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

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: Surgical Dressing Chart Extraction - XML Representation

Active as of 2026-09-14

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="ExtractSurgicalDressingChart"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap ExtractSurgicalDressingChart</b></p><a name="ExtractSurgicalDressingChart"> </a><a name="hcExtractSurgicalDressingChart"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.slade360.co.ke/fhir/StructureMap/ExtractSurgicalDressingChart'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'ExtractSurgicalDressingChart'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Surgical Dressing Chart 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">'A Procedure per dressing change, each with its own timestamp and the nurse who did it, plus an Observation carrying the sheet\'s own grading. The grading answer records the letter that was ticked -- B, M or S -- because the sheet never expands them anywhere on it and putting an invented expansion into the record would be worse than recording the letter.'</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/procedure.html" title="Procedure">http://hl7.org/fhir/StructureDefinition/Procedure</a><span style="color: navy">&quot; </span><b>alias </b>Procedure <b>as </b><b>target</b>

<b>group </b>ExtractSurgicalDressingChart<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">bundle</span><span style="color: navy"> : </span>Bundle<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>bundle.type = <span style="color: blue">'transaction'</span> <i>&quot;setBundleType&quot;</i><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">row</span><b> where </b><span style="color: navy">(</span>(linkId = 'dressing') and item.where(linkId = 'dressing/remarks').answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    row<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">'Procedure'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">proc</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span> proc<span style="color: navy">, </span> entry<b> then </b>BuildProcedureBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">proc</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
      row<span style="color: navy"><b> -&gt; </b></span>proc.status = <span style="color: blue">'completed'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
      qr.encounter<b> as </b><span style="color: maroon">e</span><span style="color: navy"><b> -&gt; </b></span>proc.encounter = <span style="color: maroon">e</span><span style="color: navy">;</span>
      row<span style="color: navy"><b> -&gt; </b></span>proc.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span>        row<span style="color: navy"><b> -&gt; </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span>          row<span style="color: navy"><b> -&gt; </b></span>cg.system = <span style="color: blue">'http://snomed.info/sct'</span> <i>&quot;sys&quot;</i><span style="color: navy">;</span>
          row<span style="color: navy"><b> -&gt; </b></span>cg.code = <span style="color: blue">'182531007'</span> <i>&quot;cd&quot;</i><span style="color: navy">;</span>
          row<span style="color: navy"><b> -&gt; </b></span>cg.display = <span style="color: blue">'Dressing of wound'</span> <i>&quot;dsp&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
      row.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'dressing/at') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>        it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>          a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>proc.occurrence = <span style="color: maroon">v</span> <i>&quot;occurrence&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;atRule&quot;</i><span style="color: navy">;</span>
      row.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'dressing/done-by') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>        it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>          a.value<b> as </b><span style="color: maroon">ref</span><span style="color: navy"><b> -&gt; </b></span> proc.performer<b> as </b><span style="color: maroon">p</span><span style="color: navy">, </span> p.actor = <span style="color: maroon">ref</span> <i>&quot;performer&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;byRule&quot;</i><span style="color: navy">;</span>
      row.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'dressing/remarks'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>        it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>          a.value<b> as </b><span style="color: maroon">txt</span><span style="color: navy"><b> -&gt; </b></span> proc.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: maroon">txt</span> <i>&quot;remarksNote&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;remarksRule&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;dressingProcedure&quot;</i><span style="color: navy">;</span>
    row.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'dressing/grade') and answer.value.exists()<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">entry</span><span style="color: navy">, </span> entry.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span> obs<span style="color: navy">, </span> entry<b> then </b>BuildObsBase<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>SetExamCategory<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">)</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span>obs.code<b> as </b><span style="color: maroon">cc</span><b> then</b><span style="color: navy"> {
</span>        it<span style="color: navy"><b> -&gt; </b></span>cc.coding<b> as </b><span style="color: maroon">cg</span><b> then</b><span style="color: navy"> {
</span>          it<span style="color: navy"><b> -&gt; </b></span>cg.system = <span style="color: blue">'https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem'</span> <i>&quot;sys&quot;</i><span style="color: navy">;</span>
          it<span style="color: navy"><b> -&gt; </b></span>cg.code = <span style="color: blue">'wound-care-surgical-dressing-grade'</span> <i>&quot;cd&quot;</i><span style="color: navy">;</span>
          it<span style="color: navy"><b> -&gt; </b></span>cg.display = <span style="color: blue">'Surgical dressing grade'</span> <i>&quot;dsp&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
      it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>        a.value<b> as </b><span style="color: maroon">cv</span><span style="color: navy"><b> -&gt; </b></span>obs.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">vc</span><b> then</b><span style="color: navy"> {
</span>          cv<span style="color: navy"><b> -&gt; </b></span>vc.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>vc.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><span style="color: navy">;</span>
      it<span style="color: navy"><b> -&gt; </b></span> obs.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <span style="color: blue">'The grading letter printed on the surgical dressing sheet. The sheet does not expand the letters.'</span> <i>&quot;gradeNote&quot;</i><span style="color: navy">;</span>
      row<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>SetDressingRowTime<span style="color: navy">(</span><span style="color: maroon">row</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">)</span> <i>&quot;rowTime&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;dressingGrade&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;dressingRows&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">The row's own timestamp on everything extracted from that row.</span>
<b>group </b>SetDressingRowTime<span style="color: navy">(</span><b>source</b> <span style="color: maroon">row</span>, <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>  row.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'dressing/at') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>      a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">v</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;rowTimeRule&quot;</i><span style="color: navy">;</span>
  row.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>(linkId = 'dressing/done-by') and answer.value.exists()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    it.answer first<b> as </b><span style="color: maroon">a</span><b> then</b><span style="color: navy"> {
</span>      a.value<b> as </b><span style="color: maroon">ref</span><span style="color: navy"><b> -&gt; </b></span>obs.performer = <span style="color: maroon">ref</span> <i>&quot;by&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;rowByRule&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

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

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

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

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

</span><b>group </b>SetExamCategory<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">'exam'</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">'Exam'</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>BuildProcedureBase<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">r</span><span style="color: navy"> : </span>Procedure, <b>target</b> <span style="color: maroon">entry</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>r<b> then </b>SetResponseProvenance<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">r</span><span style="color: navy">)</span> <i>&quot;responseProvenance&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>r.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> then </b>SetProcedureFullUrl<span style="color: navy">(</span><span style="color: maroon">r</span><span style="color: navy">, </span><span style="color: maroon">entry</span><span style="color: navy">)</span> <i>&quot;idAndFullUrl&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>entry.request<b> as </b><span style="color: maroon">request</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>request.method = <span style="color: blue">'POST'</span> <i>&quot;requestMethod&quot;</i><span style="color: navy">;</span>
    qr<span style="color: navy"><b> -&gt; </b></span>request.url = <span style="color: blue">'Procedure'</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>
  <span style="color: navy">// </span><span style="color: green">The response's own time, as a floor, the way BuildObsBase does it. A rule</span>
  <span style="color: navy">// </span><span style="color: green">that reads a time off the form overwrites this; without it a procedure whose</span>
  <span style="color: navy">// </span><span style="color: green">date column was taken off on review has no time at all, and a procedure with</span>
  <span style="color: navy">// </span><span style="color: green">no time cannot be ordered against the rest of the admission.</span>
  qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>r.occurrence = <span style="color: maroon">t</span> <i>&quot;occurrenceFallback&quot;</i><span style="color: navy">;</span>
  qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>r.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
<span style="color: navy">}

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

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

</span></pre></div>
  </text>
  <url
       value="https://fhir.slade360.co.ke/fhir/StructureMap/ExtractSurgicalDressingChart"/>
  <version value="0.1.0"/>
  <name value="ExtractSurgicalDressingChart"/>
  <title value="Surgical Dressing Chart 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="A Procedure per dressing change, each with its own timestamp and the nurse who did it, plus an Observation carrying the sheet's own grading. The grading answer records the letter that was ticked -- B, M or S -- because the sheet never expands them anywhere on it and putting an invented expansion into the record would be worse than recording the letter."/>
  <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/Procedure"/>
    <mode value="target"/>
    <alias value="Procedure"/>
  </structure>
  <group>
    <name value="ExtractSurgicalDressingChart"/>
    <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="dressingRows"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="row"/>
        <condition
                   value="(linkId = 'dressing') and item.where(linkId = 'dressing/remarks').answer.value.exists()"/>
      </source>
      <rule>
        <name value="dressingProcedure"/>
        <source>
          <context value="row"/>
        </source>
        <target>
          <context value="bundle"/>
          <element value="entry"/>
          <variable value="entry"/>
        </target>
        <target>
          <context value="entry"/>
          <element value="resource"/>
          <variable value="proc"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Procedure"/>
          </parameter>
        </target>
        <rule>
          <name value="base"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="proc"/>
          </target>
          <target>
            <context value="entry"/>
          </target>
          <dependent>
            <name value="BuildProcedureBase"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="proc"/>
            </parameter>
            <parameter>
              <valueId value="entry"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="status"/>
          <source>
            <context value="row"/>
          </source>
          <target>
            <context value="proc"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="completed"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="encounter"/>
          <source>
            <context value="qr"/>
            <element value="encounter"/>
            <variable value="e"/>
          </source>
          <target>
            <context value="proc"/>
            <element value="encounter"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="e"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="code"/>
          <source>
            <context value="row"/>
          </source>
          <target>
            <context value="proc"/>
            <element value="code"/>
            <variable value="cc"/>
          </target>
          <rule>
            <name value="coding"/>
            <source>
              <context value="row"/>
            </source>
            <target>
              <context value="cc"/>
              <element value="coding"/>
              <variable value="cg"/>
            </target>
            <rule>
              <name value="sys"/>
              <source>
                <context value="row"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="http://snomed.info/sct"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="cd"/>
              <source>
                <context value="row"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="182531007"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="dsp"/>
              <source>
                <context value="row"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Dressing of wound"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="atRule"/>
          <source>
            <context value="row"/>
            <element value="item"/>
            <variable value="it"/>
            <condition
                       value="(linkId = 'dressing/at') and answer.value.exists()"/>
          </source>
          <rule>
            <name value="answer"/>
            <source>
              <context value="it"/>
              <element value="answer"/>
              <listMode value="first"/>
              <variable value="a"/>
            </source>
            <rule>
              <name value="occurrence"/>
              <source>
                <context value="a"/>
                <element value="value"/>
                <variable value="v"/>
              </source>
              <target>
                <context value="proc"/>
                <element value="occurrence"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="v"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="byRule"/>
          <source>
            <context value="row"/>
            <element value="item"/>
            <variable value="it"/>
            <condition
                       value="(linkId = 'dressing/done-by') and answer.value.exists()"/>
          </source>
          <rule>
            <name value="answer"/>
            <source>
              <context value="it"/>
              <element value="answer"/>
              <listMode value="first"/>
              <variable value="a"/>
            </source>
            <rule>
              <name value="performer"/>
              <source>
                <context value="a"/>
                <element value="value"/>
                <variable value="ref"/>
              </source>
              <target>
                <context value="proc"/>
                <element value="performer"/>
                <variable value="p"/>
              </target>
              <target>
                <context value="p"/>
                <element value="actor"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="ref"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="remarksRule"/>
          <source>
            <context value="row"/>
            <element value="item"/>
            <variable value="it"/>
            <condition value="linkId = 'dressing/remarks'"/>
          </source>
          <rule>
            <name value="answer"/>
            <source>
              <context value="it"/>
              <element value="answer"/>
              <listMode value="first"/>
              <variable value="a"/>
            </source>
            <rule>
              <name value="remarksNote"/>
              <source>
                <context value="a"/>
                <element value="value"/>
                <variable value="txt"/>
              </source>
              <target>
                <context value="proc"/>
                <element value="note"/>
                <variable value="n"/>
              </target>
              <target>
                <context value="n"/>
                <element value="text"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="txt"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="dressingGrade"/>
        <source>
          <context value="row"/>
          <element value="item"/>
          <variable value="it"/>
          <condition
                     value="(linkId = 'dressing/grade') and answer.value.exists()"/>
        </source>
        <target>
          <context value="bundle"/>
          <element value="entry"/>
          <variable value="entry"/>
        </target>
        <target>
          <context value="entry"/>
          <element value="resource"/>
          <variable value="obs"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Observation"/>
          </parameter>
        </target>
        <rule>
          <name value="base"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obs"/>
          </target>
          <target>
            <context value="entry"/>
          </target>
          <dependent>
            <name value="BuildObsBase"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="obs"/>
            </parameter>
            <parameter>
              <valueId value="entry"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="category"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="obs"/>
          </target>
          <dependent>
            <name value="SetExamCategory"/>
            <parameter>
              <valueId value="qr"/>
            </parameter>
            <parameter>
              <valueId value="obs"/>
            </parameter>
          </dependent>
        </rule>
        <rule>
          <name value="code"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="obs"/>
            <element value="code"/>
            <variable value="cc"/>
          </target>
          <rule>
            <name value="coding"/>
            <source>
              <context value="it"/>
            </source>
            <target>
              <context value="cc"/>
              <element value="coding"/>
              <variable value="cg"/>
            </target>
            <rule>
              <name value="sys"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString
                               value="https://fhir.slade360.co.ke/fhir/CodeSystem/concept-codesystem"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="cd"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="wound-care-surgical-dressing-grade"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="dsp"/>
              <source>
                <context value="it"/>
              </source>
              <target>
                <context value="cg"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="Surgical dressing grade"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="answer"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <rule>
            <name value="codedValue"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="cv"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <variable value="vc"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="valueCoding"/>
              <source>
                <context value="cv"/>
              </source>
              <target>
                <context value="vc"/>
                <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="vc"/>
                <element value="text"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="d"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
        <rule>
          <name value="gradeNote"/>
          <source>
            <context value="it"/>
          </source>
          <target>
            <context value="obs"/>
            <element value="note"/>
            <variable value="n"/>
          </target>
          <target>
            <context value="n"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="The grading letter printed on the surgical dressing sheet. The sheet does not expand the letters."/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="rowTime"/>
          <source>
            <context value="row"/>
          </source>
          <target>
            <context value="obs"/>
          </target>
          <dependent>
            <name value="SetDressingRowTime"/>
            <parameter>
              <valueId value="row"/>
            </parameter>
            <parameter>
              <valueId value="obs"/>
            </parameter>
          </dependent>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetDressingRowTime"/>
    <documentation
                   value="The row's own timestamp on everything extracted from that row."/>
    <input>
      <name value="row"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="rowTimeRule"/>
      <source>
        <context value="row"/>
        <element value="item"/>
        <variable value="it"/>
        <condition
                   value="(linkId = 'dressing/at') and answer.value.exists()"/>
      </source>
      <rule>
        <name value="answer"/>
        <source>
          <context value="it"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="a"/>
        </source>
        <rule>
          <name value="effective"/>
          <source>
            <context value="a"/>
            <element value="value"/>
            <variable value="v"/>
          </source>
          <target>
            <context value="obs"/>
            <element value="effective"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="v"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="rowByRule"/>
      <source>
        <context value="row"/>
        <element value="item"/>
        <variable value="it"/>
        <condition
                   value="(linkId = 'dressing/done-by') and answer.value.exists()"/>
      </source>
      <rule>
        <name value="answer"/>
        <source>
          <context value="it"/>
          <element value="answer"/>
          <listMode value="first"/>
          <variable value="a"/>
        </source>
        <rule>
          <name value="by"/>
          <source>
            <context value="a"/>
            <element value="value"/>
            <variable value="ref"/>
          </source>
          <target>
            <context value="obs"/>
            <element value="performer"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="ref"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="BuildObsBase"/>
    <documentation
                   value="─────────────────────────────────────────────────────────────────────────────
Shared scaffolding. Repeated in each map rather than imported: the transform
engine resolves `imports` against whatever StructureMaps happen to be on the
server, and a form that stops extracting because a shared map was not
uploaded is a worse failure than a duplicated group.
Two notes on what the publisher's StructureMap validator says about this file.
Source parameters below are left untyped on purpose. Writing `: Element` makes
the validator compare QuestionnaireResponse.item against the literal 'Element'
and report them as incompatible with each other, which is noise, not a finding.
`evaluate(context, expression)` is flagged as &quot;takes 1 parameter but 2 were
found&quot;. Leave it. The FML parser in the same jar refuses the one-argument form
outright -- it wants a parameter, a comma, then the FHIRPath -- so the
publisher is objecting to what its own compiler emits. Two arguments is the
only form that compiles, and it is what the R5 transform engine executes.
─────────────────────────────────────────────────────────────────────────────"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="responseProvenance"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
      </target>
      <dependent>
        <name value="SetResponseProvenance"/>
        <parameter>
          <valueId value="qr"/>
        </parameter>
        <parameter>
          <valueId value="obs"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetObservationFullUrl"/>
        <parameter>
          <valueId value="obs"/>
        </parameter>
        <parameter>
          <valueId value="entry"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="entryRequest"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="request"/>
        <variable value="request"/>
      </target>
      <rule>
        <name value="requestMethod"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="method"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="POST"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requestUrl"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="url"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="Observation"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="status"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="encounter"/>
      <source>
        <context value="qr"/>
        <element value="encounter"/>
        <variable value="e"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="e"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="effective"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="effective"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFromSource"/>
      <source>
        <context value="qr"/>
        <element value="source"/>
        <variable value="src"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="performer"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="src"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performerFallback"/>
      <source>
        <context value="qr"/>
        <condition value="source.exists().not()"/>
      </source>
      <rule>
        <name value="performerFromAuthor"/>
        <source>
          <context value="qr"/>
          <element value="author"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="obs"/>
          <element value="performer"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="linkQuestionnaireResponse"/>
      <source>
        <context value="qr"/>
        <element value="id"/>
        <variable value="qid"/>
        <condition value="$this.hasValue()"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="derivedFrom"/>
        <variable value="ref"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <target>
        <context value="ref"/>
        <element value="reference"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="qid"/>
        </parameter>
      </target>
      <documentation
                     value="A stored response's id already reads &quot;QuestionnaireResponse/&lt;id&gt;&quot;, so it is
a relative reference as it stands. The hasValue() guard is what stops an
unsaved response -- one posted straight to $extract rather than saved first
-- from writing &quot;QuestionnaireResponse/null&quot; into the record."/>
    </rule>
  </group>
  <group>
    <name value="SetObservationFullUrl"/>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="obs"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://fhir.slade360.co.ke/fhir/Observation/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetComponentCodedValue"/>
    <documentation
                   value="The two answer shapes a component can carry. Both read the answer through the
untyped `.value` accessor: reading `valueCoding` or `valueQuantity` by its
typed property name fails at transform time on HAPI R5 with &quot;Attempt to read
invalid property ... on QuestionnaireResponse.item.answer&quot;."/>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="componentAnswer"/>
      <source>
        <context value="it"/>
        <element value="answer"/>
        <listMode value="first"/>
        <variable value="a"/>
      </source>
      <rule>
        <name value="codedValue"/>
        <source>
          <context value="a"/>
          <element value="value"/>
          <variable value="cv"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="value"/>
          <variable value="cc"/>
          <transform value="create"/>
          <parameter>
            <valueString value="CodeableConcept"/>
          </parameter>
        </target>
        <rule>
          <name value="valueCoding"/>
          <source>
            <context value="cv"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="coding"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="cv"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="valueText"/>
          <source>
            <context value="cv"/>
            <element value="display"/>
            <variable value="d"/>
          </source>
          <target>
            <context value="cc"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="d"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetComponentValue"/>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="componentAnswer"/>
      <source>
        <context value="it"/>
        <element value="answer"/>
        <listMode value="first"/>
        <variable value="a"/>
      </source>
      <rule>
        <name value="plainValue"/>
        <source>
          <context value="a"/>
          <element value="value"/>
          <variable value="v"/>
        </source>
        <target>
          <context value="comp"/>
          <element value="value"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="v"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
  <group>
    <name value="SetExamCategory"/>
    <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="exam"/>
            </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="Exam"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="BuildProcedureBase"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="r"/>
      <type value="Procedure"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="responseProvenance"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="r"/>
      </target>
      <dependent>
        <name value="SetResponseProvenance"/>
        <parameter>
          <valueId value="qr"/>
        </parameter>
        <parameter>
          <valueId value="r"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="idAndFullUrl"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="r"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
      <dependent>
        <name value="SetProcedureFullUrl"/>
        <parameter>
          <valueId value="r"/>
        </parameter>
        <parameter>
          <valueId value="entry"/>
        </parameter>
      </dependent>
    </rule>
    <rule>
      <name value="entryRequest"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="request"/>
        <variable value="request"/>
      </target>
      <rule>
        <name value="requestMethod"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="method"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="POST"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="requestUrl"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="request"/>
          <element value="url"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="Procedure"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="occurrenceFallback"/>
      <source>
        <context value="qr"/>
        <element value="authored"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="r"/>
        <element value="occurrence"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="t"/>
        </parameter>
      </target>
      <documentation
                     value="The response's own time, as a floor, the way BuildObsBase does it. A rule
that reads a time off the form overwrites this; without it a procedure whose
date column was taken off on review has no time at all, and a procedure with
no time cannot be ordered against the rest of the admission."/>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="r"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetProcedureFullUrl"/>
    <input>
      <name value="r"/>
      <type value="Procedure"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="entry"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="assignFullUrl"/>
      <source>
        <context value="r"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="entry"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://fhir.slade360.co.ke/fhir/Procedure/"/>
        </parameter>
        <parameter>
          <valueId value="id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="SetResponseProvenance"/>
    <documentation
                   value="── Provenance and tenancy ───────────────────────────────────────────────────
Two tags on everything this map creates. The first says which questionnaire
produced it, so a form that reopens mid-admission recalls its own earlier
entries and not another form's. The second copies the tenant tags off the
response, because nothing else on the path puts them there.
The code is the form's document type, not the questionnaire's id: every
environment mints its own ids, and there is only one set of maps, so an id
here would tie the tag to whichever environment stamped it.
── Provenance and tenancy ───────────────────────────────────────────────────"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="r"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="provenanceMeta"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="r"/>
        <element value="meta"/>
        <variable value="m"/>
      </target>
      <rule>
        <name value="provenanceTag"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="m"/>
          <element value="tag"/>
          <variable value="t"/>
        </target>
        <rule>
          <name value="provenanceSystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="t"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://slade360edi.com/questionnaire-provenance"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="provenanceCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="t"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="surgical-dressing-chart"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="provenanceDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="t"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Surgical dressing chart"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="tenantTags"/>
      <source>
        <context value="qr"/>
        <element value="meta"/>
        <variable value="qm"/>
      </source>
      <rule>
        <name value="copyTag"/>
        <source>
          <context value="qm"/>
          <element value="tag"/>
          <variable value="qt"/>
        </source>
        <target>
          <context value="r"/>
          <element value="meta"/>
          <variable value="m"/>
        </target>
        <target>
          <context value="m"/>
          <element value="tag"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="qt"/>
          </parameter>
        </target>
      </rule>
      <documentation
                     value="Every tag the response carries, onto the resource. `meta` is 0..1, so this
lands on the same meta the rule above created rather than a second one."/>
    </rule>
  </group>
</StructureMap>