FHIR to OMOP FHIR IG
2.0.0-ballot - STU 1 Ballot International flag

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

: Mapping Vital Ssigns resource to Measurement OMOP Domain

Page standards status: Trial-use Maturity Level: 2

Raw ttl | Download

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/StructureMap/SimpleVitalSignsMap> a fhir:StructureMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "SimpleVitalSignsMap"] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap SimpleVitalSignsMap</b></p><a name=\"SimpleVitalSignsMap\"> </a><a name=\"hcSimpleVitalSignsMap\"> </a><pre class=\"fml\">#xD;\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'http://hl7.org/fhir/uv/omop/StructureMap/SimpleVitalSignsMap'</span>#xD;\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'SimpleVitalSignsMap'</span>#xD;\n<span style=\"color: #cc00cc\">/// <b>title</b> = </span><span style=\"color: blue\">'Mapping Vital Ssigns resource to Measurement OMOP Domain'</span>#xD;\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'active'</span>#xD;\n<span style=\"color: #cc00cc\">/// <b>description</b> = </span><span style=\"color: blue\">'This mapping maps simple FHIR Vital Signs instances that are considered measurements to OMOP Measurement Table objects.'</span>#xD;\n#xD;\n<b>uses</b><span style=\"color: navy\"> \"</span><a href=\"http://hl7.org/fhir/R5/observation.html\" title=\"Observation\">http://hl7.org/fhir/StructureDefinition/Observation</a><span style=\"color: navy\">\" </span><b>alias </b>VitalSigns <b>as </b><b>source</b>#xD;\n<b>uses</b><span style=\"color: navy\"> \"</span><a href=\"StructureDefinition-Measurement.html\" title=\"Measurement OMOP Table\">http://hl7.org/fhir/uv/omop/StructureDefinition/Measurement</a><span style=\"color: navy\">\" </span><b>alias </b>MeasureTable <b>as </b><b>target</b>#xD;\n#xD;\n<b>group </b>VitalSigns<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">src</span><span style=\"color: navy\"> : </span>VitalSigns, <b>target</b> <span style=\"color: maroon\">tgt</span><span style=\"color: navy\"> : </span>MeasureTable<span style=\"color: navy\">)</span><span style=\"color: navy\"> {#xD;\n</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\"> {#xD;\n</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\"> {#xD;\n</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\"> {#xD;\n</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\"> {#xD;\n</span>          sc.system<b> where </b><span style=\"color: navy\">(</span>'http://loinc.org'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {#xD;\n</span>            sc.code<b> as </b><span style=\"color: maroon\">a</span><b> where </b><span style=\"color: navy\">(</span>(a in ('85354-9' | '8480-6' | '8462-4' | '8478-0')).not()<span style=\"color: navy\">)</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/VitalSignsCodes'</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {#xD;\n</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>#xD;\n              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>#xD;\n              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> <span style=\"color: navy\">(</span>einst.toString().substring(0, 10)<span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>#xD;\n              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\"> {#xD;\n</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>#xD;\n              <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n              <span style=\"color: #b36b00\" title=\"This element was not defined prior to R5\">// src.issued as s where (src.issued.toDate()  != src.effective) -&gt; tgt.measurement_source_value = (s.toString());</span>#xD;\n              src.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\"> {#xD;\n</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>#xD;\n                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>#xD;\n              <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n              src.value<span style=\"color: navy\"> : </span>CodeableConcept<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\"> {#xD;\n</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\"> {#xD;\n</span>                  sc.code<b> as </b><span style=\"color: maroon\">code</span><span style=\"color: navy\"><b> -&gt; </b></span>tgt.value_as_concept_id = <span style=\"color: maroon\">code</span><span style=\"color: navy\">;</span>#xD;\n                <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n              <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n              src.value<span style=\"color: navy\"> : </span>string<b> as </b><span style=\"color: maroon\">b</span><span style=\"color: navy\"><b> -&gt; </b></span>tgt.value_source_value = <span style=\"color: maroon\">b</span><span style=\"color: navy\">;</span>#xD;\n              src.interpretation<b> as </b><span style=\"color: maroon\">c</span><span style=\"color: navy\"><b> -&gt; </b></span>tgt.value_as_concept_id = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">c</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'code'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>#xD;\n              src.note<b> as </b><span style=\"color: maroon\">d</span><span style=\"color: navy\"><b> -&gt; </b></span>tgt.measurement_source_value = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">d</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'string'</span><span style=\"color: navy\">)</span><span style=\"color: navy\">;</span>#xD;\n            <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n          <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n        <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n      <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>#xD;\n    <span style=\"color: navy\">}</span> <i>\"vitalSignMapping\"</i><span style=\"color: navy\">;</span>#xD;\n  <span style=\"color: navy\">}</span> <i>\"OnlyMeasures\"</i><span style=\"color: navy\">;</span>#xD;\n<span style=\"color: navy\">}#xD;\n#xD;\n</span></pre></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:code ;
       fhir:v "brr"
     ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:integer ;
       fhir:v 2 ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
         fhir:value [
           a fhir:canonical ;
           fhir:v "http://hl7.org/fhir/uv/omop/ImplementationGuide/hl7.fhir.uv.omop"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/uv/omop/ImplementationGuide/hl7.fhir.uv.omop>
         ]
       ] )
     ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:code ;
       fhir:v "trial-use" ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
         fhir:value [
           a fhir:canonical ;
           fhir:v "http://hl7.org/fhir/uv/omop/ImplementationGuide/hl7.fhir.uv.omop"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/uv/omop/ImplementationGuide/hl7.fhir.uv.omop>
         ]
       ] )
     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/omop/StructureMap/SimpleVitalSignsMap"^^xsd:anyURI] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.77.43.11" ]
  ] ) ; # 
  fhir:version [ fhir:v "2.0.0-ballot"] ; # 
  fhir:name [ fhir:v "SimpleVitalSignsMap"] ; # 
  fhir:title [ fhir:v "Mapping Vital Ssigns resource to Measurement OMOP Domain"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2026-08-14T16:09:20+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Biomedical Research and Regulation"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "HL7 International / Biomedical Research and Regulation" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/rcrim" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This mapping maps simple FHIR Vital Signs instances that are considered measurements to OMOP Measurement Table objects."] ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] ) ; # 
  fhir:structure ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
       fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>
     ] ;
     fhir:mode [ fhir:v "source" ] ;
     fhir:alias [ fhir:v "VitalSigns" ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/uv/omop/StructureDefinition/Measurement"^^xsd:anyURI ;
       fhir:link <http://hl7.org/fhir/uv/omop/StructureDefinition/Measurement>
     ] ;
     fhir:mode [ fhir:v "target" ] ;
     fhir:alias [ fhir:v "MeasureTable" ]
  ] ) ; # 
  fhir:group ( [
     fhir:name [ fhir:v "VitalSigns" ] ;
     fhir:input ( [
       fhir:name [ fhir:v "src" ] ;
       fhir:type [ fhir:v "VitalSigns" ] ;
       fhir:mode [ fhir:v "source" ]
     ] [
       fhir:name [ fhir:v "tgt" ] ;
       fhir:type [ fhir:v "MeasureTable" ] ;
       fhir:mode [ fhir:v "target" ]
     ] ) ;
     fhir:rule ( [
       fhir:name [ fhir:v "OnlyMeasures" ] ;
       fhir:source ( [
         fhir:context [ fhir:v "src" ] ;
         fhir:condition [ fhir:v "src.category.coding.code contains 'vital-signs'" ]
       ] ) ;
       fhir:rule ( [
         fhir:name [ fhir:v "vitalSignMapping" ] ;
         fhir:source ( [
           fhir:context [ fhir:v "src" ] ;
           fhir:condition [ fhir:v "src.effective.empty().not()" ]
         ] ) ;
         fhir:rule ( [
           fhir:name [ fhir:v "code" ] ;
           fhir:source ( [
             fhir:context [ fhir:v "src" ] ;
             fhir:element [ fhir:v "code" ] ;
             fhir:variable [ fhir:v "s" ]
           ] ) ;
           fhir:target ( [
             fhir:context [ fhir:v "tgt" ]
           ] ) ;
           fhir:rule ( [
             fhir:name [ fhir:v "coding" ] ;
             fhir:source ( [
               fhir:context [ fhir:v "s" ] ;
               fhir:element [ fhir:v "coding" ] ;
               fhir:variable [ fhir:v "sc" ]
             ] ) ;
             fhir:target ( [
               fhir:context [ fhir:v "tgt" ]
             ] ) ;
             fhir:rule ( [
               fhir:name [ fhir:v "system" ] ;
               fhir:source ( [
                 fhir:context [ fhir:v "sc" ] ;
                 fhir:element [ fhir:v "system" ] ;
                 fhir:condition [ fhir:v "'http://loinc.org'" ]
               ] ) ;
               fhir:rule ( [
                 fhir:name [ fhir:v "code" ] ;
                 fhir:source ( [
                   fhir:context [ fhir:v "sc" ] ;
                   fhir:element [ fhir:v "code" ] ;
                   fhir:variable [ fhir:v "a" ] ;
                   fhir:condition [ fhir:v "(a in ('85354-9' | '8480-6' | '8462-4' | '8478-0')).not()" ]
                 ] ) ;
                 fhir:target ( [
                   fhir:context [ fhir:v "tgt" ] ;
                   fhir:element [ fhir:v "measurement_type_concept_id" ] ;
                   fhir:transform [ fhir:v "translate" ] ;
                   fhir:parameter ( [
                     fhir:value [
                       a fhir:id ;
                       fhir:v "a"
                     ]
                   ] [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "http://hl7.org/fhir/uv/omop/ConceptMap/VitalSignsCodes"
                     ]
                   ] [
                     fhir:value [
                       a fhir:string ;
                       fhir:v "code"
                     ]
                   ] )
                 ] ) ;
                 fhir:rule ( [
                   fhir:name [ fhir:v "display" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "sc" ] ;
                     fhir:element [ fhir:v "display" ] ;
                     fhir:variable [ fhir:v "display" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "measurement_concept_id" ] ;
                     fhir:transform [ fhir:v "copy" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "display"
                       ]
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "effectiveDateTime" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:type [ fhir:v "dateTime" ] ;
                     fhir:element [ fhir:v "effective" ] ;
                     fhir:variable [ fhir:v "edt" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "measurement_datetime" ] ;
                     fhir:transform [ fhir:v "copy" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "edt"
                       ]
                     ] )
                   ] [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "measurement_date" ] ;
                     fhir:transform [ fhir:v "evaluate" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:string ;
                         fhir:v "edt.toString().substring(0, 10)"
                       ]
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "effectiveInstant" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:type [ fhir:v "instant" ] ;
                     fhir:element [ fhir:v "effective" ] ;
                     fhir:variable [ fhir:v "einst" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "measurement_datetime" ] ;
                     fhir:transform [ fhir:v "cast" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "einst"
                       ]
                     ] [
                       fhir:value [
                         a fhir:string ;
                         fhir:v "dateTime"
                       ]
                     ] )
                   ] [
                     fhir:transform [ fhir:v "evaluate" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:string ;
                         fhir:v "einst.toString().substring(0, 10)"
                       ]
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "effectivePeriod" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:type [ fhir:v "Period" ] ;
                     fhir:element [ fhir:v "effective" ] ;
                     fhir:variable [ fhir:v "s" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ]
                   ] ) ;
                   fhir:rule ( [
                     fhir:name [ fhir:v "start" ] ;
                     fhir:source ( [
                       fhir:context [ fhir:v "s" ] ;
                       fhir:element [ fhir:v "start" ] ;
                       fhir:variable [ fhir:v "eps" ]
                     ] ) ;
                     fhir:target ( [
                       fhir:context [ fhir:v "tgt" ] ;
                       fhir:element [ fhir:v "measurement_datetime" ] ;
                       fhir:transform [ fhir:v "cast" ] ;
                       fhir:parameter ( [
                         fhir:value [
                           a fhir:id ;
                           fhir:v "eps"
                         ]
                       ] [
                         fhir:value [
                           a fhir:string ;
                           fhir:v "dateTime"
                         ]
                       ] )
                     ] [
                       fhir:context [ fhir:v "tgt" ] ;
                       fhir:element [ fhir:v "measurement_date" ] ;
                       fhir:transform [ fhir:v "evaluate" ] ;
                       fhir:parameter ( [
                         fhir:value [
                           a fhir:string ;
                           fhir:v "eps.toString().substring(0, 10)"
                         ]
                       ] )
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "valueQuantity" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:type [ fhir:v "Quantity" ] ;
                     fhir:element [ fhir:v "value" ] ;
                     fhir:variable [ fhir:v "s" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ]
                   ] ) ;
                   fhir:rule ( [
                     fhir:name [ fhir:v "value" ] ;
                     fhir:source ( [
                       fhir:context [ fhir:v "s" ] ;
                       fhir:element [ fhir:v "value" ] ;
                       fhir:variable [ fhir:v "a" ]
                     ] ) ;
                     fhir:target ( [
                       fhir:context [ fhir:v "tgt" ] ;
                       fhir:element [ fhir:v "value_as_number" ] ;
                       fhir:transform [ fhir:v "cast" ] ;
                       fhir:parameter ( [
                         fhir:value [
                           a fhir:id ;
                           fhir:v "a"
                         ]
                       ] [
                         fhir:value [
                           a fhir:string ;
                           fhir:v "decimal"
                         ]
                       ] )
                     ] )
                   ] [
                     fhir:name [ fhir:v "unit" ] ;
                     fhir:source ( [
                       fhir:context [ fhir:v "s" ] ;
                       fhir:element [ fhir:v "unit" ] ;
                       fhir:variable [ fhir:v "b" ]
                     ] ) ;
                     fhir:target ( [
                       fhir:context [ fhir:v "tgt" ] ;
                       fhir:element [ fhir:v "unit_concept_id" ] ;
                       fhir:transform [ fhir:v "copy" ] ;
                       fhir:parameter ( [
                         fhir:value [
                           a fhir:id ;
                           fhir:v "b"
                         ]
                       ] )
                     ] )
                   ] ) ;
                   fhir:documentation [ fhir:v "src.issued as s where (src.issued.toDate()  != src.effective) -> tgt.measurement_source_value = (s.toString());" ]
                 ] [
                   fhir:name [ fhir:v "valueCodeableConcept" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:type [ fhir:v "CodeableConcept" ] ;
                     fhir:element [ fhir:v "value" ] ;
                     fhir:variable [ fhir:v "s" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ]
                   ] ) ;
                   fhir:rule ( [
                     fhir:name [ fhir:v "coding" ] ;
                     fhir:source ( [
                       fhir:context [ fhir:v "s" ] ;
                       fhir:element [ fhir:v "coding" ] ;
                       fhir:variable [ fhir:v "sc" ]
                     ] ) ;
                     fhir:target ( [
                       fhir:context [ fhir:v "tgt" ]
                     ] ) ;
                     fhir:rule ( [
                       fhir:name [ fhir:v "code" ] ;
                       fhir:source ( [
                         fhir:context [ fhir:v "sc" ] ;
                         fhir:element [ fhir:v "code" ] ;
                         fhir:variable [ fhir:v "code" ]
                       ] ) ;
                       fhir:target ( [
                         fhir:context [ fhir:v "tgt" ] ;
                         fhir:element [ fhir:v "value_as_concept_id" ] ;
                         fhir:transform [ fhir:v "copy" ] ;
                         fhir:parameter ( [
                           fhir:value [
                             a fhir:id ;
                             fhir:v "code"
                           ]
                         ] )
                       ] )
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "valueString" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:type [ fhir:v "string" ] ;
                     fhir:element [ fhir:v "value" ] ;
                     fhir:variable [ fhir:v "b" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "value_source_value" ] ;
                     fhir:transform [ fhir:v "copy" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "b"
                       ]
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "interpretation" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:element [ fhir:v "interpretation" ] ;
                     fhir:variable [ fhir:v "c" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "value_as_concept_id" ] ;
                     fhir:transform [ fhir:v "cast" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "c"
                       ]
                     ] [
                       fhir:value [
                         a fhir:string ;
                         fhir:v "code"
                       ]
                     ] )
                   ] )
                 ] [
                   fhir:name [ fhir:v "note" ] ;
                   fhir:source ( [
                     fhir:context [ fhir:v "src" ] ;
                     fhir:element [ fhir:v "note" ] ;
                     fhir:variable [ fhir:v "d" ]
                   ] ) ;
                   fhir:target ( [
                     fhir:context [ fhir:v "tgt" ] ;
                     fhir:element [ fhir:v "measurement_source_value" ] ;
                     fhir:transform [ fhir:v "cast" ] ;
                     fhir:parameter ( [
                       fhir:value [
                         a fhir:id ;
                         fhir:v "d"
                       ]
                     ] [
                       fhir:value [
                         a fhir:string ;
                         fhir:v "string"
                       ]
                     ] )
                   ] )
                 ] )
               ] )
             ] )
           ] )
         ] )
       ] )
     ] )
  ] ) . #