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+---
+title: FHIR Eswatini Adaptor
+---
+
+Language support for the
+[Eswatini National Health Information Exchange](https://hapifhir.eswatinihie.com)
+FHIR Implementation Guide.
+
+This adaptor is generated from the Eswatini FHIR Implementation Guide (IG),
+which means it understands Eswatini-specific profiles, extensions, and value
+sets. It is designed to make writing FHIR-conformant job code as simple as
+possible.
+
+## About FHIR
+
+[FHIR](https://www.hl7.org/fhir/overview.html) stands for Fast Healthcare
+Interoperability Resources. It is a standard for representing and exchanging
+healthcare data electronically.
+
+Learn more about FHIR and
+[FHIR for heath data exchange](/documentation/get-started/standards#fhir-for-health-data-exchange).
+
+## How This Adaptor Helps
+
+Writing conformant FHIR resources by hand is verbose. The raw JSON for basic
+Patient looks something like this:
+
+```json
+{
+  "resourceType": "Patient",
+  "meta": {
+    "profile": [
+      "https://hapifhir.eswatinihie.com/fhir/StructureDefinition/SzPatient"
+    ]
+  },
+  "identifier": [
+    {
+      "use": "official",
+      "type": {
+        "coding": [
+          {
+            "system": "https://hapifhir.eswatinihie.com/fhir/CodeSystem/SzPersonIdentificationsCS",
+            "code": "PI",
+            "display": "Personal ID Number"
+          }
+        ]
+      },
+      "system": "http://homeaffairs.sys",
+      "value": "1999001000000"
+    }
+  ],
+  "name": [{ "family": "Gule", "given": ["Jacob", "Samuel"] }],
+  "gender": "male",
+  "birthDate": "1990-01-01",
+  "extension": [
+    {
+      "url": "https://hapifhir.eswatinihie.com/fhir/StructureDefinition/SzInkhundlaExtension",
+      "valueCodeableConcept": {
+        "coding": [
+          {
+            "system": "https://hapifhir.eswatinihie.com/fhir/CodeSystem/SzTinkhundlaCS",
+            "code": "3",
+            "display": "LOBAMBA"
+          }
+        ],
+        "text": "LOBAMBA"
+      }
+    }
+  ]
+}
+```
+
+The fhir-eswatini adaptor reduces this to:
+
+```js
+b.patient({
+  identifier: {
+    use: 'official',
+    type: 'PI',
+    system: 'http://homeaffairs.sys',
+    value: '1999001000000',
+  },
+  name: [{ family: 'Gule', given: ['Jacob', 'Samuel'] }],
+  gender: 'male',
+  birthDate: '1990-01-01',
+  inkhundla: '3',
+});
+```
+
+The "builder function" `b.patient()` handles the profile URL, the full
+identifier type coding, and the extension structure automatically.
+
+This means that workflow code which maps information into fhir resources is
+simpler and cleaner. It's easier to write, easier to read, easier to reason
+about, and easier to modify.
+
+## User Guide
+
+### Builder functions
+
+All builder functions are available on the `b` (short for `builders`) namespac.
+
+There is a builder for every resource type in the Eswatini IG: `b.patient()`,
+`b.encounter()`, `b.observation()`, `b.condition()` and so on. See the
+[reference docs](/adaptors/packages/fhir-eswatini-docs) for the full list.
+
+Pass a plain object with the properties you want:
+
+```js
+const patient = b.patient({
+  gender: 'male',
+  birthDate: '1990-01-01',
+});
+```
+
+Builders are not operations themselves. Pass them as an argument to an operation
+like `create()`, or use them inside a callback:
+
+```js
+fn(state => {
+  state.patient = b.patient(state.data);
+  return state;
+});
+```
+
+### TODO Bundling
+
+```js
+addToBundle(
+  b.patient({
+    gender: 'male',
+    birthDate: '1990-01-01',
+  })
+);
+```
+
+### Value mapping
+
+The adaptor knows the Eswatini IG's value sets, so short code values are
+automatically expanded to full coded concepts.
+
+For example, an identifier's `type` accepts a short code from the Eswatini
+Person Identifications code system:
+
+```js
+b.patient({
+  identifier: {
+    type: 'PI', // expands to a full CodeableConcept
+    system: 'http://homeaffairs.sys',
+    value: '1999001000000',
+  },
+});
+```
+
+The same applies to other coded fields. For example, an encounter's `class`
+accepts short codes like `OPD`, `IPD`, `CO`, and `SO`:
+
+```js
+b.encounter({
+  class: 'OPD', // expands to full coding with system and display
+  subject: 'Patient/123',
+});
+```
+
+To know the range of value allowed, follow the links in the docs to the value
+set definition (the docs will link you straight into the Implementation Guide).
+Any Code value declared on that page is allowed.
+
+![Example listing of code values from the FHIR IG](/img/fhir-eswatini-valueset-example.png)
+
+You can also define your own value mappings. This is useful when mapping your
+input data into FHIR. Just declare the mappings at the top of your job code with
+the correct URL and whatever values you want.
+
+```js
+b.setValues(
+  // get the value set URL from the docs
+  'http://172.209.216.154:3447/fhir/ValueSet/SzTinkhundlaVS',
+  // Define your own mappings, where the key is the code value passed to
+  // to the builder, and the value is whatever should be mapped
+  // In this example, we want to map an inkhundla name to the code
+  {
+    mbabane: {
+      system: 'https://hapifhir.eswatinihie.com/fhir/CodeSystem/SzTinkhundlaCS',
+      code: '264',
+      display: 'MBABANE',
+    },
+  }
+);
+```
+
+Custom mappings like this do not override the default system values. In fact,
+your custom mappings are expanded first and THEN the system mappings cut in - so
+you can declare custom mappings which map right to codings, which will then be
+expanded:
+
+```js
+b.setValues(
+  'http://172.209.216.154:3447/fhir/ValueSet/SzTinkhundlaVS',
+  // Map to the code, and let the default mapping expand the full extension
+  {
+    mbabane: '264',
+  }
+);
+```
+
+Now your job code can do:
+
+```js
+b.patient({
+  inkundla: 'mbabane',
+});
+```
+
+If you declare mappings relative to the format your source data, you can declare
+the value based on your data without complex mapping code
+
+```js
+b.patient({
+  inkundla: $.patient.district, // mapping from a different dataset
+});
+```
+
+### Extensions as properties
+
+Eswatini-specific extensions are exposed as simple named properties on the
+relevant builders, instead of requiring you to construct extension objects
+manually.
+
+For example, for the Patient resource, supported extension properties are:
+
+| Property           | Extension            |
+| ------------------ | -------------------- |
+| `inkhundla`        | SzInkhundlaExtension |
+| `chiefdom`         | SzChiefdomExtension  |
+| `registrationDate` | SzRegistrationDate   |
+
+Pass a code value and the builder constructs the full extension:
+
+```js
+b.patient({
+  inkhundla: '3',
+  chiefdom: '7',
+  registrationDate: '2025-06-01T10:00:00Z',
+});
+```
+
+```json
+{
+  "extension": [
+    {
+      "url": "http://172.209.216.154:3447/fhir/StructureDefinition/SzInkhundlaExtension",
+      "valueCodeableConcept": {
+        "coding": [
+          {
+            "system": "https://hapifhir.eswatinihie.com/fhir/CodeSystem/SzTinkhundlaCS",
+            "code": "3",
+            "display": "LOBAMBA"
+          }
+        ],
+        "text": "LOBAMBA"
+      }
+    },
+    {
+      "url": "http://172.209.216.154:3447/fhir/StructureDefinition/SzChiefdomExtension",
+      "valueCodeableConcept": {
+        "coding": [
+          {
+            "system": "https://hapifhir.eswatinihie.com/fhir/CodeSystem/SzChiefdomCS",
+            "code": "7",
+            "display": "Lobamba"
+          }
+        ],
+        "text": "Lobamba"
+      }
+    },
+    {
+      "url": "http://172.209.216.154:3447/fhir/StructureDefinition/SzRegistrationDate",
+      "valueDateTime": "2025-06-01T10:00:00Z"
+    }
+  ]
+}
+```
+
+### Multi-profile resources
+
+Some FHIR resource types have multiple Eswatini profiles. For these, pass the
+profile name as the first argument to the builder.
+
+#### Observation
+
+The `observation` builder accepts one of `SzCauseOfDeath`,
+`SzClinicalObservation`, `SzLabResult`, `SzMannerOfDeath`, or `SzVitalSigns`:
+
+```js
+b.observation('SzVitalSigns', {
+  status: 'final',
+  subject: 'Patient/123',
+});
+```
+
+#### ServiceRequest
+
+The `serviceRequest` builder accepts one of `SzLabRequest` or `SzReferral`:
+
+```js
+b.serviceRequest('SzReferral', {
+  status: 'active',
+  intent: 'order',
+  subject: 'Patient/123',
+});
+```
+
+### Finding More Examples
+
+The size and complexity of FHIR implementations can make it hard to document
+effectively.
+
+The design of the builders is to be intuitive: pass any reasonable value to a
+key and the builder should do the right thing with it.
+
+If you're not sure, and the API reference documentation isn't clear, the best
+places to get help are:
+
+1. Look at the
+   [unit tests](https://github.com/OpenFn/adaptors/tree/main/packages/fhir-eswatini/test/resources)
+   for the resource you are building. These are hand written and have many
+   examples of mapping values (the unit tests are how we validate that the
+   different mappings work!)
+1. Look at the
+   [source code](https://github.com/OpenFn/adaptors/tree/main/packages/fhir-eswatini/src/profiles)
+   of the builder function you are using. The builders are quite verbose and you
+   should be able to see how your input data is processed. Check that the key
+   you want is supported, and check how the value is processed (is it value
+   mapped? Is it sent to another builder?)
+
+## Adaptor Implementation
+
+The `fhir-eswatini` adaptor is automatically generated from an implementation
+guide.
+
+All builder functions, reference documentation and typings are generated from
+details in the specification according to specific usage patterns and templates.
+
+Some parts of the adaptor, like the main operations, core datatype builders, and
+unit tests, are hand-written.
+
+The ability to generate adaptor code means that the adaptor can be updated to
+changes in the specification within minutes. It also ensures that the generated
+code is comprehensive and accurate.
+
+But bugs in the generation process can result in errors, and the sheer scale of
+code generated means that test coverage can be lacking.
+
+## Authentication
+
+See this adaptor's
+[Configuration docs](/adaptors/packages/fhir-eswatini-configuration-schema) for
+the required authentication parameters.
+
+See platform docs on
+[managing credentials](/documentation/manage-projects/manage-credentials) for
+how to configure a credential in OpenFn. If working locally or using a Raw JSON
+credential type, your configuration will look something like this:
+
+```json
+{
+  "baseUrl": "https://hapifhir.eswatinihie.com",
+  "apiPath": "fhir"
+}
+```
+
+## I've noticed a problem with this adaptor, or something is out of date, what can I do?
+
+Thanks for asking! We are a fully Open Source Digital Public Good, and we
+welcome contributions from our community. Check out our
+[Adaptors Wiki](https://github.com/OpenFn/adaptors/blob/main/wiki/index.md) for
+more information on how you can update adaptors!
+
+Or, you can always reach out to the Community through our
+[Community Forum here](https://community.openfn.org/).
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