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 Nutrition Screening (MUST) Extraction - XML Representation

Active as of 2026-09-14

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="ExtractInpatientNutritionScreening"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap ExtractInpatientNutritionScreening</b></p><a name="ExtractInpatientNutritionScreening"> </a><a name="hcExtractInpatientNutritionScreening"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientNutritionScreening'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractInpatientNutritionScreening'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Inpatient Nutrition Screening (MUST) Extraction'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'active'</span>
<span style="color: #cc00cc">/// <b>description</b> = </span><span style="color: blue">'The MUST score becomes one Observation carrying the total with its three steps as components, plus a RiskAssessment for the band. The nutritional plan becomes a CarePlan, and a score in the high-risk band raises a dietitian referral. That referral is intent `proposal` and status `draft` deliberately: a map should not put an active order in a dietitian\'s queue on its own, so it arrives as something a clinician signs.'</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/observation.html" title="Observation">http://hl7.org/fhir/StructureDefinition/Observation</a><span style="color: navy">&quot; </span><b>alias </b>Observation <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/riskassessment.html" title="RiskAssessment">http://hl7.org/fhir/StructureDefinition/RiskAssessment</a><span style="color: navy">&quot; </span><b>alias </b>RiskAssessment <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/careplan.html" title="CarePlan">http://hl7.org/fhir/StructureDefinition/CarePlan</a><span style="color: navy">&quot; </span><b>alias </b>CarePlan <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/servicerequest.html" title="ServiceRequest">http://hl7.org/fhir/StructureDefinition/ServiceRequest</a><span style="color: navy">&quot; </span><b>alias </b>ServiceRequest <b>as </b><b>target</b>

<b>group </b>ExtractInpatientNutritionScreening<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">bundle</span><span style="color: navy"> : </span>Bundle<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>bundle.type = <span style="color: blue">'transaction'</span> <i>&quot;setBundleType&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">── MUST score ─────────────────────────────────────────────────────────────</span>
  <span style="color: navy">// </span><span style="color: green">LOINC has 101789-6 for the screening itself and 101807-6 for its result</span>
  <span style="color: navy">// </span><span style="color: green">indicator, but nothing for the three steps, so those carry local codes.</span>
  qr.item<b> as </b><span style="color: maroon">gM</span><b> where </b><span style="color: navy">(</span>(linkId = 'must') and item.answer.value.ofType(Coding).exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    gM<span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entryM</span><span style="color: navy">, </span> entryM.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obsM</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span> obsM<span style="color: navy">, </span> entryM<b> then </b>BuildObsBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obsM</span><span style="color: navy">, </span><span style="color: maroon">entryM</span><span style="color: navy">)</span> <i>&quot;mustBase&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>obsM<b> then </b>SetSurveyCategory<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obsM</span><span style="color: navy">)</span> <i>&quot;mustCategory&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>obsM.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>code.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://loinc.org'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'101789-6'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Malnutrition risk screening'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>code.text = <span style="color: blue">'MUST score'</span> <i>&quot;codeText&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;mustCode&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">// </span><span style="color: green">The submitted total wins; otherwise sum the answers, reading each</span>
      <span style="color: navy">// </span><span style="color: green">weight off the tail of its code (must-loss-2 is worth 2). Guarded on</span>
      <span style="color: navy">// </span><span style="color: green">all three steps being answered -- MUST is a sum of three, and a sum of</span>
      <span style="color: navy">// </span><span style="color: green">two banded as low risk would send a wasting patient home.</span>
      gM<b> where </b><span style="color: navy">(</span>item.answer.value.ofType(Coding).count() = 3<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>        gM<span style="color: navy"><b> -&gt; </b></span>obsM.value = evaluate<span style="color: navy">(</span>gM<span style="color: navy">, </span>iif(item.where(linkId = 'must.total').answer.value.exists(), item.where(linkId = 'must.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))<span style="color: navy">)</span> <i>&quot;mustTotalValue&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;mustTotalRule&quot;</i><span style="color: navy">;</span>
      gM.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'must.bmi') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>obsM.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span>        it<span style="color: navy"><b> -&gt; </b></span>comp.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span>          it<span style="color: navy"><b> -&gt; </b></span>code.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>            it<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            it<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'must-bmi-score'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            it<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'BMI score (MUST)'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;bmiCode&quot;</i><span style="color: navy">;</span>
        it<span style="color: navy"><b> -&gt; </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>&quot;bmiValue&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;mustBmiRule&quot;</i><span style="color: navy">;</span>
      gM.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'must.loss') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>obsM.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span>        it<span style="color: navy"><b> -&gt; </b></span>comp.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span>          it<span style="color: navy"><b> -&gt; </b></span>code.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>            it<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            it<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'must-weight-loss-score'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            it<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Unplanned weight loss score (MUST)'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;lossCode&quot;</i><span style="color: navy">;</span>
        it<span style="color: navy"><b> -&gt; </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>&quot;lossValue&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;mustLossRule&quot;</i><span style="color: navy">;</span>
      gM.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'must.acute') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>obsM.component<b> as </b><span style="color: maroon">comp</span><b> then</b><span style="color: navy"> {
</span>        it<span style="color: navy"><b> -&gt; </b></span>comp.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span>          it<span style="color: navy"><b> -&gt; </b></span>code.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>            it<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            it<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'must-acute-disease-score'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            it<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Acute disease effect score (MUST)'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;acuteCode&quot;</i><span style="color: navy">;</span>
        it<span style="color: navy"><b> -&gt; </b></span>comp<b> then </b>SetComponentCodedValue<span style="color: navy">(</span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">)</span> <i>&quot;acuteValue&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;mustAcuteRule&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span> obsM<span style="color: navy">, </span> bundle<b> then </b>AddMustRiskAssessment<span style="color: navy">(</span><span style="color: maroon">obsM</span><span style="color: navy">, </span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">bundle</span><span style="color: navy">)</span> <i>&quot;mustBand&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">// </span><span style="color: green">BAPEN's management guidance for a MUST of 2 or more is to refer to a</span>
      <span style="color: navy">// </span><span style="color: green">dietitian, so a high-risk score raises the referral rather than leaving</span>
      <span style="color: navy">// </span><span style="color: green">it to be remembered. Draft and proposal: it needs a signature.</span>
      qr<span style="color: navy"><b> -&gt; </b></span> obsM<span style="color: navy">, </span> bundle<b> then </b>AddDietitianReferral<span style="color: navy">(</span><span style="color: maroon">obsM</span><span style="color: navy">, </span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">bundle</span><span style="color: navy">)</span> <i>&quot;dietitianReferral&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;mustObservation&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;mustRule&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">── Nutritional plan ───────────────────────────────────────────────────────</span>
  qr.item<b> as </b><span style="color: maroon">itP</span><b> where </b><span style="color: navy">(</span>(linkId = 'plan') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    itP.answer first<b> as </b><span style="color: maroon">aP</span><b> then</b><span style="color: navy"> {
</span>      aP<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">'CarePlan'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">plan</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>plan.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetCarePlanFullUrl<span style="color: navy">(</span><span style="color: maroon">plan</span><span style="color: navy">, </span><span style="color: maroon">entryC</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>entryC.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">'CarePlan'</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>plan.status = <span style="color: blue">'active'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>plan.intent = <span style="color: blue">'plan'</span> <i>&quot;intent&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>plan.category<b> as </b><span style="color: maroon">cat</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cat.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;categorySystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'nutrition-care-plan'</span> <i>&quot;categoryCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Nutritional plan'</span> <i>&quot;categoryDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;categoryCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>plan.title = <span style="color: blue">'Nutritional plan'</span> <i>&quot;title&quot;</i><span style="color: navy">;</span>
        aP.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>plan.description = <span style="color: maroon">v</span> <i>&quot;description&quot;</i><span style="color: navy">;</span>
        qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>plan.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
        qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -&gt; </b></span>plan.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>plan.created = <span style="color: maroon">t</span> <i>&quot;created&quot;</i><span style="color: navy">;</span>
        qr.author<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span>plan.contributor = <span style="color: maroon">a</span> <i>&quot;contributorFromAuthor&quot;</i><span style="color: navy">;</span>
        qr<b> where </b><span style="color: navy">(</span>author.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><span style="color: navy"><b> -&gt; </b></span>plan.contributor = <span style="color: maroon">src</span> <i>&quot;contributorFromSource&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;contributorFallback&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>plan.supportingInfo = <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;supportingInfoRef&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> <i>&quot;carePlan&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;planAnswer&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><span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">MUST bands (BAPEN): 0 low risk, 1 medium risk, 2 or more high risk.</span>
<span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<b>group </b>AddMustRiskAssessment<span style="color: navy">(</span><b>source</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <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>  obs<b> where </b><span style="color: navy">(</span>value.ofType(integer) = 0<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'RiskAssessment'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ra</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span> ra<span style="color: navy">, </span> entry<b> then </b>BuildRiskBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">ra</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;riskBase&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>ra<b> then </b>SetMustRiskCode<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">ra</span><span style="color: navy">)</span> <i>&quot;riskCode&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>ra.prediction<b> as </b><span style="color: maroon">pred</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>pred.qualitativeRisk<b> as </b><span style="color: maroon">risk</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>risk.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>&quot;riskSystem&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'low'</span> <i>&quot;riskCode&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Low likelihood'</span> <i>&quot;riskDisplay&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;riskCoding&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>risk.text = <span style="color: blue">'Low risk'</span> <i>&quot;riskText&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;qualitativeRisk&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;prediction&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;mustLow&quot;</i><span style="color: navy">;</span>
  obs<b> where </b><span style="color: navy">(</span>value.ofType(integer) = 1<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'RiskAssessment'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ra</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span> ra<span style="color: navy">, </span> entry<b> then </b>BuildRiskBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">ra</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;riskBase&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>ra<b> then </b>SetMustRiskCode<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">ra</span><span style="color: navy">)</span> <i>&quot;riskCode&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>ra.prediction<b> as </b><span style="color: maroon">pred</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>pred.qualitativeRisk<b> as </b><span style="color: maroon">risk</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>risk.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>&quot;riskSystem&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'moderate'</span> <i>&quot;riskCode&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Moderate likelihood'</span> <i>&quot;riskDisplay&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;riskCoding&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>risk.text = <span style="color: blue">'Medium risk'</span> <i>&quot;riskText&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;qualitativeRisk&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;prediction&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;mustMedium&quot;</i><span style="color: navy">;</span>
  obs<b> where </b><span style="color: navy">(</span>value.ofType(integer) &gt;= 2<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'RiskAssessment'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ra</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span> ra<span style="color: navy">, </span> entry<b> then </b>BuildRiskBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">ra</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;riskBase&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>ra<b> then </b>SetMustRiskCode<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">ra</span><span style="color: navy">)</span> <i>&quot;riskCode&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>ra.prediction<b> as </b><span style="color: maroon">pred</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>pred.qualitativeRisk<b> as </b><span style="color: maroon">risk</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>risk.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/risk-probability'</span> <i>&quot;riskSystem&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'high'</span> <i>&quot;riskCode&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'High likelihood'</span> <i>&quot;riskDisplay&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;riskCoding&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>risk.text = <span style="color: blue">'High risk'</span> <i>&quot;riskText&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;qualitativeRisk&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;prediction&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;mustHigh&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetMustRiskCode<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">ra</span><span style="color: navy"> : </span>RiskAssessment<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>ra.code<b> as </b><span style="color: maroon">code</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>code.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://loinc.org'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'101807-6'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Malnutrition risk screen results indicator'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>AddDietitianReferral<span style="color: navy">(</span><b>source</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <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>  obs<b> where </b><span style="color: navy">(</span>value.ofType(integer) &gt;= 2<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'ServiceRequest'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">sr</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>sr.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetServiceRequestFullUrl<span style="color: navy">(</span><span style="color: maroon">sr</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;idAndFullUrl&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>entry.request<b> as </b><span style="color: maroon">request</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>request.method = <span style="color: blue">'POST'</span> <i>&quot;requestMethod&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>request.url = <span style="color: blue">'ServiceRequest'</span> <i>&quot;requestUrl&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;entryRequest&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>sr.status = <span style="color: blue">'draft'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>sr.intent = <span style="color: blue">'proposal'</span> <i>&quot;intent&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>sr.priority = <span style="color: blue">'routine'</span> <i>&quot;priority&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">// </span><span style="color: green">R5 ServiceRequest.code is a CodeableReference, so the concept sits one</span>
    <span style="color: navy">// </span><span style="color: green">level down.</span>
    qr<span style="color: navy"><b> -&gt; </b></span>sr.code<b> as </b><span style="color: maroon">codeRef</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>codeRef.concept<b> as </b><span style="color: maroon">concept</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>concept.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'dietitian-referral'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>coding.display = <span style="color: blue">'Referral to a dietitian'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>concept.text = <span style="color: blue">'Referral to a dietitian'</span> <i>&quot;codeText&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;codeConcept&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;serviceRequestCode&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>sr.performerType<b> as </b><span style="color: maroon">pt</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>pt.coding<b> as </b><span style="color: maroon">coding</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/practitioner-specialty-codesystem'</span> <i>&quot;performerTypeSystem&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'nutritionist'</span> <i>&quot;performerTypeCode&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;performerTypeCoding&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>pt.text = <span style="color: blue">'Nutritionist'</span> <i>&quot;performerTypeText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;performerType&quot;</i><span style="color: navy">;</span>
    qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>sr.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
    qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -&gt; </b></span>sr.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>sr.authoredOn = <span style="color: maroon">t</span> <i>&quot;authoredOn&quot;</i><span style="color: navy">;</span>
    qr.author<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span>sr.requester = <span style="color: maroon">a</span> <i>&quot;requesterFromAuthor&quot;</i><span style="color: navy">;</span>
    qr<b> where </b><span style="color: navy">(</span>author.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><span style="color: navy"><b> -&gt; </b></span>sr.requester = <span style="color: maroon">src</span> <i>&quot;requesterFromSource&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;requesterFallback&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">// </span><span style="color: green">Why this referral exists: the score that triggered it.</span>
    obs.id<b> as </b><span style="color: maroon">oid</span><span style="color: navy"><b> -&gt; </b></span>sr.reason<b> as </b><span style="color: maroon">reason</span><b> then</b><span style="color: navy"> {
</span>      oid<span style="color: navy"><b> -&gt; </b></span>reason.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>        oid<span style="color: navy"><b> -&gt; </b></span>ref.reference = <b>append</b><span style="color: navy">(</span><span style="color: blue">'Observation/'</span><span style="color: navy">, </span><span style="color: maroon">oid</span><span style="color: navy">)</span> <i>&quot;reasonRef&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;reasonTarget&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;reason&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>sr.supportingInfo<b> as </b><span style="color: maroon">si</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>si.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;supportingInfoRef&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;supportingInfoTarget&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> <i>&quot;dietitianReferral&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</span>
<span style="color: navy">// </span><span style="color: green">Shared scaffolding. Repeated in each map rather than imported: the transform</span>
<span style="color: navy">// </span><span style="color: green">engine resolves `imports` against whatever StructureMaps happen to be on the</span>
<span style="color: navy">// </span><span style="color: green">server, and a form that stops extracting because a shared map was not</span>
<span style="color: navy">// </span><span style="color: green">uploaded is a worse failure than a duplicated group.</span>
<span style="color: navy">// </span><span style="color: green">─────────────────────────────────────────────────────────────────────────────</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>BuildObsBase<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>obs.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetObservationFullUrl<span style="color: navy">(</span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;idAndFullUrl&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>entry.request<b> as </b><span style="color: maroon">request</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>request.method = <span style="color: blue">'POST'</span> <i>&quot;requestMethod&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>request.url = <span style="color: blue">'Observation'</span> <i>&quot;requestUrl&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;entryRequest&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>obs.status = <span style="color: blue">'final'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
  qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>obs.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
  qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -&gt; </b></span>obs.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
  qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
  qr.source<b> as </b><span style="color: maroon">src</span><span style="color: navy"><b> -&gt; </b></span>obs.performer = <span style="color: maroon">src</span> <i>&quot;performerFromSource&quot;</i><span style="color: navy">;</span>
  qr<b> where </b><span style="color: navy">(</span>source.exists().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    qr.author<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span>obs.performer = <span style="color: maroon">a</span> <i>&quot;performerFromAuthor&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;performerFallback&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>obs.derivedFrom = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Reference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ref</span><b> then</b><span style="color: navy"> {
</span>    qr.id<b> as </b><span style="color: maroon">qid</span><span style="color: navy"><b> -&gt; </b></span>ref.reference = <span style="color: maroon">qid</span> <i>&quot;derivedFromRef&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;linkQuestionnaireResponse&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>BuildRiskBase<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>source</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">ra</span><span style="color: navy"> : </span>RiskAssessment, <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>ra.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetRiskAssessmentFullUrl<span style="color: navy">(</span><span style="color: maroon">ra</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">'RiskAssessment'</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>ra.status = <span style="color: blue">'final'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
  qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>ra.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
  qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -&gt; </b></span>ra.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>ra.occurrence = <span style="color: maroon">t</span> <i>&quot;occurrence&quot;</i><span style="color: navy">;</span>
  qr.author<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span>ra.performer = <span style="color: maroon">a</span> <i>&quot;performerFromAuthor&quot;</i><span style="color: navy">;</span>
  qr<b> where </b><span style="color: navy">(</span>author.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><span style="color: navy"><b> -&gt; </b></span>ra.performer = <span style="color: maroon">src</span> <i>&quot;performerFromSource&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;performerFallback&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>ra.basis = <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">qref</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>qref.reference = <span style="color: maroon">qid</span> <i>&quot;basisQuestionnaireResponse&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;basisResponse&quot;</i><span style="color: navy">;</span>
  obs.id<b> as </b><span style="color: maroon">oid</span><span style="color: navy"><b> -&gt; </b></span>ra.basis = <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">oref</span><b> then</b><span style="color: navy"> {
</span>    oid<span style="color: navy"><b> -&gt; </b></span>oref.reference = <b>append</b><span style="color: navy">(</span><span style="color: blue">'Observation/'</span><span style="color: navy">, </span><span style="color: maroon">oid</span><span style="color: navy">)</span> <i>&quot;basisObservationRef&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;basisObservation&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetComponentCodedValue<span style="color: navy">(</span><b>source</b> <span style="color: maroon">it</span>, <b>target</b> <span style="color: maroon">comp</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>    a.value<b> as </b><span style="color: maroon">cv</span><span style="color: navy"><b> -&gt; </b></span>comp.value = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span>      cv<span style="color: navy"><b> -&gt; </b></span>cc.coding = <span style="color: maroon">cv</span> <i>&quot;valueCoding&quot;</i><span style="color: navy">;</span>
      cv.display<b> as </b><span style="color: maroon">d</span><span style="color: navy"><b> -&gt; </b></span>cc.text = <span style="color: maroon">d</span> <i>&quot;valueText&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;codedValue&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;componentAnswer&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

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

</span><b>group </b>SetObservationFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  obs.id<b> as </b><span style="color: maroon">id</span><span style="color: navy"><b> -&gt; </b></span>entry.fullUrl = <b>append</b><span style="color: navy">(</span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/Observation/'</span><span style="color: navy">, </span><span style="color: maroon">id</span><span style="color: navy">)</span> <i>&quot;assignFullUrl&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>SetRiskAssessmentFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">ra</span><span style="color: navy"> : </span>RiskAssessment, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  ra.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/RiskAssessment/'</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><b>group </b>SetCarePlanFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">plan</span><span style="color: navy"> : </span>CarePlan, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  plan.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/CarePlan/'</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><b>group </b>SetServiceRequestFullUrl<span style="color: navy">(</span><b>source</b> <span style="color: maroon">sr</span><span style="color: navy"> : </span>ServiceRequest, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  sr.id<b> as </b><span style="color: maroon">id</span><span style="color: navy"><b> -&gt; </b></span>entry.fullUrl = <b>append</b><span style="color: navy">(</span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/ServiceRequest/'</span><span style="color: navy">, </span><span style="color: maroon">id</span><span style="color: navy">)</span> <i>&quot;assignFullUrl&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span></pre></div>
  </text>
  <url
       value="https://fhir.slade360.co.ke/fhir/StructureMap/ExtractInpatientNutritionScreening"/>
  <version value="0.1.0"/>
  <name value="ExtractInpatientNutritionScreening"/>
  <title value="Inpatient Nutrition Screening (MUST) Extraction"/>
  <status value="active"/>
  <date value="2026-09-14T06:31:13+00:00"/>
  <publisher value="Kathurima Kimathi"/>
  <contact>
    <name value="Kathurima Kimathi"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.linkedin.com/in/kathurima-kimathi/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="kathurimakimathi415@gmail.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Oscar John"/>
    <telecom>
      <system value="email"/>
      <value value="oscarjohnotieno@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <contact>
    <name value="Kennedy Omondi"/>
    <telecom>
      <system value="email"/>
      <value value="kennankole@gmail.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="The MUST score becomes one Observation carrying the total with its three steps as components, plus a RiskAssessment for the band. The nutritional plan becomes a CarePlan, and a score in the high-risk band raises a dietitian referral. That referral is intent `proposal` and status `draft` deliberately: a map should not put an active order in a dietitian's queue on its own, so it arrives as something a clinician signs."/>
  <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/Observation"/>
    <mode value="target"/>
    <alias value="Observation"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
    <mode value="target"/>
    <alias value="RiskAssessment"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
    <mode value="target"/>
    <alias value="CarePlan"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
    <mode value="target"/>
    <alias value="ServiceRequest"/>
  </structure>
  <group>
    <name value="ExtractInpatientNutritionScreening"/>
    <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="mustRule"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="gM"/>
        <condition
                   value="(linkId = 'must') and item.answer.value.ofType(Coding).exists()"/>
      </source>
      <rule>
        <name value="mustObservation"/>
        <source>
          <context value="gM"/>
        </source>
        <target>
          <context value="bundle"/>
          <element value="entry"/>
          <variable value="entryM"/>
        </target>
        <target>
          <context value="entryM"/>
          <element value="resource"/>
          <variable value="obsM"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Observation"/>
          </parameter>
        </target>
        <rule>
          <name value="mustBase"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obsM"/>
          </target>
          <target>
            <context value="entryM"/>
          </target>
          <dependent>
            <name value="BuildObsBase"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="obsM"/>
            </parameter>
            <parameter>
              <valueId value="entryM"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="mustCategory"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obsM"/>
          </target>
          <dependent>
            <name value="SetSurveyCategory"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="obsM"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="mustCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obsM"/>
            <element value="code"/>
            <variable value="code"/>
          </target>
          <rule>
            <name value="codeCoding"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="code"/>
              <element value="coding"/>
              <variable value="coding"/>
            </target>
            <rule>
              <name value="codeSystem"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="http://loinc.org"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="codeCode"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="101789-6"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="codeDisplay"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Malnutrition risk screening"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="codeText"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="code"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="MUST score"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <rule>
          <name value="mustTotalRule"/>
          <source>
            <context value="gM"/>
            <condition value="item.answer.value.ofType(Coding).count() = 3"/>
          </source>
          <rule>
            <name value="mustTotalValue"/>
            <source>
              <context value="gM"/>
            </source>
            <target>
              <context value="obsM"/>
              <element value="value"/>
              <transform value="evaluate"/>
              <parameter>
                <valueId value="gM"/>
              </parameter>
              <parameter>
                <valueString
                             value="iif(item.where(linkId = 'must.total').answer.value.exists(), item.where(linkId = 'must.total').answer.value, item.answer.value.ofType(Coding).code.select($this.split('-').last().toInteger()).aggregate($this + $total, 0))"/>
              </parameter>
            </target>
          </rule>
          <documentation
                         value="The submitted total wins; otherwise sum the answers, reading each
weight off the tail of its code (must-loss-2 is worth 2). Guarded on
all three steps being answered -- MUST is a sum of three, and a sum of
two banded as low risk would send a wasting patient home."/>
        </rule>
        <rule>
          <name value="mustBmiRule"/>
          <source>
            <context value="gM"/>
            <element value="item"/>
            <variable value="it"/>
            <condition
                       value="(linkId = 'must.bmi') and answer.value.exists()"/>
          </source>
          <target>
            <context value="obsM"/>
            <element value="component"/>
            <variable value="comp"/>
          </target>
          <rule>
            <name value="bmiCode"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="comp"/>
              <element value="code"/>
              <variable value="code"/>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="code"/>
                <element value="coding"/>
                <variable value="coding"/>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="must-bmi-score"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="BMI score (MUST)"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="bmiValue"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="comp"/>
            </target>
            <dependent>
              <name value="SetComponentCodedValue"/>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="comp"/>
              </parameter>
            </dependent>
          </rule>
        </rule>
        <rule>
          <name value="mustLossRule"/>
          <source>
            <context value="gM"/>
            <element value="item"/>
            <variable value="it"/>
            <condition
                       value="(linkId = 'must.loss') and answer.value.exists()"/>
          </source>
          <target>
            <context value="obsM"/>
            <element value="component"/>
            <variable value="comp"/>
          </target>
          <rule>
            <name value="lossCode"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="comp"/>
              <element value="code"/>
              <variable value="code"/>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="code"/>
                <element value="coding"/>
                <variable value="coding"/>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="must-weight-loss-score"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="Unplanned weight loss score (MUST)"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="lossValue"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="comp"/>
            </target>
            <dependent>
              <name value="SetComponentCodedValue"/>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="comp"/>
              </parameter>
            </dependent>
          </rule>
        </rule>
        <rule>
          <name value="mustAcuteRule"/>
          <source>
            <context value="gM"/>
            <element value="item"/>
            <variable value="it"/>
            <condition
                       value="(linkId = 'must.acute') and answer.value.exists()"/>
          </source>
          <target>
            <context value="obsM"/>
            <element value="component"/>
            <variable value="comp"/>
          </target>
          <rule>
            <name value="acuteCode"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="comp"/>
              <element value="code"/>
              <variable value="code"/>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="code"/>
                <element value="coding"/>
                <variable value="coding"/>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="must-acute-disease-score"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="it"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="Acute disease effect score (MUST)"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="acuteValue"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="comp"/>
            </target>
            <dependent>
              <name value="SetComponentCodedValue"/>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="comp"/>
              </parameter>
            </dependent>
          </rule>
        </rule>
        <rule>
          <name value="mustBand"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obsM"/>
          </target>
          <target>
            <context value="bundle"/>
          </target>
          <dependent>
            <name value="AddMustRiskAssessment"/>
            <parameter>
              <valueId value="obsM"/>
            </parameter>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="bundle"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="dietitianReferral"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obsM"/>
          </target>
          <target>
            <context value="bundle"/>
          </target>
          <dependent>
            <name value="AddDietitianReferral"/>
            <parameter>
              <valueId value="obsM"/>
            </parameter>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="bundle"/>
            </parameter>
          </dependent>
          <documentation
                         value="BAPEN's management guidance for a MUST of 2 or more is to refer to a
dietitian, so a high-risk score raises the referral rather than leaving
it to be remembered. Draft and proposal: it needs a signature."/>
        </rule>
      </rule>
      <documentation
                     value="── MUST score ─────────────────────────────────────────────────────────────
LOINC has 101789-6 for the screening itself and 101807-6 for its result
indicator, but nothing for the three steps, so those carry local codes."/>
    </rule>
    <rule>
      <name value="planRule"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="itP"/>
        <condition value="(linkId = 'plan') and answer.value.exists()"/>
      </source>
      <rule>
        <name value="planAnswer"/>
        <source>
          <context value="itP"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="aP"/>
        </source>
        <rule>
          <name value="carePlan"/>
          <source>
            <context value="aP"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="entryC"/>
          </target>
          <target>
            <context value="entryC"/>
            <element value="resource"/>
            <variable value="plan"/>
            <transform value="create"/>
            <parameter>
              <valueString value="CarePlan"/>
            </parameter>
          </target>
          <rule>
            <name value="idAndFullUrl"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="id"/>
              <transform value="uuid"/>
            </target>
            <dependent>
              <name value="SetCarePlanFullUrl"/>
              <parameter>
                <valueId value="plan"/>
              </parameter>
              <parameter>
                <valueId value="entryC"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="entryRequest"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="entryC"/>
              <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="CarePlan"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="status"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="status"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="active"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="intent"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="intent"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="plan"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="category"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="category"/>
              <variable value="cat"/>
            </target>
            <rule>
              <name value="categoryCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cat"/>
                <element value="coding"/>
                <variable value="coding"/>
              </target>
              <rule>
                <name value="categorySystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="categoryCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="nutrition-care-plan"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="categoryDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="coding"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="Nutritional plan"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="title"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="title"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Nutritional plan"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="description"/>
            <source>
              <context value="aP"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="description"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="subject"/>
            <source>
              <context value="qr"/>
              <element value="subject"/>
              <variable value="s"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="subject"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="s"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="encounter"/>
            <source>
              <context value="qr"/>
              <element value="encounter"/>
              <variable value="e"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="encounter"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="created"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="created"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="contributorFromAuthor"/>
            <source>
              <context value="qr"/>
              <element value="author"/>
              <variable value="a"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="contributor"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="a"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="contributorFallback"/>
            <source>
              <context value="qr"/>
              <condition value="author.exists().not()"/>
            </source>
            <rule>
              <name value="contributorFromSource"/>
              <source>
                <context value="qr"/>
                <element value="source"/>
                <variable value="src"/>
              </source>
              <target>
                <context value="plan"/>
                <element value="contributor"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="src"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="linkQuestionnaireResponse"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="plan"/>
              <element value="supportingInfo"/>
              <variable value="ref"/>
              <transform value="create"/>
              <parameter>
                <valueString value="Reference"/>
              </parameter>
            </target>
            <rule>
              <name value="supportingInfoRef"/>
              <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>
      </rule>
      <documentation
                     value="── Nutritional plan ───────────────────────────────────────────────────────"/>
    </rule>
  </group>
  <group>
    <name value="AddMustRiskAssessment"/>
    <documentation
                   value="─────────────────────────────────────────────────────────────────────────────
MUST bands (BAPEN): 0 low risk, 1 medium risk, 2 or more high risk.
─────────────────────────────────────────────────────────────────────────────"/>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="source"/>
    </input>
    <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="mustLow"/>
      <source>
        <context value="obs"/>
        <condition value="value.ofType(integer) = 0"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="ra"/>
        <transform value="create"/>
        <parameter>
          <valueString value="RiskAssessment"/>
        </parameter>
      </target>
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        <name value="riskBase"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
        </target>
        <target>
          <context value="entry"/>
        </target>
        <dependent>
          <name value="BuildRiskBase"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
          <parameter>
            <valueId value="ra"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="riskCode"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
        </target>
        <dependent>
          <name value="SetMustRiskCode"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="ra"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="prediction"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
          <element value="prediction"/>
          <variable value="pred"/>
        </target>
        <rule>
          <name value="qualitativeRisk"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="pred"/>
            <element value="qualitativeRisk"/>
            <variable value="risk"/>
          </target>
          <rule>
            <name value="riskCoding"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="risk"/>
              <element value="coding"/>
              <variable value="coding"/>
            </target>
            <rule>
              <name value="riskSystem"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString
                               value="http://terminology.hl7.org/CodeSystem/risk-probability"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="riskCode"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="low"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="riskDisplay"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Low likelihood"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="riskText"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="risk"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Low risk"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="mustMedium"/>
      <source>
        <context value="obs"/>
        <condition value="value.ofType(integer) = 1"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="ra"/>
        <transform value="create"/>
        <parameter>
          <valueString value="RiskAssessment"/>
        </parameter>
      </target>
      <rule>
        <name value="riskBase"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
        </target>
        <target>
          <context value="entry"/>
        </target>
        <dependent>
          <name value="BuildRiskBase"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
          <parameter>
            <valueId value="ra"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="riskCode"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
        </target>
        <dependent>
          <name value="SetMustRiskCode"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="ra"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="prediction"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
          <element value="prediction"/>
          <variable value="pred"/>
        </target>
        <rule>
          <name value="qualitativeRisk"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="pred"/>
            <element value="qualitativeRisk"/>
            <variable value="risk"/>
          </target>
          <rule>
            <name value="riskCoding"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="risk"/>
              <element value="coding"/>
              <variable value="coding"/>
            </target>
            <rule>
              <name value="riskSystem"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString
                               value="http://terminology.hl7.org/CodeSystem/risk-probability"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="riskCode"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="moderate"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="riskDisplay"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Moderate likelihood"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="riskText"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="risk"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Medium risk"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="mustHigh"/>
      <source>
        <context value="obs"/>
        <condition value="value.ofType(integer) &gt;= 2"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="ra"/>
        <transform value="create"/>
        <parameter>
          <valueString value="RiskAssessment"/>
        </parameter>
      </target>
      <rule>
        <name value="riskBase"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
        </target>
        <target>
          <context value="entry"/>
        </target>
        <dependent>
          <name value="BuildRiskBase"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="obs"/>
          </parameter>
          <parameter>
            <valueId value="ra"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="riskCode"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
        </target>
        <dependent>
          <name value="SetMustRiskCode"/>
          <parameter>
            <valueId value="qr"/>
          </parameter>
          <parameter>
            <valueId value="ra"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="prediction"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="ra"/>
          <element value="prediction"/>
          <variable value="pred"/>
        </target>
        <rule>
          <name value="qualitativeRisk"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="pred"/>
            <element value="qualitativeRisk"/>
            <variable value="risk"/>
          </target>
          <rule>
            <name value="riskCoding"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="risk"/>
              <element value="coding"/>
              <variable value="coding"/>
            </target>
            <rule>
              <name value="riskSystem"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString
                               value="http://terminology.hl7.org/CodeSystem/risk-probability"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="riskCode"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="high"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="riskDisplay"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="High likelihood"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="riskText"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="risk"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="High risk"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetMustRiskCode"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="ra"/>
      <type value="RiskAssessment"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="code"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="code"/>
        <variable value="code"/>
      </target>
      <rule>
        <name value="codeCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="code"/>
          <element value="coding"/>
          <variable value="coding"/>
        </target>
        <rule>
          <name value="codeSystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="http://loinc.org"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="codeCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="101807-6"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="codeDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="Malnutrition risk screen results indicator"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="AddDietitianReferral"/>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="source"/>
    </input>
    <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="dietitianReferral"/>
      <source>
        <context value="obs"/>
        <condition value="value.ofType(integer) &gt;= 2"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="entry"/>
        <variable value="entry"/>
      </target>
      <target>
        <context value="entry"/>
        <element value="resource"/>
        <variable value="sr"/>
        <transform value="create"/>
        <parameter>
          <valueString value="ServiceRequest"/>
        </parameter>
      </target>
      <rule>
        <name value="idAndFullUrl"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="id"/>
          <transform value="uuid"/>
        </target>
        <dependent>
          <name value="SetServiceRequestFullUrl"/>
          <parameter>
            <valueId value="sr"/>
          </parameter>
          <parameter>
            <valueId value="entry"/>
          </parameter>
        </dependent>
      </rule>
      <rule>
        <name value="entryRequest"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="entry"/>
          <element value="request"/>
          <variable value="request"/>
        </target>
        <rule>
          <name value="requestMethod"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="request"/>
            <element value="method"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="POST"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="requestUrl"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="request"/>
            <element value="url"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="ServiceRequest"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <rule>
        <name value="status"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="status"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="draft"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="intent"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="intent"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="proposal"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="priority"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="priority"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="routine"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="serviceRequestCode"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="code"/>
          <variable value="codeRef"/>
        </target>
        <rule>
          <name value="codeConcept"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="codeRef"/>
            <element value="concept"/>
            <variable value="concept"/>
          </target>
          <rule>
            <name value="codeCoding"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="concept"/>
              <element value="coding"/>
              <variable value="coding"/>
            </target>
            <rule>
              <name value="codeSystem"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString
                               value="https://fhir.slade360.co.ke/fhir/CodeSystem/inpatient-clinical-concept-codesystem"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="codeCode"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="dietitian-referral"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="codeDisplay"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="coding"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Referral to a dietitian"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="codeText"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="concept"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="Referral to a dietitian"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <documentation
                       value="R5 ServiceRequest.code is a CodeableReference, so the concept sits one
level down."/>
      </rule>
      <rule>
        <name value="performerType"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="performerType"/>
          <variable value="pt"/>
        </target>
        <rule>
          <name value="performerTypeCoding"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="pt"/>
            <element value="coding"/>
            <variable value="coding"/>
          </target>
          <rule>
            <name value="performerTypeSystem"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="coding"/>
              <element value="system"/>
              <transform value="copy"/>
              <parameter>
                <valueString
                             value="https://fhir.slade360.co.ke/fhir/CodeSystem/practitioner-specialty-codesystem"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="performerTypeCode"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="coding"/>
              <element value="code"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="nutritionist"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <rule>
          <name value="performerTypeText"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="pt"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Nutritionist"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <rule>
        <name value="subject"/>
        <source>
          <context value="qr"/>
          <element value="subject"/>
          <variable value="s"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="subject"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="s"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="encounter"/>
        <source>
          <context value="qr"/>
          <element value="encounter"/>
          <variable value="e"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="encounter"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="e"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="authoredOn"/>
        <source>
          <context value="qr"/>
          <element value="authored"/>
          <variable value="t"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="authoredOn"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="t"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requesterFromAuthor"/>
        <source>
          <context value="qr"/>
          <element value="author"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="requester"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requesterFallback"/>
        <source>
          <context value="qr"/>
          <condition value="author.exists().not()"/>
        </source>
        <rule>
          <name value="requesterFromSource"/>
          <source>
            <context value="qr"/>
            <element value="source"/>
            <variable value="src"/>
          </source>
          <target>
            <context value="sr"/>
            <element value="requester"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="src"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <rule>
        <name value="reason"/>
        <source>
          <context value="obs"/>
          <element value="id"/>
          <variable value="oid"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="reason"/>
          <variable value="reason"/>
        </target>
        <rule>
          <name value="reasonTarget"/>
          <source>
            <context value="oid"/>
          </source>
          <target>
            <context value="reason"/>
            <element value="reference"/>
            <variable value="ref"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Reference"/>
            </parameter>
          </target>
          <rule>
            <name value="reasonRef"/>
            <source>
              <context value="oid"/>
            </source>
            <target>
              <context value="ref"/>
              <element value="reference"/>
              <transform value="append"/>
              <parameter>
                <valueString value="Observation/"/>
              </parameter>
              <parameter>
                <valueId value="oid"/>
              </parameter>
            </target>
          </rule>
        </rule>
        <documentation
                       value="Why this referral exists: the score that triggered it."/>
      </rule>
      <rule>
        <name value="linkQuestionnaireResponse"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="sr"/>
          <element value="supportingInfo"/>
          <variable value="si"/>
        </target>
        <rule>
          <name value="supportingInfoTarget"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="si"/>
            <element value="reference"/>
            <variable value="ref"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Reference"/>
            </parameter>
          </target>
          <rule>
            <name value="supportingInfoRef"/>
            <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>
    </rule>
  </group>
  <group>
    <name value="BuildObsBase"/>
    <documentation
                   value="─────────────────────────────────────────────────────────────────────────────
Shared scaffolding. Repeated in each map rather than imported: the transform
engine resolves `imports` against whatever StructureMaps happen to be on the
server, and a form that stops extracting because a shared map was not
uploaded is a worse failure than a duplicated group.
─────────────────────────────────────────────────────────────────────────────
Two notes on what the publisher's StructureMap validator says about this file.
Source parameters below are left untyped on purpose. Writing `: Element` makes
the validator compare QuestionnaireResponse.item against the literal 'Element'
and report them as incompatible with each other, which is noise, not a finding.
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="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetObservationFullUrl"/>
        <parameter>
          <valueId value="obs"/>
        </parameter>
        <parameter>
          <valueId value="entry"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="entryRequest"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="request"/>
        <variable value="request"/>
      </target>
      <rule>
        <name value="requestMethod"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="method"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="POST"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requestUrl"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="url"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="Observation"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="status"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="encounter"/>
      <source>
        <context value="qr"/>
        <element value="encounter"/>
        <variable value="e"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="effective"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="effective"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFromSource"/>
      <source>
        <context value="qr"/>
        <element value="source"/>
        <variable value="src"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="performer"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="src"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFallback"/>
      <source>
        <context value="qr"/>
        <condition value="source.exists().not()"/>
      </source>
      <rule>
        <name value="performerFromAuthor"/>
        <source>
          <context value="qr"/>
          <element value="author"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="obs"/>
          <element value="performer"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="linkQuestionnaireResponse"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="derivedFrom"/>
        <variable value="ref"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <rule>
        <name value="derivedFromRef"/>
        <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>
  </group>
  <group>
    <name value="BuildRiskBase"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="ra"/>
      <type value="RiskAssessment"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetRiskAssessmentFullUrl"/>
        <parameter>
          <valueId value="ra"/>
        </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="RiskAssessment"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="status"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="encounter"/>
      <source>
        <context value="qr"/>
        <element value="encounter"/>
        <variable value="e"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="occurrence"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="occurrence"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFromAuthor"/>
      <source>
        <context value="qr"/>
        <element value="author"/>
        <variable value="a"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="performer"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="a"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFallback"/>
      <source>
        <context value="qr"/>
        <condition value="author.exists().not()"/>
      </source>
      <rule>
        <name value="performerFromSource"/>
        <source>
          <context value="qr"/>
          <element value="source"/>
          <variable value="src"/>
        </source>
        <target>
          <context value="ra"/>
          <element value="performer"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="src"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="basisResponse"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="basis"/>
        <variable value="qref"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <rule>
        <name value="basisQuestionnaireResponse"/>
        <source>
          <context value="qr"/>
          <element value="id"/>
          <variable value="qid"/>
        </source>
        <target>
          <context value="qref"/>
          <element value="reference"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="qid"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="basisObservation"/>
      <source>
        <context value="obs"/>
        <element value="id"/>
        <variable value="oid"/>
      </source>
      <target>
        <context value="ra"/>
        <element value="basis"/>
        <variable value="oref"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <rule>
        <name value="basisObservationRef"/>
        <source>
          <context value="oid"/>
        </source>
        <target>
          <context value="oref"/>
          <element value="reference"/>
          <transform value="append"/>
          <parameter>
            <valueString value="Observation/"/>
          </parameter>
          <parameter>
            <valueId value="oid"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetComponentCodedValue"/>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="componentAnswer"/>
      <source>
        <context value="it"/>
        <element value="answer"/>
        <listMode value="first"/>
        <variable value="a"/>
      </source>
      <rule>
        <name value="codedValue"/>
        <source>
          <context value="a"/>
          <element value="value"/>
          <variable value="cv"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="value"/>
          <variable value="cc"/>
          <transform value="create"/>
          <parameter>
            <valueString value="CodeableConcept"/>
          </parameter>
        </target>
        <rule>
          <name value="valueCoding"/>
          <source>
            <context value="cv"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="coding"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="cv"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="valueText"/>
          <source>
            <context value="cv"/>
            <element value="display"/>
            <variable value="d"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="d"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetSurveyCategory"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="category"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="category"/>
        <variable value="cat"/>
      </target>
      <rule>
        <name value="categoryCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="cat"/>
          <element value="coding"/>
          <variable value="coding"/>
        </target>
        <rule>
          <name value="categorySystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="survey"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="coding"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Survey"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetObservationFullUrl"/>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="obs"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://fhir.slade360.co.ke/fhir/Observation/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetRiskAssessmentFullUrl"/>
    <input>
      <name value="ra"/>
      <type value="RiskAssessment"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="ra"/>
        <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/RiskAssessment/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetCarePlanFullUrl"/>
    <input>
      <name value="plan"/>
      <type value="CarePlan"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="plan"/>
        <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/CarePlan/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetServiceRequestFullUrl"/>
    <input>
      <name value="sr"/>
      <type value="ServiceRequest"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="sr"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString
                       value="https://fhir.slade360.co.ke/fhir/ServiceRequest/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
</StructureMap>