.</span>
  qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>comp.date = <span style="color: maroon">t</span> <i>&quot;date&quot;</i><span style="color: navy">;</span>
  qr<b> where </b><span style="color: navy">(</span>authored.exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>comp.date = evaluate<span style="color: navy">(</span>qr<span style="color: navy">, </span>now()<span style="color: navy">)</span> <i>&quot;dateFromExtractionTime&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;dateFallback&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Composition.author is 1..1 minimum. R5 QuestionnaireResponse carries both</span>
  <span style="color: navy">// </span><span style="color: green">`author` (who recorded the answers) and `source` (who supplied them); the</span>
  <span style="color: navy">// </span><span style="color: green">author is the one who wrote the note, so it wins, and `source` only stands</span>
  <span style="color: navy">// </span><span style="color: green">in when the client did not send an author. If the response carries neither,</span>
  <span style="color: navy">// </span><span style="color: green">the note comes out unauthored -- there is nothing on a QuestionnaireResponse</span>
  <span style="color: navy">// </span><span style="color: green">to invent one from, and guessing at who wrote a clinical note is not a thing</span>
  <span style="color: navy">// </span><span style="color: green">a map should do.</span>
  qr.author<b> as </b><span style="color: maroon">a</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.author = <span style="color: maroon">a</span> <i>&quot;authorFromAuthor&quot;</i><span style="color: navy">;</span>
  qr<b> where </b><span style="color: navy">(</span>author.where(((reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization'))))).exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    qr.source<b> as </b><span style="color: maroon">src</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>comp.author = <span style="color: maroon">src</span> <i>&quot;authorFromSource&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;authorFallback&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>comp.relatesTo<b> as </b><span style="color: maroon">rel</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>rel.type = <span style="color: blue">'derived-from'</span> <i>&quot;relatesToType&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>rel.resourceReference = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Reference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ref</span><b> then</b><span style="color: navy"> {
</span>      qr.id<b> as </b><span style="color: maroon">qid</span><span style="color: navy"><b> -&gt; </b></span>ref.reference = <span style="color: maroon">qid</span> <i>&quot;relatesToRef&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;relatesToTarget&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;linkQuestionnaireResponse&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>AddSectionText<span style="color: navy">(</span><b>source</b> <span style="color: maroon">it</span>, <b>target</b> <span style="color: maroon">sec</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>sec.text<b> as </b><span style="color: maroon">narrative</span><b> then</b><span style="color: navy"> {
</span>      v<span style="color: navy"><b> -&gt; </b></span>narrative.status = <span style="color: blue">'generated'</span> <i>&quot;narrativeStatus&quot;</i><span style="color: navy">;</span>
      v<span style="color: navy"><b> -&gt; </b></span>narrative.div = <b>create</b><span style="color: navy">(</span><span style="color: blue">'xhtml'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">xhtml</span><b> then</b><span style="color: navy"> {
</span>        v<span style="color: navy"><b> -&gt; </b></span>xhtml.value = evaluate<span style="color: navy">(</span>a<span style="color: navy">, </span>'&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;&lt;p&gt;' + value.toString().escape('html') + '&lt;/p&gt;&lt;/div&gt;'<span style="color: navy">)</span> <i>&quot;narrativeDiv&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;narrativeXhtml&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;sectionText&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;sectionAnswer&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetCompositionFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">comp</span><span style="color: navy"> : </span>Composition, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  comp.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/Composition/'</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">Everything a Condition extracted from one of these forms shares. The caller</span>
<span style="color: navy">// </span><span style="color: green">supplies verificationStatus and code, because those are the two things that</span>
<span style="color: navy">// </span><span style="color: green">differ between an admitting impression and a stated cause of death.</span>
<b>group </b>BuildConditionBase<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">cond</span><span style="color: navy"> : </span>Condition, <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>cond.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetConditionFullUrl<span style="color: navy">(</span><span style="color: maroon">cond</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">'Condition'</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>cond.clinicalStatus<b> as </b><span style="color: maroon">cs</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>cs.coding<b> as </b><span style="color: maroon">csc</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>csc.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/condition-clinical'</span> <i>&quot;clinSystem&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>csc.code = <span style="color: blue">'active'</span> <i>&quot;clinCode&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>csc.display = <span style="color: blue">'Active'</span> <i>&quot;clinDisplay&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;clinCoding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;clinicalStatus&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>cond.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">catc</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>catc.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/condition-category'</span> <i>&quot;catSystem&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>catc.code = <span style="color: blue">'encounter-diagnosis'</span> <i>&quot;catCode&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>catc.display = <span style="color: blue">'Encounter Diagnosis'</span> <i>&quot;catDisplay&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;catCoding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
  qr.subject<b> as </b><span style="color: maroon">s</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>cond.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
  qr.encounter<b> as </b><span style="color: maroon">e</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>cond.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>cond.recordedDate = <span style="color: maroon">t</span> <i>&quot;recordedDate&quot;</i><span style="color: navy">;</span>
  qr.author<b> as </b><span style="color: maroon">a</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>cond.participant<b> as </b><span style="color: maroon">part</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>part.actor = <span style="color: maroon">a</span> <i>&quot;participantActor&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;participantFromAuthor&quot;</i><span style="color: navy">;</span>
  qr<b> where </b><span style="color: navy">(</span>author.where(((reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization'))))).exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    qr.source<b> as </b><span style="color: maroon">src</span><b> where </b><span style="color: navy">(</span>(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>cond.participant<b> as </b><span style="color: maroon">part2</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>part2.actor = <span style="color: maroon">src</span> <i>&quot;participantActorFromSource&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;participantFromSource&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;participantFallback&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>cond.evidence<b> as </b><span style="color: maroon">ev</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>ev.reference = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Reference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ref</span><b> then</b><span style="color: navy"> {
</span>      qr.id<b> as </b><span style="color: maroon">qid</span><span style="color: navy"><b> -&gt; </b></span>ref.reference = <span style="color: maroon">qid</span> <i>&quot;evidenceRef&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;evidenceTarget&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;linkQuestionnaireResponse&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetConditionFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">cond</span><span style="color: navy"> : </span>Condition, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  cond.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/Condition/'</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">── Tenancy ──────────────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Whose this is. The platform says which tenant a response belongs to with a</span>
<span style="color: navy">// </span><span style="color: green">tag on the response, and every tag the response carries is copied onto</span>
<span style="color: navy">// </span><span style="color: green">everything this map creates, as it is. Copied rather than named here, so the</span>
<span style="color: navy">// </span><span style="color: green">map never has to know which tenant it is running for, nor which system the</span>
<span style="color: navy">// </span><span style="color: green">tag is under: that system has moved more than once.</span>
<b>group </b>CopyResponseTags<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.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/ExtractInpatientAdmissionNote"/>
  <version value="0.1.0"/>
  <name value="ExtractInpatientAdmissionNote"/>
  <title value="Inpatient Admission Note Extraction"/>
  <status value="active"/>
  <date value="2026-10-06T18:48:22+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="Turns a response to the inpatient admission note into a Composition with one section per heading, plus a Condition for the impression -- the one line on this form that belongs on the problem list. The Condition is verificationStatus `provisional` because an admitting impression is exactly that; the team confirms or replaces it as the stay goes on. Its code carries the clinician's wording as text rather than an ICD-11 coding, because the form asks for prose and guessing a diagnosis code from prose is not something a map should do."/>
  <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/Composition"/>
    <mode value="target"/>
    <alias value="Composition"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Condition"/>
    <mode value="target"/>
    <alias value="Condition"/>
  </structure>
  <group>
    <name value="ExtractInpatientAdmissionNote"/>
    <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="composition"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="comp"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Composition"/>
        </parameter>
      </target>
      <rule>
        <name value="responseTags"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="comp"/>
        </target>
        <dependent>
          <name value="CopyResponseTags"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="comp"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="noteBase"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="comp"/>
        </target>
        <target>
          <context value="entry"/>
        </target>
        <dependent>
          <name value="BuildNoteBase"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="comp"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="noteName"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="name"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="InpatientAdmissionNote"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="noteTitle"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="title"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="Admission note"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="noteType"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="type"/>
          <variable value="ty"/>
        </target>
        <rule>
          <name value="sghiCoding"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="ty"/>
            <element value="coding"/>
            <variable value="sghi"/>
          </target>
          <rule>
            <name value="sghiSystem"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="sghi"/>
              <element value="system"/>
              <transform value="copy"/>
              <parameter>
                <valueString
                             value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-document-type-codesystem"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="sghiCode"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="sghi"/>
              <element value="code"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="admission-note"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="sghiDisplay"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="sghi"/>
              <element value="display"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Admission note"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <rule>
          <name value="loincCoding"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="ty"/>
            <element value="coding"/>
            <variable value="loinc"/>
          </target>
          <rule>
            <name value="loincSystem"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="loinc"/>
              <element value="system"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="http://loinc.org"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="loincCode"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="loinc"/>
              <element value="code"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="34117-2"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="loincDisplay"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="loinc"/>
              <element value="display"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="History and physical note"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <rule>
          <name value="typeText"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="ty"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Admission note"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <rule>
        <name value="historyRule"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="(linkId = 'history') and answer.value.exists()"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="section"/>
          <variable value="sec"/>
        </target>
        <rule>
          <name value="historyTitle"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
            <element value="title"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="History"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="historyText"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
          </target>
          <dependent>
            <name value="AddSectionText"/>
            <parameter>
              <valueId value="it"/>
            </parameter>
            <parameter>
              <valueId value="sec"/>
            </parameter>
          </dependent>
        </rule>
      </rule>
      <rule>
        <name value="examRule"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="(linkId = 'exam') and answer.value.exists()"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="section"/>
          <variable value="sec"/>
        </target>
        <rule>
          <name value="examTitle"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
            <element value="title"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Examination"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="examText"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
          </target>
          <dependent>
            <name value="AddSectionText"/>
            <parameter>
              <valueId value="it"/>
            </parameter>
            <parameter>
              <valueId value="sec"/>
            </parameter>
          </dependent>
        </rule>
      </rule>
      <rule>
        <name value="impressionSectionRule"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition
                     value="(linkId = 'impression') and answer.value.exists()"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="section"/>
          <variable value="sec"/>
        </target>
        <rule>
          <name value="impressionTitle"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
            <element value="title"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Impression"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="impressionText"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
          </target>
          <dependent>
            <name value="AddSectionText"/>
            <parameter>
              <valueId value="it"/>
            </parameter>
            <parameter>
              <valueId value="sec"/>
            </parameter>
          </dependent>
        </rule>
        <documentation
                       value="The impression is both a section of the note and a Condition. It stays in
the document so the note reads whole, and it also lands on the problem
list so the rest of the stay can hang off it."/>
      </rule>
      <rule>
        <name value="planRule"/>
        <source>
          <context value="qr"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="(linkId = 'plan') and answer.value.exists()"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="section"/>
          <variable value="sec"/>
        </target>
        <rule>
          <name value="planTitle"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
            <element value="title"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Initial plan"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="planText"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="sec"/>
          </target>
          <dependent>
            <name value="AddSectionText"/>
            <parameter>
              <valueId value="it"/>
            </parameter>
            <parameter>
              <valueId value="sec"/>
            </parameter>
          </dependent>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="impressionConditionRule"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="itImp"/>
        <condition value="(linkId = 'impression') and answer.value.exists()"/>
      </source>
      <rule>
        <name value="impressionAnswer"/>
        <source>
          <context value="itImp"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="aImp"/>
        </source>
        <rule>
          <name value="condition"/>
          <source>
            <context value="aImp"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="entryC"/>
          </target>
          <target>
            <context value="entryC"/>
            <element value="resource"/>
            <variable value="cond"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Condition"/>
            </parameter>
          </target>
          <rule>
            <name value="responseTags"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="cond"/>
            </target>
            <dependent>
              <name value="CopyResponseTags"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="cond"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="conditionBase"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="cond"/>
            </target>
            <target>
              <context value="entryC"/>
            </target>
            <dependent>
              <name value="BuildConditionBase"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="cond"/>
              </parameter>
              <parameter>
                <valueId value="entryC"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="verificationStatus"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="cond"/>
              <element value="verificationStatus"/>
              <variable value="vs"/>
            </target>
            <rule>
              <name value="verCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="vs"/>
                <element value="coding"/>
                <variable value="vsc"/>
              </target>
              <rule>
                <name value="verSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="vsc"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="verCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="vsc"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="provisional"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="verDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="vsc"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="Provisional"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="conditionCode"/>
            <source>
              <context value="aImp"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="cond"/>
              <element value="code"/>
              <variable value="code"/>
            </target>
            <rule>
              <name value="codeText"/>
              <source>
                <context value="v"/>
              </source>
              <target>
                <context value="code"/>
                <element value="text"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="v"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="BuildNoteBase"/>
    <documentation
                   value="─────────────────────────────────────────────────────────────────────────────
Shared note scaffolding. Repeated in each note map rather than imported: the
transform engine resolves `imports` against whatever StructureMaps happen to
be on the server, and a note 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.
Untyped, it says only that it cannot check the paths.
`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="comp"/>
      <type value="Composition"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="comp"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetCompositionFullUrl"/>
        <parameter>
          <valueId value="comp"/>
        </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="Composition"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="status"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="comp"/>
        <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"/>
        <condition
                   value="(reference.exists() and (reference.contains('://').not() and reference.startsWith('#').not() and reference.startsWith('urn:').not())) or reference.empty()"/>
      </source>
      <target>
        <context value="comp"/>
        <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"/>
        <condition
                   value="(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"/>
      </source>
      <target>
        <context value="comp"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="date"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="comp"/>
        <element value="date"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
      <documentation
                     value="Composition.date is 1..1. `authored` is only 0..1 on the response, so when a
client sends none the extraction time stands in. It is a poor substitute for
when the note was written, but a document with no date at all is worse, and
extraction happens moments after submission in practice."/>
    </rule>
    <rule>
      <name value="dateFallback"/>
      <source>
        <context value="qr"/>
        <condition value="authored.exists().not()"/>
      </source>
      <rule>
        <name value="dateFromExtractionTime"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="date"/>
          <transform value="evaluate"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueString value="now()"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="authorFromAuthor"/>
      <source>
        <context value="qr"/>
        <element value="author"/>
        <variable value="a"/>
        <condition
                   value="(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))"/>
      </source>
      <target>
        <context value="comp"/>
        <element value="author"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="a"/>
        </parameter>
      </target>
      <documentation
                     value="Composition.author is 1..1 minimum. R5 QuestionnaireResponse carries both
`author` (who recorded the answers) and `source` (who supplied them); the
author is the one who wrote the note, so it wins, and `source` only stands
in when the client did not send an author. If the response carries neither,
the note comes out unauthored -- there is nothing on a QuestionnaireResponse
to invent one from, and guessing at who wrote a clinical note is not a thing
a map should do."/>
    </rule>
    <rule>
      <name value="authorFallback"/>
      <source>
        <context value="qr"/>
        <condition
                   value="author.where(((reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization'))))).exists().not()"/>
      </source>
      <rule>
        <name value="authorFromSource"/>
        <source>
          <context value="qr"/>
          <element value="source"/>
          <variable value="src"/>
          <condition
                     value="(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="author"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="src"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="linkQuestionnaireResponse"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="comp"/>
        <element value="relatesTo"/>
        <variable value="rel"/>
      </target>
      <rule>
        <name value="relatesToType"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="rel"/>
          <element value="type"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="derived-from"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="relatesToTarget"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="rel"/>
          <element value="resourceReference"/>
          <variable value="ref"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <rule>
          <name value="relatesToRef"/>
          <source>
            <context value="qr"/>
            <element value="id"/>
            <variable value="qid"/>
          </source>
          <target>
            <context value="ref"/>
            <element value="reference"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="qid"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="AddSectionText"/>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="sec"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="sectionAnswer"/>
      <source>
        <context value="it"/>
        <element value="answer"/>
        <listMode value="first"/>
        <variable value="a"/>
      </source>
      <rule>
        <name value="sectionText"/>
        <source>
          <context value="a"/>
          <element value="value"/>
          <variable value="v"/>
        </source>
        <target>
          <context value="sec"/>
          <element value="text"/>
          <variable value="narrative"/>
        </target>
        <rule>
          <name value="narrativeStatus"/>
          <source>
            <context value="v"/>
          </source>
          <target>
            <context value="narrative"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="generated"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="narrativeXhtml"/>
          <source>
            <context value="v"/>
          </source>
          <target>
            <context value="narrative"/>
            <element value="div"/>
            <variable value="xhtml"/>
            <transform value="create"/>
            <parameter>
              <valueString value="xhtml"/>
            </parameter>
          </target>
          <rule>
            <name value="narrativeDiv"/>
            <source>
              <context value="v"/>
            </source>
            <target>
              <context value="xhtml"/>
              <element value="value"/>
              <transform value="evaluate"/>
              <parameter>
                <valueId value="a"/>
              </parameter>
              <parameter>
                <valueString
                             value="'&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;&lt;p&gt;' + value.toString().escape('html') + '&lt;/p&gt;&lt;/div&gt;'"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetCompositionFullUrl"/>
    <input>
      <name value="comp"/>
      <type value="Composition"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="comp"/>
        <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/Composition/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="BuildConditionBase"/>
    <documentation
                   value="Everything a Condition extracted from one of these forms shares. The caller
supplies verificationStatus and code, because those are the two things that
differ between an admitting impression and a stated cause of death."/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="cond"/>
      <type value="Condition"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetConditionFullUrl"/>
        <parameter>
          <valueId value="cond"/>
        </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="Condition"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="clinicalStatus"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="clinicalStatus"/>
        <variable value="cs"/>
      </target>
      <rule>
        <name value="clinCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="cs"/>
          <element value="coding"/>
          <variable value="csc"/>
        </target>
        <rule>
          <name value="clinSystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="csc"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="clinCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="csc"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="active"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="clinDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="csc"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Active"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="category"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="category"/>
        <variable value="cat"/>
      </target>
      <rule>
        <name value="catCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="cat"/>
          <element value="coding"/>
          <variable value="catc"/>
        </target>
        <rule>
          <name value="catSystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="catc"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="catCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="catc"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="encounter-diagnosis"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="catDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="catc"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Encounter Diagnosis"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
        <condition
                   value="(reference.exists() and (reference.startsWith('Patient/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient')))"/>
      </source>
      <target>
        <context value="cond"/>
        <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"/>
        <condition
                   value="(reference.exists() and (reference.startsWith('Encounter/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Encounter')))"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="recordedDate"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="recordedDate"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="participantFromAuthor"/>
      <source>
        <context value="qr"/>
        <element value="author"/>
        <variable value="a"/>
        <condition
                   value="(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="participant"/>
        <variable value="part"/>
      </target>
      <rule>
        <name value="participantActor"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="part"/>
          <element value="actor"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="participantFallback"/>
      <source>
        <context value="qr"/>
        <condition
                   value="author.where(((reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization'))))).exists().not()"/>
      </source>
      <rule>
        <name value="participantFromSource"/>
        <source>
          <context value="qr"/>
          <element value="source"/>
          <variable value="src"/>
          <condition
                     value="(reference.exists() and (reference.startsWith('Patient/') or reference.startsWith('Organization/'))) or (reference.empty() and (type.empty() or ('/' + type).endsWith('/Patient') or ('/' + type).endsWith('/Organization')))"/>
        </source>
        <target>
          <context value="cond"/>
          <element value="participant"/>
          <variable value="part2"/>
        </target>
        <rule>
          <name value="participantActorFromSource"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="part2"/>
            <element value="actor"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="src"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="linkQuestionnaireResponse"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="cond"/>
        <element value="evidence"/>
        <variable value="ev"/>
      </target>
      <rule>
        <name value="evidenceTarget"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ev"/>
          <element value="reference"/>
          <variable value="ref"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <rule>
          <name value="evidenceRef"/>
          <source>
            <context value="qr"/>
            <element value="id"/>
            <variable value="qid"/>
          </source>
          <target>
            <context value="ref"/>
            <element value="reference"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="qid"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetConditionFullUrl"/>
    <input>
      <name value="cond"/>
      <type value="Condition"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="cond"/>
        <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/Condition/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="CopyResponseTags"/>
    <documentation
                   value="── Tenancy ──────────────────────────────────────────────────────────────────
Whose this is. The platform says which tenant a response belongs to with a
tag on the response, and every tag the response carries is copied onto
everything this map creates, as it is. Copied rather than named here, so the
map never has to know which tenant it is running for, nor which system the
tag is under: that system has moved more than once."/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="r"/>
      <mode value="target"/>
    </input>
    <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>
    </rule>
  </group>
</StructureMap>