{ "resourceType" : "StructureMap", "id" : "ExtractInpatientFallsAndPressureUlcerRiskAssessment", "text" : { "status" : "generated", "div" : "

Generated Narrative: StructureMap ExtractInpatientFallsAndPressureUlcerRiskAssessment

\r\n/// url = 'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientFallsAndPressureUlcerRiskAssessment'\r\n/// name = 'ExtractInpatientFallsAndPressureUlcerRiskAssessment'\r\n/// title = 'Inpatient Falls and Pressure Ulcer Risk Assessment Extraction'\r\n/// status = 'active'\r\n/// description = 'Two scored instruments out. Braden becomes one Observation carrying the total with its six sub-scores as components, plus a RiskAssessment for the band; the falls score -- which is the Morse Fall Scale item for item -- becomes the same shape against the LOINC Morse panel. The measures put in place become a CarePlan. A total is only emitted when every sub-score has been answered: a Braden computed from four of six items is not a Braden score, and banding one would put a number a nurse can act on next to a risk tier that is wrong.'\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" alias QR as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as target\r\nuses "http://hl7.org/fhir/StructureDefinition/RiskAssessment" alias RiskAssessment as target\r\nuses "http://hl7.org/fhir/StructureDefinition/CarePlan" alias CarePlan as target\r\n\r\ngroup ExtractInpatientFallsAndPressureUlcerRiskAssessment(source qr : QR, target bundle : Bundle) {\r\n  qr -> bundle.type = 'transaction' "setBundleType";\r\n  // ── Braden pressure ulcer risk ─────────────────────────────────────────────\r\n  qr.item as gB where ((linkId = 'braden') and item.answer.value.ofType(Coding).exists()) then {\r\n    gB ->  bundle.entry as entryB,  entryB.resource = create('Observation') as obsB then {\r\n      qr ->  obsB,  entryB then BuildObsBase(qr, obsB, entryB) "bradenBase";\r\n      qr -> obsB then SetSurveyCategory(qr, obsB) "bradenCategory";\r\n      qr -> obsB.code as code then {\r\n        qr -> code.coding as coding then {\r\n          qr -> coding.system = 'http://loinc.org' "codeSystem";\r\n          qr -> coding.code = '38227-5' "codeCode";\r\n          qr -> coding.display = 'Braden scale total score' "codeDisplay";\r\n        } "codeCoding";\r\n      } "bradenCode";\r\n      // The submitted total wins; otherwise sum the answers. Every scored answer\r\n      // in SGHIClinicalScoreCodeSystem ends in its own weight -- braden-sensory-3\r\n      // is worth 3 -- so the fallback reads the weight off the code. Both paths\r\n      // are the arithmetic the questionnaire's calculatedExpression performs, so\r\n      // they cannot disagree. Guarded on all six sub-scores being present.\r\n      gB where (item.answer.value.ofType(Coding).count() = 6) then {\r\n        gB -> obsB.value = evaluate(gB, iif(item.where(linkId = 'braden.total').answer.value.exists(), item.where(linkId = 'braden.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))) "bradenTotalValue";\r\n      } "bradenTotalRule";\r\n      gB.item as it where ((linkId = 'braden.sensory') and answer.value.exists()) -> obsB.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '38222-6' "codeCode";\r\n            it -> coding.display = 'Sensory perception Braden scale' "codeDisplay";\r\n          } "codeCoding";\r\n        } "sensoryCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "sensoryValue";\r\n      } "bradenSensoryRule";\r\n      gB.item as it where ((linkId = 'braden.moisture') and answer.value.exists()) -> obsB.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '38229-1' "codeCode";\r\n            it -> coding.display = 'Moisture exposure Braden scale' "codeDisplay";\r\n          } "codeCoding";\r\n        } "moistureCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "moistureValue";\r\n      } "bradenMoistureRule";\r\n      gB.item as it where ((linkId = 'braden.activity') and answer.value.exists()) -> obsB.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '38223-4' "codeCode";\r\n            it -> coding.display = 'Physical activity Braden scale' "codeDisplay";\r\n          } "codeCoding";\r\n        } "activityCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "activityValue";\r\n      } "bradenActivityRule";\r\n      gB.item as it where ((linkId = 'braden.mobility') and answer.value.exists()) -> obsB.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '38224-2' "codeCode";\r\n            it -> coding.display = 'Physical mobility Braden scale' "codeDisplay";\r\n          } "codeCoding";\r\n        } "mobilityCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "mobilityValue";\r\n      } "bradenMobilityRule";\r\n      gB.item as it where ((linkId = 'braden.nutrition') and answer.value.exists()) -> obsB.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '38225-9' "codeCode";\r\n            it -> coding.display = 'Nutrition intake pattern Braden scale' "codeDisplay";\r\n          } "codeCoding";\r\n        } "nutritionCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "nutritionValue";\r\n      } "bradenNutritionRule";\r\n      gB.item as it where ((linkId = 'braden.friction') and answer.value.exists()) -> obsB.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '38226-7' "codeCode";\r\n            it -> coding.display = 'Friction and shear Braden scale' "codeDisplay";\r\n          } "codeCoding";\r\n        } "frictionCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "frictionValue";\r\n      } "bradenFrictionRule";\r\n      qr ->  obsB,  bundle then AddBradenRiskAssessment(obsB, qr, bundle) "bradenBand";\r\n    } "bradenObservation";\r\n  } "bradenRule";\r\n  // ── Falls risk (Morse Fall Scale) ──────────────────────────────────────────\r\n  qr.item as gF where ((linkId = 'fallsRisk') and item.answer.value.ofType(Coding).exists()) then {\r\n    gF ->  bundle.entry as entryF,  entryF.resource = create('Observation') as obsF then {\r\n      qr ->  obsF,  entryF then BuildObsBase(qr, obsF, entryF) "fallsBase";\r\n      qr -> obsF then SetSurveyCategory(qr, obsF) "fallsCategory";\r\n      qr -> obsF.code as code then {\r\n        qr -> code.coding as coding then {\r\n          qr -> coding.system = 'http://loinc.org' "codeSystem";\r\n          qr -> coding.code = '59460-6' "codeCode";\r\n          qr -> coding.display = 'Fall risk total [Morse Fall Scale]' "codeDisplay";\r\n        } "codeCoding";\r\n      } "fallsCode";\r\n      gF where (item.answer.value.ofType(Coding).count() = 6) then {\r\n        gF -> obsF.value = evaluate(gF, iif(item.where(linkId = 'fallsRisk.total').answer.value.exists(), item.where(linkId = 'fallsRisk.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))) "fallsTotalValue";\r\n      } "fallsTotalRule";\r\n      gF.item as it where ((linkId = 'fallsRisk.history') and answer.value.exists()) -> obsF.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '59454-9' "codeCode";\r\n            it -> coding.display = 'History of falling; immediate or within 3 months [Morse Fall Scale]' "codeDisplay";\r\n          } "codeCoding";\r\n        } "historyCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "historyValue";\r\n      } "fallsHistoryRule";\r\n      gF.item as it where ((linkId = 'fallsRisk.diagnoses') and answer.value.exists()) -> obsF.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '59455-6' "codeCode";\r\n            it -> coding.display = 'Secondary diagnosis is present' "codeDisplay";\r\n          } "codeCoding";\r\n        } "diagnosesCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "diagnosesValue";\r\n      } "fallsDiagnosesRule";\r\n      gF.item as it where ((linkId = 'fallsRisk.aid') and answer.value.exists()) -> obsF.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '59456-4' "codeCode";\r\n            it -> coding.display = 'Ambulatory aid [Morse Fall Scale]' "codeDisplay";\r\n          } "codeCoding";\r\n        } "aidCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "aidValue";\r\n      } "fallsAidRule";\r\n      gF.item as it where ((linkId = 'fallsRisk.iv') and answer.value.exists()) -> obsF.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '59457-2' "codeCode";\r\n            it -> coding.display = 'Intravenous apparatus [Morse Fall Scale]' "codeDisplay";\r\n          } "codeCoding";\r\n        } "ivCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "ivValue";\r\n      } "fallsIvRule";\r\n      gF.item as it where ((linkId = 'fallsRisk.gait') and answer.value.exists()) -> obsF.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '59458-0' "codeCode";\r\n            it -> coding.display = 'Gait [Morse Fall Scale]' "codeDisplay";\r\n          } "codeCoding";\r\n        } "gaitCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "gaitValue";\r\n      } "fallsGaitRule";\r\n      gF.item as it where ((linkId = 'fallsRisk.mental') and answer.value.exists()) -> obsF.component as comp then {\r\n        it -> comp.code as code then {\r\n          it -> code.coding as coding then {\r\n            it -> coding.system = 'http://loinc.org' "codeSystem";\r\n            it -> coding.code = '59459-8' "codeCode";\r\n            it -> coding.display = 'Mental status [Morse Fall Scale]' "codeDisplay";\r\n          } "codeCoding";\r\n        } "mentalCode";\r\n        it -> comp then SetComponentCodedValue(it, comp) "mentalValue";\r\n      } "fallsMentalRule";\r\n      qr ->  obsF,  bundle then AddFallsRiskAssessment(obsF, qr, bundle) "fallsBand";\r\n    } "fallsObservation";\r\n  } "fallsRiskRule";\r\n  // ── Measures in place ──────────────────────────────────────────────────────\r\n  qr.item as itM where ((linkId = 'measures') and answer.value.exists()) then {\r\n    itM.answer first as aM then {\r\n      aM ->  bundle.entry as entryC,  entryC.resource = create('CarePlan') as plan then {\r\n        qr -> plan.id = uuid() then SetCarePlanFullUrl(plan, entryC) "idAndFullUrl";\r\n        qr -> entryC.request as request then {\r\n          qr -> request.method = 'POST' "requestMethod";\r\n          qr -> request.url = 'CarePlan' "requestUrl";\r\n        } "entryRequest";\r\n        qr -> plan.status = 'active' "status";\r\n        qr -> plan.intent = 'plan' "intent";\r\n        qr -> plan.category as cat then {\r\n          qr -> cat.coding as coding then {\r\n            qr -> coding.system = 'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem' "categorySystem";\r\n            qr -> coding.code = 'falls-prevention-plan' "categoryCode";\r\n            qr -> coding.display = 'Falls and pressure ulcer prevention measures' "categoryDisplay";\r\n          } "categoryCoding";\r\n        } "category";\r\n        qr -> plan.title = 'Falls and pressure ulcer prevention measures' "title";\r\n        aM.value as v -> plan.description = v "description";\r\n        qr.subject as s -> plan.subject = s;\r\n        qr.encounter as e -> plan.encounter = e;\r\n        qr.authored as t -> plan.created = t "created";\r\n        qr.author as a -> plan.contributor = a "contributorFromAuthor";\r\n        qr where (author.exists().not()) then {\r\n          qr.source as src -> plan.contributor = src "contributorFromSource";\r\n        } "contributorFallback";\r\n        qr -> plan.supportingInfo = create('Reference') as ref then {\r\n          qr.id as qid -> ref.reference = qid "supportingInfoRef";\r\n        } "linkQuestionnaireResponse";\r\n      } "carePlan";\r\n    } "measuresAnswer";\r\n  } "measuresRule";\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Risk bands\r\n// Braden (Bergstrom): 19 and over no risk, 15-18 mild, 13-14 moderate, 10-12\r\n// high, 9 and under very high. Lower is worse.\r\n// Morse (Morse, Preventing Patient Falls): 0-24 no risk, 25-50 low, 51 and over\r\n// high. Higher is worse.\r\n// The published band is the text; the coding is HL7's risk-probability, which\r\n// has five concepts and so collapses Braden's "very high" and "high" onto one\r\n// code. Consumers that need the exact tier read the text, consumers that need\r\n// to escalate read the code.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\ngroup AddBradenRiskAssessment(source obs : Observation, source qr : QR, target bundle : Bundle) {\r\n  obs where (value.ofType(integer) <= 9) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'high' "riskCode";\r\n          qr -> coding.display = 'High likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'Very high risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "bradenVeryHigh";\r\n  obs where ((value.ofType(integer) >= 10) and (value.ofType(integer) <= 12)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'high' "riskCode";\r\n          qr -> coding.display = 'High likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'High risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "bradenHigh";\r\n  obs where ((value.ofType(integer) >= 13) and (value.ofType(integer) <= 14)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'moderate' "riskCode";\r\n          qr -> coding.display = 'Moderate likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'Moderate risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "bradenModerate";\r\n  obs where ((value.ofType(integer) >= 15) and (value.ofType(integer) <= 18)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'low' "riskCode";\r\n          qr -> coding.display = 'Low likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'Mild risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "bradenMild";\r\n  obs where (value.ofType(integer) >= 19) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetBradenRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'negligible' "riskCode";\r\n          qr -> coding.display = 'Negligible likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'No risk identified' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "bradenNoRisk";\r\n}\r\n\r\ngroup SetBradenRiskCode(source qr : QR, target ra : RiskAssessment) {\r\n  qr -> ra.code as code then {\r\n    qr -> code.coding as coding then {\r\n      qr -> coding.system = 'http://loinc.org' "codeSystem";\r\n      qr -> coding.code = '81636-3' "codeCode";\r\n      qr -> coding.display = 'Pressure injury risk level Braden scale' "codeDisplay";\r\n    } "codeCoding";\r\n  } "code";\r\n}\r\n\r\ngroup AddFallsRiskAssessment(source obs : Observation, source qr : QR, target bundle : Bundle) {\r\n  obs where (value.ofType(integer) <= 24) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetFallsRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'negligible' "riskCode";\r\n          qr -> coding.display = 'Negligible likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'No risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "fallsNoRisk";\r\n  obs where ((value.ofType(integer) >= 25) and (value.ofType(integer) <= 50)) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetFallsRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'low' "riskCode";\r\n          qr -> coding.display = 'Low likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'Low risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "fallsLow";\r\n  obs where (value.ofType(integer) >= 51) ->  bundle.entry as entry,  entry.resource = create('RiskAssessment') as ra then {\r\n    qr ->  ra,  entry then BuildRiskBase(qr, obs, ra, entry) "riskBase";\r\n    qr -> ra then SetFallsRiskCode(qr, ra) "riskCode";\r\n    qr -> ra.prediction as pred then {\r\n      qr -> pred.qualitativeRisk as risk then {\r\n        qr -> risk.coding as coding then {\r\n          qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/risk-probability' "riskSystem";\r\n          qr -> coding.code = 'high' "riskCode";\r\n          qr -> coding.display = 'High likelihood' "riskDisplay";\r\n        } "riskCoding";\r\n        qr -> risk.text = 'High risk' "riskText";\r\n      } "qualitativeRisk";\r\n    } "prediction";\r\n  } "fallsHigh";\r\n}\r\n\r\ngroup SetFallsRiskCode(source qr : QR, target ra : RiskAssessment) {\r\n  qr -> ra.code as code then {\r\n    qr -> code.coding as coding then {\r\n      qr -> coding.system = 'http://loinc.org' "codeSystem";\r\n      qr -> coding.code = '59461-4' "codeCode";\r\n      qr -> coding.display = 'Fall risk level [Morse Fall Scale]' "codeDisplay";\r\n    } "codeCoding";\r\n  } "code";\r\n}\r\n\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Shared scaffolding. Repeated in each map rather than imported: the transform\r\n// engine resolves `imports` against whatever StructureMaps happen to be on the\r\n// server, and a form that stops extracting because a shared map was not\r\n// uploaded is a worse failure than a duplicated group.\r\n// ─────────────────────────────────────────────────────────────────────────────\r\n// Two notes on what the publisher's StructureMap validator says about this file.\r\n// Source parameters below are left untyped on purpose. Writing `: Element` makes\r\n// the validator compare QuestionnaireResponse.item against the literal 'Element'\r\n// and report them as incompatible with each other, which is noise, not a finding.\r\n// Untyped, it says only that it cannot check the paths.\r\n// `evaluate(context, expression)` is flagged as "takes 1 parameter but 2 were\r\n// found". Leave it. The FML parser in the same jar refuses the one-argument form\r\n// outright -- it wants a parameter, a comma, then the FHIRPath -- so the publisher\r\n// is objecting to what its own compiler emits. Two arguments is the only form that\r\n// compiles, and it is what the R5 transform engine executes.\r\ngroup BuildObsBase(source qr : QR, target obs : Observation, target entry) {\r\n  qr -> obs.id = uuid() then SetObservationFullUrl(obs, entry) "idAndFullUrl";\r\n  qr -> entry.request as request then {\r\n    qr -> request.method = 'POST' "requestMethod";\r\n    qr -> request.url = 'Observation' "requestUrl";\r\n  } "entryRequest";\r\n  qr -> obs.status = 'final' "status";\r\n  qr.subject as s -> obs.subject = s;\r\n  qr.encounter as e -> obs.encounter = e;\r\n  qr.authored as t -> obs.effective = t "effective";\r\n  qr.source as src -> obs.performer = src "performerFromSource";\r\n  qr where (source.exists().not()) then {\r\n    qr.author as a -> obs.performer = a "performerFromAuthor";\r\n  } "performerFallback";\r\n  qr -> obs.derivedFrom = create('Reference') as ref then {\r\n    qr.id as qid -> ref.reference = qid "derivedFromRef";\r\n  } "linkQuestionnaireResponse";\r\n}\r\n\r\n// The RiskAssessment stands on two things: the response that was filled in and\r\n// the Observation that holds the number. Both go in basis, which is what the\r\n// SGHI RiskAssessment profile binds to a QuestionnaireResponse.\r\ngroup BuildRiskBase(source qr : QR, source obs : Observation, target ra : RiskAssessment, target entry) {\r\n  qr -> ra.id = uuid() then SetRiskAssessmentFullUrl(ra, entry) "idAndFullUrl";\r\n  qr -> entry.request as request then {\r\n    qr -> request.method = 'POST' "requestMethod";\r\n    qr -> request.url = 'RiskAssessment' "requestUrl";\r\n  } "entryRequest";\r\n  qr -> ra.status = 'final' "status";\r\n  qr.subject as s -> ra.subject = s;\r\n  qr.encounter as e -> ra.encounter = e;\r\n  qr.authored as t -> ra.occurrence = t "occurrence";\r\n  qr.author as a -> ra.performer = a "performerFromAuthor";\r\n  qr where (author.exists().not()) then {\r\n    qr.source as src -> ra.performer = src "performerFromSource";\r\n  } "performerFallback";\r\n  qr -> ra.basis = create('Reference') as qref then {\r\n    qr.id as qid -> qref.reference = qid "basisQuestionnaireResponse";\r\n  } "basisResponse";\r\n  obs.id as oid -> ra.basis = create('Reference') as oref then {\r\n    oid -> oref.reference = append('Observation/', oid) "basisObservationRef";\r\n  } "basisObservation";\r\n}\r\n\r\ngroup SetComponentCodedValue(source it, target comp) {\r\n  it.answer first as a then {\r\n    a.value as cv -> comp.value = create('CodeableConcept') as cc then {\r\n      cv -> cc.coding = cv "valueCoding";\r\n      cv.display as d -> cc.text = d "valueText";\r\n    } "codedValue";\r\n  } "componentAnswer";\r\n}\r\n\r\ngroup SetSurveyCategory(source qr : QR, target obs : Observation) {\r\n  qr -> obs.category as cat then {\r\n    qr -> cat.coding as coding then {\r\n      qr -> coding.system = 'http://terminology.hl7.org/CodeSystem/observation-category' "categorySystem";\r\n      qr -> coding.code = 'survey' "categoryCode";\r\n      qr -> coding.display = 'Survey' "categoryDisplay";\r\n    } "categoryCoding";\r\n  } "category";\r\n}\r\n\r\ngroup SetObservationFullUrl(source obs : Observation, target entry) {\r\n  obs.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/Observation/', id) "assignFullUrl";\r\n}\r\n\r\ngroup SetRiskAssessmentFullUrl(source ra : RiskAssessment, target entry) {\r\n  ra.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/RiskAssessment/', id) "assignFullUrl";\r\n}\r\n\r\ngroup SetCarePlanFullUrl(source plan : CarePlan, target entry) {\r\n  plan.id as id -> entry.fullUrl = append('https://fhir.slade360.co.ke/fhir/CarePlan/', id) "assignFullUrl";\r\n}\r\n\r\n
" }, "url" : "https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientFallsAndPressureUlcerRiskAssessment", "version" : "0.1.0", "name" : "ExtractInpatientFallsAndPressureUlcerRiskAssessment", "title" : "Inpatient Falls and Pressure Ulcer Risk Assessment Extraction", "status" : "active", "date" : "2026-09-14T06:31:13+00:00", "publisher" : "Kathurima Kimathi", "contact" : [{ "name" : "Kathurima Kimathi", "telecom" : [{ "system" : "url", "value" : "https://www.linkedin.com/in/kathurima-kimathi/" }, { "system" : "email", "value" : "kathurimakimathi415@gmail.com" }] }, { "name" : "Oscar John", "telecom" : [{ "system" : "email", "value" : "oscarjohnotieno@gmail.com", "use" : "work" }] }, { "name" : "Kennedy Omondi", "telecom" : [{ "system" : "email", "value" : "kennankole@gmail.com", "use" : "work" }] }], "description" : "Two scored instruments out. Braden becomes one Observation carrying the total with its six sub-scores as components, plus a RiskAssessment for the band; the falls score -- which is the Morse Fall Scale item for item -- becomes the same shape against the LOINC Morse panel. The measures put in place become a CarePlan. A total is only emitted when every sub-score has been answered: a Braden computed from four of six items is not a Braden score, and banding one would put a number a nurse can act on next to a risk tier that is wrong.", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "mode" : "source", "alias" : "QR" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "target", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "target", "alias" : "Observation" }, { "url" : "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "mode" : "target", "alias" : "RiskAssessment" }, { "url" : "http://hl7.org/fhir/StructureDefinition/CarePlan", "mode" : "target", "alias" : "CarePlan" }], "group" : [{ "name" : "ExtractInpatientFallsAndPressureUlcerRiskAssessment", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "bundle", "type" : "Bundle", "mode" : "target" }], "rule" : [{ "name" : "setBundleType", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "bundle", "element" : "type", "transform" : "copy", "parameter" : [{ "valueString" : "transaction" }] }] }, { "name" : "bradenRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "gB", "condition" : "(linkId = 'braden') and item.answer.value.ofType(Coding).exists()" }], "rule" : [{ "name" : "bradenObservation", "source" : [{ "context" : "gB" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entryB" }, { "context" : "entryB", "element" : "resource", "variable" : "obsB", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "bradenBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsB" }, { "context" : "entryB" }], "dependent" : [{ "name" : "BuildObsBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsB" }, { "valueId" : "entryB" }] }] }, { "name" : "bradenCategory", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsB" }], "dependent" : [{ "name" : "SetSurveyCategory", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsB" }] }] }, { "name" : "bradenCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsB", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38227-5" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Braden scale total score" }] }] }] }] }, { "name" : "bradenTotalRule", "source" : [{ "context" : "gB", "condition" : "item.answer.value.ofType(Coding).count() = 6" }], "rule" : [{ "name" : "bradenTotalValue", "source" : [{ "context" : "gB" }], "target" : [{ "context" : "obsB", "element" : "value", "transform" : "evaluate", "parameter" : [{ "valueId" : "gB" }, { "valueString" : "iif(item.where(linkId = 'braden.total').answer.value.exists(), item.where(linkId = 'braden.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))" }] }] }], "documentation" : "The submitted total wins; otherwise sum the answers. Every scored answer\r\nin SGHIClinicalScoreCodeSystem ends in its own weight -- braden-sensory-3\r\nis worth 3 -- so the fallback reads the weight off the code. Both paths\r\nare the arithmetic the questionnaire's calculatedExpression performs, so\r\nthey cannot disagree. Guarded on all six sub-scores being present." }, { "name" : "bradenSensoryRule", "source" : [{ "context" : "gB", "element" : "item", "variable" : "it", "condition" : "(linkId = 'braden.sensory') and answer.value.exists()" }], "target" : [{ "context" : "obsB", "element" : "component", "variable" : "comp" }], "rule" : [{ "name" : "sensoryCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "it" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38222-6" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Sensory perception Braden scale" }] }] }] }] }, { "name" : "sensoryValue", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp" }], "dependent" : [{ "name" : "SetComponentCodedValue", "parameter" : [{ "valueId" : "it" }, { "valueId" : "comp" }] }] }] }, { "name" : "bradenMoistureRule", "source" : [{ "context" : "gB", "element" : "item", "variable" : "it", "condition" : "(linkId = 'braden.moisture') and answer.value.exists()" }], "target" : [{ "context" : "obsB", "element" : "component", "variable" : "comp" }], "rule" : [{ "name" : "moistureCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "it" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38229-1" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Moisture exposure Braden scale" }] }] }] }] }, { "name" : "moistureValue", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp" }], "dependent" : [{ "name" : "SetComponentCodedValue", "parameter" : [{ "valueId" : "it" }, { "valueId" : "comp" }] }] }] }, { "name" : "bradenActivityRule", "source" : [{ "context" : "gB", "element" : "item", "variable" : "it", "condition" : "(linkId = 'braden.activity') and answer.value.exists()" }], "target" : [{ "context" : "obsB", "element" : "component", "variable" : "comp" }], "rule" : [{ "name" : "activityCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "it" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38223-4" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Physical activity Braden scale" }] }] }] }] }, { "name" : "activityValue", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp" }], "dependent" : [{ "name" : "SetComponentCodedValue", "parameter" : [{ "valueId" : "it" }, { "valueId" : "comp" }] }] }] }, { "name" : "bradenMobilityRule", "source" : [{ "context" : "gB", "element" : "item", "variable" : "it", "condition" : "(linkId = 'braden.mobility') and answer.value.exists()" }], "target" : [{ "context" : "obsB", "element" : "component", "variable" : "comp" }], "rule" : [{ "name" : "mobilityCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "it" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38224-2" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Physical mobility Braden scale" }] }] }] }] }, { "name" : "mobilityValue", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp" }], "dependent" : [{ "name" : "SetComponentCodedValue", "parameter" : [{ "valueId" : "it" }, { "valueId" : "comp" }] }] }] }, { "name" : "bradenNutritionRule", "source" : [{ "context" : "gB", "element" : "item", "variable" : "it", "condition" : "(linkId = 'braden.nutrition') and answer.value.exists()" }], "target" : [{ "context" : "obsB", "element" : "component", "variable" : "comp" }], "rule" : [{ "name" : "nutritionCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "it" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38225-9" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Nutrition intake pattern Braden scale" }] }] }] }] }, { "name" : "nutritionValue", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp" }], "dependent" : [{ "name" : "SetComponentCodedValue", "parameter" : [{ "valueId" : "it" }, { "valueId" : "comp" }] }] }] }, { "name" : "bradenFrictionRule", "source" : [{ "context" : "gB", "element" : "item", "variable" : "it", "condition" : "(linkId = 'braden.friction') and answer.value.exists()" }], "target" : [{ "context" : "obsB", "element" : "component", "variable" : "comp" }], "rule" : [{ "name" : "frictionCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "it" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "38226-7" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "it" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Friction and shear Braden scale" }] }] }] }] }, { "name" : "frictionValue", "source" : [{ "context" : "it" }], "target" : [{ "context" : "comp" }], "dependent" : [{ "name" : "SetComponentCodedValue", "parameter" : [{ "valueId" : "it" }, { "valueId" : "comp" }] }] }] }, { "name" : "bradenBand", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsB" }, { "context" : "bundle" }], "dependent" : [{ "name" : "AddBradenRiskAssessment", "parameter" : [{ "valueId" : "obsB" }, { "valueId" : "qr" }, { "valueId" : "bundle" }] }] }] }], "documentation" : "── Braden pressure ulcer risk ─────────────────────────────────────────────" }, { "name" : "fallsRiskRule", "source" : [{ "context" : "qr", "element" : "item", "variable" : "gF", "condition" : "(linkId = 'fallsRisk') and item.answer.value.ofType(Coding).exists()" }], "rule" : [{ "name" : "fallsObservation", "source" : [{ "context" : "gF" }], "target" : [{ "context" : "bundle", "element" : "entry", "variable" : "entryF" }, { "context" : "entryF", "element" : "resource", "variable" : "obsF", "transform" : "create", "parameter" : [{ "valueString" : "Observation" }] }], "rule" : [{ "name" : "fallsBase", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsF" }, { "context" : "entryF" }], "dependent" : [{ "name" : "BuildObsBase", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsF" }, { "valueId" : "entryF" }] }] }, { "name" : "fallsCategory", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsF" }], "dependent" : [{ "name" : "SetSurveyCategory", "parameter" : [{ "valueId" : "qr" }, { "valueId" : "obsF" }] }] }, { "name" : "fallsCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obsF", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "codeCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "code", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "codeSystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://loinc.org" }] }] }, { "name" : "codeCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "59460-6" }] }] }, { "name" : "codeDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Fall risk total [Morse Fall Scale]" }] }] }] }] }, { "name" : "fallsTotalRule", "source" : [{ "context" : "gF", "condition" : "item.answer.value.ofType(Coding).count() = 6" }], "rule" : [{ "name" : "fallsTotalValue", "source" : [{ "context" : "gF" }], "target" : 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"context" : "qr" }], "target" : [{ "context" : "request", "element" : "url", "transform" : "copy", "parameter" : [{ "valueString" : "RiskAssessment" }] }] }] }, { "name" : "status", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra", "element" : "status", "transform" : "copy", "parameter" : [{ "valueString" : "final" }] }] }, { "name" : "subject", "source" : [{ "context" : "qr", "element" : "subject", "variable" : "s" }], "target" : [{ "context" : "ra", "element" : "subject", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }, { "name" : "encounter", "source" : [{ "context" : "qr", "element" : "encounter", "variable" : "e" }], "target" : [{ "context" : "ra", "element" : "encounter", "transform" : "copy", "parameter" : [{ "valueId" : "e" }] }] }, { "name" : "occurrence", "source" : [{ "context" : "qr", "element" : "authored", "variable" : "t" }], "target" : [{ "context" : "ra", "element" : "occurrence", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }] }, { "name" : "performerFromAuthor", "source" : [{ "context" : "qr", "element" : "author", "variable" : "a" }], "target" : [{ "context" : "ra", "element" : "performer", "transform" : "copy", "parameter" : [{ "valueId" : "a" }] }] }, { "name" : "performerFallback", "source" : [{ "context" : "qr", "condition" : "author.exists().not()" }], "rule" : [{ "name" : "performerFromSource", "source" : [{ "context" : "qr", "element" : "source", "variable" : "src" }], "target" : [{ "context" : "ra", "element" : "performer", "transform" : "copy", "parameter" : [{ "valueId" : "src" }] }] }] }, { "name" : "basisResponse", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "ra", "element" : "basis", "variable" : "qref", "transform" : "create", "parameter" : [{ "valueString" : "Reference" }] }], "rule" : [{ "name" : "basisQuestionnaireResponse", "source" : [{ "context" : "qr", "element" : "id", "variable" : "qid" }], "target" : [{ "context" : "qref", "element" : "reference", "transform" : "copy", "parameter" : [{ "valueId" : "qid" }] }] }] }, { "name" : "basisObservation", "source" : [{ "context" : "obs", "element" : "id", "variable" : "oid" }], "target" : [{ "context" : "ra", "element" : "basis", "variable" : "oref", "transform" : "create", "parameter" : [{ "valueString" : "Reference" }] }], "rule" : [{ "name" : "basisObservationRef", "source" : [{ "context" : "oid" }], "target" : [{ "context" : "oref", "element" : "reference", "transform" : "append", "parameter" : [{ "valueString" : "Observation/" }, { "valueId" : "oid" }] }] }] }] }, { "name" : "SetComponentCodedValue", "input" : [{ "name" : "it", "mode" : "source" }, { "name" : "comp", "mode" : "target" }], "rule" : [{ "name" : "componentAnswer", "source" : [{ "context" : "it", "element" : "answer", "listMode" : "first", "variable" : "a" }], "rule" : [{ "name" : "codedValue", "source" : [{ "context" : "a", "element" : "value", "variable" : "cv" }], "target" : [{ "context" : "comp", "element" : "value", "variable" : "cc", "transform" : "create", "parameter" : [{ "valueString" : "CodeableConcept" }] }], "rule" : [{ "name" : "valueCoding", "source" : [{ "context" : "cv" }], "target" : [{ "context" : "cc", "element" : "coding", "transform" : "copy", "parameter" : [{ "valueId" : "cv" }] }] }, { "name" : "valueText", "source" : [{ "context" : "cv", "element" : "display", "variable" : "d" }], "target" : [{ "context" : "cc", "element" : "text", "transform" : "copy", "parameter" : [{ "valueId" : "d" }] }] }] }] }] }, { "name" : "SetSurveyCategory", "input" : [{ "name" : "qr", "type" : "QR", "mode" : "source" }, { "name" : "obs", "type" : "Observation", "mode" : "target" }], "rule" : [{ "name" : "category", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "obs", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "categoryCoding", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "cat", "element" : "coding", "variable" : "coding" }], "rule" : [{ "name" : "categorySystem", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "system", "transform" : "copy", "parameter" : [{ "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category" }] }] }, { "name" : "categoryCode", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "code", "transform" : "copy", "parameter" : [{ "valueString" : "survey" }] }] }, { "name" : "categoryDisplay", "source" : [{ "context" : "qr" }], "target" : [{ "context" : "coding", "element" : "display", "transform" : "copy", "parameter" : [{ "valueString" : "Survey" }] }] }] }] }] }, { "name" : "SetObservationFullUrl", "input" : [{ "name" : "obs", "type" : "Observation", "mode" : "source" }, { "name" : "entry", "mode" : "target" }], "rule" : [{ "name" : "assignFullUrl", "source" : [{ "context" : "obs", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "entry", "element" : "fullUrl", "transform" : "append", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/Observation/" }, { "valueId" : "id" }] }] }] }, { "name" : "SetRiskAssessmentFullUrl", "input" : [{ "name" : "ra", "type" : "RiskAssessment", "mode" : "source" }, { "name" : "entry", "mode" : "target" }], "rule" : [{ "name" : "assignFullUrl", "source" : [{ "context" : "ra", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "entry", "element" : "fullUrl", "transform" : "append", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/RiskAssessment/" }, { "valueId" : "id" }] }] }] }, { "name" : "SetCarePlanFullUrl", "input" : [{ "name" : "plan", "type" : "CarePlan", "mode" : "source" }, { "name" : "entry", "mode" : "target" }], "rule" : [{ "name" : "assignFullUrl", "source" : [{ "context" : "plan", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "entry", "element" : "fullUrl", "transform" : "append", "parameter" : [{ "valueString" : "https://fhir.slade360.co.ke/fhir/CarePlan/" }, { "valueId" : "id" }] }] }] }] }