FHIR to OMOP FHIR IG, published by HL7 International / Biomedical Research and Regulation. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-omop-ig/ and changes regularly. See the Directory of published versions

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: Mapping Blood Pressure Vital Signs resource to Measurement OMOP Domain

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="BloodPressureVitalSignsMap"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap BloodPressureVitalSignsMap</b></p><a name="BloodPressureVitalSignsMap"> </a><a name="hcBloodPressureVitalSignsMap"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'http://hl7.org/fhir/uv/omop/StructureMap/BloodPressureVitalSignsMap'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'BloodPressureVitalSignsMap'</span>
<span style="color: #cc00cc">/// <b>title</b> = </span><span style="color: blue">'Mapping Blood Pressure Vital Signs resource to Measurement OMOP Domain'</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">'This mapping maps blood pressure FHIR Vital Signs instances that are considered measurements to OMOP Measurement Table objects.'</span>

<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>BloodPressure <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="StructureDefinition-RecordSet.html" title="Patient Record Setting">http://hl7.org/fhir/uv/omop/StructureDefinition/RecordSet</a><span style="color: navy">&quot; </span><b>alias </b>BPRecord <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="StructureDefinition-Measurement.html" title="Measurement OMOP Table">http://hl7.org/fhir/uv/omop/StructureDefinition/Measurement</a><span style="color: navy">&quot; </span><b>alias </b>Measurement <b>as </b><b>target</b>

<span style="color: navy">// </span><span style="color: green">make the bundle</span>
<b>group </b>BloodPressure<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span><span style="color: navy"> : </span>BloodPressure, <b>target</b> <span style="color: maroon">recordSet</span><span style="color: navy"> : </span>BPRecord<span style="color: navy">)</span><span style="color: navy"> {
</span>  src<b> where </b><span style="color: navy">(</span>src.category.coding.code contains 'vital-signs'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    src<b> where </b><span style="color: navy">(</span>src.effective.empty().not()<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      src.code<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>recordSet<b> then</b><span style="color: navy"> {
</span>        s.coding<b> as </b><span style="color: maroon">sc</span><span style="color: navy"><b> -&gt; </b></span>recordSet<b> then</b><span style="color: navy"> {
</span>          sc.code<b> as </b><span style="color: maroon">a</span><b> where </b><span style="color: navy">(</span>a in ('85354-9' | '8478-0')<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>recordSet<b> then</b><span style="color: navy"> {
</span>            src<b> as </b><span style="color: maroon">parent</span><span style="color: navy"><b> -&gt; </b></span>recordSet.measurement<b> as </b><span style="color: maroon">measurement</span><b> then </b>parentTable<span style="color: navy">(</span><span style="color: maroon">parent</span><span style="color: navy">, </span><span style="color: maroon">measurement</span><span style="color: navy">)</span> <i>&quot;bpMeasurement&quot;</i><span style="color: navy">;</span>
            src.component<b> as </b><span style="color: maroon">comp</span><span style="color: navy"><b> -&gt; </b></span>recordSet<b> then</b><span style="color: navy"> {
</span>              comp<b> where </b><span style="color: navy">(</span>comp.code.coding.code = '8480-6'<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>recordSet.measurement<b> as </b><span style="color: maroon">measurement</span><b> then </b>Systolic<span style="color: navy">(</span><span style="color: maroon">src</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">, </span><span style="color: maroon">measurement</span><span style="color: navy">)</span> <i>&quot;systolicMeasurement&quot;</i><span style="color: navy">;</span>
              comp<b> where </b><span style="color: navy">(</span>comp.code.coding.code = '8462-4'<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>recordSet.measurement<b> as </b><span style="color: maroon">measurement</span><b> then </b>Diastolic<span style="color: navy">(</span><span style="color: maroon">src</span><span style="color: navy">, </span><span style="color: maroon">comp</span><span style="color: navy">, </span><span style="color: maroon">measurement</span><span style="color: navy">)</span> <i>&quot;diastolicMeasurement&quot;</i><span style="color: navy">;</span>
            <span style="color: navy">}</span><span style="color: navy">;</span>
          <span style="color: navy">}</span><span style="color: navy">;</span>
        <span style="color: navy">}</span><span style="color: navy">;</span>
      <span style="color: navy">}</span><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;bpMapping&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;bpComponentEntries&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>parentTable<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span><span style="color: navy"> : </span>BloodPressure, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>Measurement<span style="color: navy">)</span><span style="color: navy"> {
</span>  src.id<b> as </b><span style="color: maroon">id</span><span style="color: navy"><b> -&gt; </b></span>tgt.measurement_id = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">id</span><span style="color: navy">, </span><span style="color: blue">'code'</span><span style="color: navy">)</span><span style="color: navy">;</span>
  src.code<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>    s.coding<b> as </b><span style="color: maroon">sc</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>      sc.code<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span>tgt.measurement_type_concept_id = <b>translate</b><span style="color: navy">(</span><span style="color: maroon">a</span><span style="color: navy">, </span><span style="color: blue">'http://hl7.org/fhir/uv/omop/ConceptMap/BloodPressureCodes'</span><span style="color: navy">, </span><span style="color: blue">'code'</span><span style="color: navy">)</span><span style="color: navy">;</span>
      sc.display<b> as </b><span style="color: maroon">display</span><span style="color: navy"><b> -&gt; </b></span>tgt.measurement_concept_id = <span style="color: maroon">display</span><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span><span style="color: navy">;</span>
  src.effective<span style="color: navy"> : </span>dateTime<b> as </b><span style="color: maroon">edt</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <span style="color: maroon">edt</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>edt.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  src.effective<span style="color: navy"> : </span>instant<b> as </b><span style="color: maroon">einst</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">einst</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>einst.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  src.effective<span style="color: navy"> : </span>Period<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>    s.start<b> as </b><span style="color: maroon">eps</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">eps</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>eps.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;MeasurementDate&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">make the systolic measurement table</span>
<b>group </b>Systolic<span style="color: navy">(</span><b>source</b> <span style="color: maroon">parent</span><span style="color: navy"> : </span>BloodPressure, <b>source</b> <span style="color: maroon">comp</span>, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>Measurement<span style="color: navy">)</span><span style="color: navy"> {
</span>  parent.effective<span style="color: navy"> : </span>dateTime<b> as </b><span style="color: maroon">edt</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <span style="color: maroon">edt</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>edt.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  parent.effective<span style="color: navy"> : </span>instant<b> as </b><span style="color: maroon">einst</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">einst</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>einst.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  parent.effective<span style="color: navy"> : </span>Period<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>    s.start<b> as </b><span style="color: maroon">eps</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">eps</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>eps.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;MeasurementDate&quot;</i><span style="color: navy">;</span>
  comp.value<span style="color: navy"> : </span>Quantity<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>    s.value<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span>tgt.value_as_number = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">a</span><span style="color: navy">, </span><span style="color: blue">'decimal'</span><span style="color: navy">)</span><span style="color: navy">;</span>
    s.unit<b> as </b><span style="color: maroon">b</span><span style="color: navy"><b> -&gt; </b></span>tgt.unit_concept_id = <span style="color: maroon">b</span><span style="color: navy">;</span>
  <span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">make the diastolic measurement table</span>
<b>group </b>Diastolic<span style="color: navy">(</span><b>source</b> <span style="color: maroon">parent</span><span style="color: navy"> : </span>BloodPressure, <b>source</b> <span style="color: maroon">comp</span>, <b>target</b> <span style="color: maroon">tgt</span><span style="color: navy"> : </span>Measurement<span style="color: navy">)</span><span style="color: navy"> {
</span>  parent.effective<span style="color: navy"> : </span>dateTime<b> as </b><span style="color: maroon">edt</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <span style="color: maroon">edt</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>edt.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  parent.effective<span style="color: navy"> : </span>instant<b> as </b><span style="color: maroon">einst</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">einst</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>einst.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  parent.effective<span style="color: navy"> : </span>Period<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>    s.start<b> as </b><span style="color: maroon">eps</span><span style="color: navy"><b> -&gt; </b></span> tgt.measurement_datetime = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">eps</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.measurement_date = <span style="color: navy">(</span>eps.toString().substring(0, 10)<span style="color: navy">)</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;MeasurementDate&quot;</i><span style="color: navy">;</span>
  comp.value<span style="color: navy"> : </span>Quantity<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>tgt<b> then</b><span style="color: navy"> {
</span>    s.value<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> tgt.value_as_number = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">a</span><span style="color: navy">, </span><span style="color: blue">'decimal'</span><span style="color: navy">)</span><span style="color: navy">, </span> tgt.value_source_value = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">a</span><span style="color: navy">, </span><span style="color: blue">'string'</span><span style="color: navy">)</span><span style="color: navy">;</span>
    s.unit<b> as </b><span style="color: maroon">b</span><span style="color: navy"><b> -&gt; </b></span> tgt.unit_concept_id<span style="color: navy">, </span> tgt.unit_source_value = <span style="color: maroon">b</span><span style="color: navy">;</span>
  <span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}

</span></pre></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="brr"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/omop/ImplementationGuide/hl7.fhir.uv.omop"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/omop/ImplementationGuide/hl7.fhir.uv.omop"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/omop/StructureMap/BloodPressureVitalSignsMap"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.77.43.2"/>
  </identifier>
  <version value="2.0.0-ballot"/>
  <name value="BloodPressureVitalSignsMap"/>
  <title
         value="Mapping Blood Pressure Vital Signs resource to Measurement OMOP Domain"/>
  <status value="active"/>
  <date value="2026-08-14T16:09:20+00:00"/>
  <publisher value="HL7 International / Biomedical Research and Regulation"/>
  <contact>
    <name value="HL7 International / Biomedical Research and Regulation"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/rcrim"/>
    </telecom>
  </contact>
  <description
               value="This mapping maps blood pressure FHIR Vital Signs instances that are considered measurements to OMOP Measurement Table objects."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <mode value="source"/>
    <alias value="BloodPressure"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/uv/omop/StructureDefinition/RecordSet"/>
    <mode value="target"/>
    <alias value="BPRecord"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/uv/omop/StructureDefinition/Measurement"/>
    <mode value="target"/>
    <alias value="Measurement"/>
  </structure>
  <group>
    <name value="BloodPressure"/>
    <documentation value="make the bundle"/>
    <input>
      <name value="src"/>
      <type value="BloodPressure"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="recordSet"/>
      <type value="BPRecord"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="bpComponentEntries"/>
      <source>
        <context value="src"/>
        <condition value="src.category.coding.code contains 'vital-signs'"/>
      </source>
      <rule>
        <name value="bpMapping"/>
        <source>
          <context value="src"/>
          <condition value="src.effective.empty().not()"/>
        </source>
        <rule>
          <name value="code"/>
          <source>
            <context value="src"/>
            <element value="code"/>
            <variable value="s"/>
          </source>
          <target>
            <context value="recordSet"/>
          </target>
          <rule>
            <name value="coding"/>
            <source>
              <context value="s"/>
              <element value="coding"/>
              <variable value="sc"/>
            </source>
            <target>
              <context value="recordSet"/>
            </target>
            <rule>
              <name value="code"/>
              <source>
                <context value="sc"/>
                <element value="code"/>
                <variable value="a"/>
                <condition value="a in ('85354-9' | '8478-0')"/>
              </source>
              <target>
                <context value="recordSet"/>
              </target>
              <rule>
                <name value="bpMeasurement"/>
                <source>
                  <context value="src"/>
                  <variable value="parent"/>
                </source>
                <target>
                  <context value="recordSet"/>
                  <element value="measurement"/>
                  <variable value="measurement"/>
                </target>
                <dependent>
                  <name value="parentTable"/>
                  <parameter>
                    <valueId value="parent"/>
                  </parameter>
                  <parameter>
                    <valueId value="measurement"/>
                  </parameter>
                </dependent>
              </rule>
              <rule>
                <name value="component"/>
                <source>
                  <context value="src"/>
                  <element value="component"/>
                  <variable value="comp"/>
                </source>
                <target>
                  <context value="recordSet"/>
                </target>
                <rule>
                  <name value="systolicMeasurement"/>
                  <source>
                    <context value="comp"/>
                    <condition value="comp.code.coding.code = '8480-6'"/>
                  </source>
                  <target>
                    <context value="recordSet"/>
                    <element value="measurement"/>
                    <variable value="measurement"/>
                  </target>
                  <dependent>
                    <name value="Systolic"/>
                    <parameter>
                      <valueId value="src"/>
                    </parameter>
                    <parameter>
                      <valueId value="comp"/>
                    </parameter>
                    <parameter>
                      <valueId value="measurement"/>
                    </parameter>
                  </dependent>
                </rule>
                <rule>
                  <name value="diastolicMeasurement"/>
                  <source>
                    <context value="comp"/>
                    <condition value="comp.code.coding.code = '8462-4'"/>
                  </source>
                  <target>
                    <context value="recordSet"/>
                    <element value="measurement"/>
                    <variable value="measurement"/>
                  </target>
                  <dependent>
                    <name value="Diastolic"/>
                    <parameter>
                      <valueId value="src"/>
                    </parameter>
                    <parameter>
                      <valueId value="comp"/>
                    </parameter>
                    <parameter>
                      <valueId value="measurement"/>
                    </parameter>
                  </dependent>
                </rule>
              </rule>
            </rule>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="parentTable"/>
    <input>
      <name value="src"/>
      <type value="BloodPressure"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="tgt"/>
      <type value="Measurement"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="id"/>
      <source>
        <context value="src"/>
        <element value="id"/>
        <variable value="id"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_id"/>
        <transform value="cast"/>
        <parameter>
          <valueId value="id"/>
        </parameter>
        <parameter>
          <valueString value="code"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="code"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="tgt"/>
      </target>
      <rule>
        <name value="coding"/>
        <source>
          <context value="s"/>
          <element value="coding"/>
          <variable value="sc"/>
        </source>
        <target>
          <context value="tgt"/>
        </target>
        <rule>
          <name value="code"/>
          <source>
            <context value="sc"/>
            <element value="code"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="tgt"/>
            <element value="measurement_type_concept_id"/>
            <transform value="translate"/>
            <parameter>
              <valueId value="a"/>
            </parameter>
            <parameter>
              <valueString
                           value="http://hl7.org/fhir/uv/omop/ConceptMap/BloodPressureCodes"/>
            </parameter>
            <parameter>
              <valueString value="code"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="display"/>
          <source>
            <context value="sc"/>
            <element value="display"/>
            <variable value="display"/>
          </source>
          <target>
            <context value="tgt"/>
            <element value="measurement_concept_id"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="display"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="effectiveDateTime"/>
      <source>
        <context value="src"/>
        <type value="dateTime"/>
        <element value="effective"/>
        <variable value="edt"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_datetime"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="edt"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <element value="measurement_date"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="edt.toString().substring(0, 10)"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="effectiveInstant"/>
      <source>
        <context value="src"/>
        <type value="instant"/>
        <element value="effective"/>
        <variable value="einst"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_datetime"/>
        <transform value="cast"/>
        <parameter>
          <valueId value="einst"/>
        </parameter>
        <parameter>
          <valueString value="dateTime"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <element value="measurement_date"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="einst.toString().substring(0, 10)"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="MeasurementDate"/>
      <source>
        <context value="src"/>
        <type value="Period"/>
        <element value="effective"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="tgt"/>
      </target>
      <rule>
        <name value="start"/>
        <source>
          <context value="s"/>
          <element value="start"/>
          <variable value="eps"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="measurement_datetime"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="eps"/>
          </parameter>
          <parameter>
            <valueString value="dateTime"/>
          </parameter>
        </target>
        <target>
          <context value="tgt"/>
          <element value="measurement_date"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="eps.toString().substring(0, 10)"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
  <group>
    <name value="Systolic"/>
    <documentation value="make the systolic measurement table"/>
    <input>
      <name value="parent"/>
      <type value="BloodPressure"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="tgt"/>
      <type value="Measurement"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="effectiveDateTime"/>
      <source>
        <context value="parent"/>
        <type value="dateTime"/>
        <element value="effective"/>
        <variable value="edt"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_datetime"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="edt"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <element value="measurement_date"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="edt.toString().substring(0, 10)"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="effectiveInstant"/>
      <source>
        <context value="parent"/>
        <type value="instant"/>
        <element value="effective"/>
        <variable value="einst"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_datetime"/>
        <transform value="cast"/>
        <parameter>
          <valueId value="einst"/>
        </parameter>
        <parameter>
          <valueString value="dateTime"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <element value="measurement_date"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="einst.toString().substring(0, 10)"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="MeasurementDate"/>
      <source>
        <context value="parent"/>
        <type value="Period"/>
        <element value="effective"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="tgt"/>
      </target>
      <rule>
        <name value="start"/>
        <source>
          <context value="s"/>
          <element value="start"/>
          <variable value="eps"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="measurement_datetime"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="eps"/>
          </parameter>
          <parameter>
            <valueString value="dateTime"/>
          </parameter>
        </target>
        <target>
          <context value="tgt"/>
          <element value="measurement_date"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="eps.toString().substring(0, 10)"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="valueQuantity"/>
      <source>
        <context value="comp"/>
        <type value="Quantity"/>
        <element value="value"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="tgt"/>
      </target>
      <rule>
        <name value="value"/>
        <source>
          <context value="s"/>
          <element value="value"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="value_as_number"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
          <parameter>
            <valueString value="decimal"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="unit"/>
        <source>
          <context value="s"/>
          <element value="unit"/>
          <variable value="b"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="unit_concept_id"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="b"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
  <group>
    <name value="Diastolic"/>
    <documentation value="make the diastolic measurement table"/>
    <input>
      <name value="parent"/>
      <type value="BloodPressure"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="comp"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="tgt"/>
      <type value="Measurement"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="effectiveDateTime"/>
      <source>
        <context value="parent"/>
        <type value="dateTime"/>
        <element value="effective"/>
        <variable value="edt"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_datetime"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="edt"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <element value="measurement_date"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="edt.toString().substring(0, 10)"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="effectiveInstant"/>
      <source>
        <context value="parent"/>
        <type value="instant"/>
        <element value="effective"/>
        <variable value="einst"/>
      </source>
      <target>
        <context value="tgt"/>
        <element value="measurement_datetime"/>
        <transform value="cast"/>
        <parameter>
          <valueId value="einst"/>
        </parameter>
        <parameter>
          <valueString value="dateTime"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <element value="measurement_date"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="einst.toString().substring(0, 10)"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="MeasurementDate"/>
      <source>
        <context value="parent"/>
        <type value="Period"/>
        <element value="effective"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="tgt"/>
      </target>
      <rule>
        <name value="start"/>
        <source>
          <context value="s"/>
          <element value="start"/>
          <variable value="eps"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="measurement_datetime"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="eps"/>
          </parameter>
          <parameter>
            <valueString value="dateTime"/>
          </parameter>
        </target>
        <target>
          <context value="tgt"/>
          <element value="measurement_date"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="eps.toString().substring(0, 10)"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="valueQuantity"/>
      <source>
        <context value="comp"/>
        <type value="Quantity"/>
        <element value="value"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="tgt"/>
      </target>
      <rule>
        <name value="value"/>
        <source>
          <context value="s"/>
          <element value="value"/>
          <variable value="a"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="value_as_number"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
          <parameter>
            <valueString value="decimal"/>
          </parameter>
        </target>
        <target>
          <context value="tgt"/>
          <element value="value_source_value"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="a"/>
          </parameter>
          <parameter>
            <valueString value="string"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="unit"/>
        <source>
          <context value="s"/>
          <element value="unit"/>
          <variable value="b"/>
        </source>
        <target>
          <context value="tgt"/>
          <element value="unit_concept_id"/>
        </target>
        <target>
          <context value="tgt"/>
          <element value="unit_source_value"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="b"/>
          </parameter>
        </target>
      </rule>
    </rule>
  </group>
</StructureMap>