CDA to FHIR Maps, published by HL7 Italy. 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/hl7-it/cda2fhir/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: CDA to FHIR - PRESCRIZIONE SPECIALISTICA - XML Representation

Draft as of 2024-09-15

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="cda2fhirSpecPrescription"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
         <pre>map &quot;http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirSpecPrescription&quot; = &quot;cda2fhirSpecPrescription&quot;

uses &quot;http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument&quot; alias ClinicalDocument as source
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor&quot; alias AssignedAuthor as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity&quot; alias AssignedEntity as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity&quot; alias AssociatedEntity as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization&quot; alias CustodianOrganization as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf&quot; alias OrganizationPartOf as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/Organization&quot; alias rapresentedOrganization as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/Section&quot; alias Section as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/PatientRole&quot; alias PatientRole as queried
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/AD&quot; alias AD as source
uses &quot;http://hl7.org/fhir/StructureDefinition/Bundle&quot; alias Bundle as target
uses &quot;http://hl7.org/fhir/StructureDefinition/Composition&quot; alias Composition as produced
uses &quot;http://hl7.org/fhir/StructureDefinition/Patient&quot; alias Patient as produced
uses &quot;http://hl7.org/fhir/StructureDefinition/Encounter&quot; alias Encounter as produced
uses &quot;http://hl7.org/fhir/StructureDefinition/Person&quot; alias Patient as produced
uses &quot;http://hl7.org/fhir/StructureDefinition/List&quot; alias List as produced
uses &quot;http://hl7.org/fhir/StructureDefinition/Practitioner&quot; alias Practitioner as produced
uses &quot;http://hl7.org/fhir/StructureDefinition/Organization&quot; alias Organization as produced
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/Act&quot; alias Act as produced
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ&quot; alias IVL_PQ as source
uses &quot;http://hl7.org/fhir/cda/StructureDefinition/PQ&quot; alias PQ as source
uses &quot;http://hl7.org/fhir/StructureDefinition/SimpleQuantity&quot; alias SimpleQuantity as target

imports &quot;http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirDataTypes&quot;
imports &quot;http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirHeader&quot;

group CdaToBundle(source cda : ClinicalDocument, target bundle : Bundle) {
  cda -&gt;  bundle.entry as e,  e.request = create('BackboneElement') as request,  request.method = 'POST',  e.resource = create('Composition') as composition,  composition.id = uuid() as uuid1,  e.fullUrl = append('https://example/Composition/', uuid1),  request.url = 'Composition',  bundle.entry as e2,  e2.request = create('BackboneElement') as requestPAT,  requestPAT.method = 'PUT',  e2.resource = create('Patient') as patient,  patient.id = uuid() as uuid2,  e2.fullUrl = append('https://example/Patient/', uuid2),  bundle.entry as e3,  e3.request = create('BackboneElement') as request,  request.method = 'POST',  e3.resource = create('Encounter') as encounter,  encounter.id = uuid() as uuid3,  e3.fullUrl = append('https://example/Encounter/', uuid3),  request.url = 'Encounter',  bundle.entry as e4,  e4.request = create('BackboneElement') as request,  request.method = 'POST',  e4.resource = create('DocumentReference') as DocumentReference,  DocumentReference.id = uuid() as uuid4,  e4.fullUrl = append('https://example/DocumentReference/', uuid4),  request.url = 'DocumentReference' then {
    cda then ClinicalDocumentToBundle(cda, patient, composition, encounter, bundle, DocumentReference) &quot;cdatobundle&quot;;
    cda.recordTarget as recordTarget then {
      recordTarget.patientRole as patient then {
        patient.id as id -&gt; patient.identifier as identifier then {
          id.root as r -&gt; identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') &quot;root1&quot;;
          id.extension as ext1 -&gt; identifier.value = ext1 &quot;value&quot;;
          id.assigningAuthorityName as s -&gt;  identifier.assigner as a,  a.display = s;
        } &quot;idfr&quot;;
        patient.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') or (root = '2.16.840.1.113883.2.9.4.3.7') or (root = '2.16.840.1.113883.2.9.4.3.3') or (root = '2.16.840.1.113883.2.9.4.3.17') or (root = '2.16.840.1.113883.2.9.4.3.18') or (root = '2.16.840.1.113883.2.9.2.10.4.1.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1.1') or (root = '2.16.840.1.113883.2.9.2.10.4.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1') or (root = '2.16.840.1.113883.2.9.4.3.15') then {
          id.extension as ext -&gt; requestPAT.url = append('Patient?identifier=', ext) &quot;UUID&quot;;
        } &quot;ext&quot;;
      } &quot;recPat&quot;;
    } &quot;patient&quot;;
  } &quot;ClinicalDocumentToBody&quot;;
}

group ClinicalDocumentToBundle(source cda : ClinicalDocument, target patient : Patient, target composition : Composition, target encounter : Encounter, target bundle : Bundle, target DocumentReference : DocumentReference) {
  cda -&gt; bundle.id = uuid() &quot;id&quot;;
  cda.id -&gt; bundle.identifier &quot;identifier&quot;;
  cda -&gt; bundle.type = 'transaction' &quot;type&quot;;
  cda -&gt; bundle.timestamp = (timestamp.now()) &quot;date&quot;;
  cda then ClinicalDocumentComposition(cda, composition, patient, encounter, bundle, DocumentReference) &quot;composition&quot;;
  cda -&gt;  bundle.entry as e,  e.request = create('BackboneElement') as request,  request.method = 'POST',  e.resource = create('ServiceRequest') as ServiceRequest,  ServiceRequest.id = uuid() as uuid1,  e.fullUrl = append('https://example/ServiceRequest/', uuid1),  request.url = 'ServiceRequest' then {
    cda -&gt; ServiceRequest.intent = 'order' &quot;intent&quot;;
    cda -&gt; ServiceRequest.status = 'unknown' &quot;stats&quot;;
    cda -&gt;  ServiceRequest.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
    cda.component as component then {
      component.structuredBody as body then {
        body.component as component then {
          component.section as srcSection then {
            srcSection.code -&gt; composition.section as tgtSection then ClinicalDocumentSection(cda, srcSection, patient, tgtSection, bundle, encounter, ServiceRequest);
          };
        };
      } &quot;body&quot;;
    };
  } &quot;ServiceRequest&quot;;
}

group ClinicalDocumentSection(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter, target ServiceRequest : ServiceRequest) {
  src.title as t -&gt; tgt.title = (t.dataString);
  src.code -&gt; tgt.code;
  src.code as code where (code = '48767-8') or (code = '51851-4') or (code = '57827-8') or (code = '57828-6') then {
    src -&gt;  tgt.entry = create('Reference') as reference,  reference.reference = ('https://example/ServiceRequest/' + %ServiceRequest.id) &quot;reference&quot;;
  } &quot;Note&quot;;
  // src.entry as entry then{
  src.text as cdaText -&gt; tgt.text as fhirText then {
    cdaText -&gt; fhirText.status = 'generated' &quot;narrativeStatus&quot;;
    cdaText as t -&gt; fhirText.div = t &quot;narrativeText&quot;;
  } &quot;cdaText&quot;;
  // --------------Sezione Esenzioni------------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '57827-8') then {
    src.id -&gt; ServiceRequest.identifier;
    src.entry as entry -&gt;  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('Coverage') as Coverage,  Coverage.id = uuid() as uuid11,  e11.fullUrl = append('https://example/Coverage/', uuid11),  request.url = 'Coverage',  ServiceRequest.insurance = create('Reference') as reference,  reference.reference = ('https://example/Coverage/' + %Coverage.id) then {
      src -&gt;  Coverage.beneficiary = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
      src -&gt;  Coverage.payor = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
      src where statusCode.exists().not() -&gt; Coverage.status = 'active' &quot;statusAbsent&quot;;
      entry.act as act then {
        act.code -&gt; Coverage.type;
      };
    };
  } &quot;Esenzioni&quot;;
  // -------------Sezione Prescrizioni-------------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '57828-6') then {
    src.entry as entry then {
      entry.observation as observation then {
        observation.code -&gt; ServiceRequest.code;
        // observation.priorityCode-&gt;ServiceRequest.priority&quot;priority&quot;;
        observation.priorityCode as priorityCode then {
          priorityCode.code as v -&gt; ServiceRequest.priority = translate(v, '#priority', 'code') &quot;priority&quot;;
        };
        observation.repeatNumber as repeatNumber -&gt; ServiceRequest.quantity = create('Quantity') as Ratio then {
          repeatNumber.value as value -&gt; Ratio.value = value;
        } &quot;value&quot;;
        observation.participant as participant then {
          participant.participantRole as partRol then {
            partRol.scopingEntity as scopingEntity then {
              scopingEntity.code -&gt; ServiceRequest.locationCode;
            } &quot;ScopingEntity&quot;;
          } &quot;PartROle&quot;;
        } &quot;Location&quot;;
        // ----------------codice Patologia------------------------------------------------------------------------------------------------------------------------------------
        observation.entryRelationship as entryRelationship then {
          entryRelationship.act as act then {
            act.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.275') -&gt;  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('Condition') as Condition,  Condition.id = uuid() as uuid11,  e11.fullUrl = append('https://example/Condition/', uuid11),  request.url = 'Condition',  ServiceRequest.reasonReference = create('Reference') as reference,  reference.reference = ('https://example/Condition/' + %Condition.id) then {
              act -&gt;  Condition.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
              act -&gt;  Condition.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %enc.id) &quot;reference&quot;;
              act -&gt; Condition.clinicalStatus as status2 then {
                act -&gt; status2.coding as status3 then {
                  act -&gt; status3.code = 'unknown' &quot;finald&quot;;
                  act -&gt; status3.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' &quot;system&quot;;
                } &quot;st3&quot;;
              } &quot;status&quot;;
              act.code -&gt; Condition.code;
            } &quot;Condition&quot;;
          };
        } &quot;entryrelationshipCondition&quot;;
        // ---------Tipo di Visita---------------------------------------------------------------------------------------------------------------------------------
        observation.entryRelationship as entryRelationship then {
          entryRelationship.encounter as encounter then {
            encounter.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.276') then {
              encounter -&gt;  ServiceRequest.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %enc.id) then {
                observation.entryRelationship as entryRelationship then {
                  entryRelationship.encounter as encounter1 then {
                    encounter1.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.281') then {
                      // encounter1.code -&gt; enc.class;
                      encounter1.code as code1 -&gt; enc.class = create('Coding') as coding then {
                        code1.code as code -&gt; coding.code = cast(code, 'string');
                        code1.codeSystem as system -&gt; coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
                        code1.displayName as display -&gt; coding.display = cast(display, 'string');
                      } &quot;class&quot;;
                    } &quot;reference&quot;;
                  } &quot;templateId&quot;;
                } &quot;Act&quot;;
              } &quot;encounter&quot;;
            };
          } &quot;Act&quot;;
        };
        // ------------Nota esplicita--------------------------------------------------------------------------------------------------------------------------------------------
        observation.entryRelationship as entryRelationship then {
          entryRelationship.act as act then {
            act.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.274') then {
              act.text as text -&gt; ServiceRequest.note as note then {
                text.reference as t then {
                  t.value as l -&gt; note.text = l &quot;reference&quot;;
                } &quot;tcx&quot;;
              } &quot;reference&quot;;
            };
          } &quot;Act&quot;;
        };
        observation.entryRelationship as entryRelationship then {
          entryRelationship.act as act then {
            act.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.278') then {
              act.code -&gt; ServiceRequest.reasonCode;
            } &quot;reference&quot;;
          } &quot;templateId&quot;;
        } &quot;Act&quot;;
        // -----Sedute-----------------------------------------------------------------------------------------------------------------------------------------------
        observation.entryRelationship as entryRelationship then {
          entryRelationship.observation as observation then {
            observation.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.277') then {
              observation.repeatNumber as repeatNumber -&gt; ServiceRequest.occurrence = create('Timing') as Timing then {
                repeatNumber -&gt; Timing.repeat as repeat then {
                  repeatNumber.value as value -&gt; repeat.count = value &quot;count&quot;;
                } &quot;event&quot;;
              } &quot;Count&quot;;
            } &quot;Timing&quot;;
          } &quot;templateId&quot;;
        } &quot;Act&quot;;
      } &quot;Observation&quot;;
    };
  } &quot;Esenzioni&quot;;
  // ------------Sezione Annotazioni-----------------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '48767-8') then {
    src.entry as entry then {
      entry.act as act then {
        act.text as text -&gt; ServiceRequest.note as note then {
          text.reference as t then {
            t.value as l -&gt; note.text = l &quot;reference&quot;;
          } &quot;tcx&quot;;
        } &quot;reference&quot;;
      };
    };
  } &quot;Annotazioni&quot;;
  // ----------Sezione Messaggio Regionale-----------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '51851-4') then {
    src.text as cdaText -&gt; ServiceRequest.note as note then {
      cdaText as text then {
        text as l -&gt; note.text = l &quot;reference&quot;;
      } &quot;tcx&quot;;
    } &quot;reference&quot;;
  } &quot;MessaggioRegionale&quot;;
  // -------Sezione Parametri Vitali---------------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '8716-3') -&gt;  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('Observation') as Observation,  Observation.id = uuid() as uuid11,  e11.fullUrl = append('https://example/Observation/', uuid11),  request.url = 'Observation',  tgt.entry = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %Observation.id) then {
    src -&gt;  Observation.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
    src -&gt;  Observation.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %enc.id) &quot;reference&quot;;
    src.code -&gt; Observation.code;
    src where Observation.statusCode.exists().not() then {
      src -&gt; Observation.status = 'final' &quot;status&quot;;
    } &quot;statuscode&quot;;
    src.text as cdaText -&gt; Observation.note as note then {
      cdaText as t -&gt; note.text = t &quot;reference&quot;;
    } &quot;reference&quot;;
  } &quot;ParametriVitali&quot;;
  // -------Sezione Allergie------------------------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '48765-2') -&gt;  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('AllergyIntolerance') as AllergyIntolerance,  AllergyIntolerance.id = uuid() as uuid11,  e11.fullUrl = append('https://example/AllergyIntolerance/', uuid11),  request.url = 'AllergyIntolerance',  tgt.entry = create('Reference') as reference,  reference.reference = ('https://example/AllergyIntolerance/' + %AllergyIntolerance.id) then {
    src -&gt;  AllergyIntolerance.patient = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
    src -&gt; AllergyIntolerance.clinicalStatus = create('CodeableConcept') as status then {
      src -&gt; status.text = 'string' &quot;text&quot;;
      src -&gt; status.coding = create('Coding') as coding then {
        src -&gt; coding.code = 'active' &quot;active&quot;;
        src -&gt; coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' &quot;system&quot;;
      } &quot;coding&quot;;
    } &quot;allergy&quot;;
    src.text as cdaText -&gt; AllergyIntolerance.note as note then {
      cdaText as t -&gt; note.text = t &quot;reference&quot;;
    } &quot;reference&quot;;
  } &quot;Allergie&quot;;
  // ------Sezione Stato Funzionale------------------------------------------------------------------------------------------------------------------------------------------
  src.code as code where (code = '47420-5') -&gt;  bundle.entry as e11,  e11.request = create('BackboneElement') as request,  request.method = 'POST',  e11.resource = create('Observation') as Observation,  Observation.id = uuid() as uuid11,  e11.fullUrl = append('https://example/Observation/', uuid11),  request.url = 'Observation',  tgt.entry = create('Reference') as reference,  reference.reference = ('https://example/Observation/' + %Observation.id) then {
    src -&gt;  Observation.subject = create('Reference') as reference,  reference.reference = ('https://example/Patient/' + %patient.id) &quot;reference&quot;;
    src -&gt;  Observation.encounter = create('Reference') as reference,  reference.reference = ('https://example/Encounter/' + %enc.id) &quot;reference&quot;;
    src.code -&gt; Observation.code;
    src where Observation.statusCode.exists().not() then {
      src -&gt; Observation.status = 'final' &quot;status&quot;;
    } &quot;statuscode&quot;;
    src.text as cdaText -&gt; Observation.note as note then {
      cdaText as t -&gt; note.text = t &quot;reference&quot;;
    } &quot;reference&quot;;
  } &quot;StatoFunzionale&quot;;
}

</pre>
      </div>
  </text>
  <url
       value="http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirSpecPrescription"/>
  <version value="0.1.0"/>
  <name value="cda2fhirSpecPrescription"/>
  <status value="draft"/>
  <date value="2024-09-15T08:16:12+00:00"/>
  <publisher value="HL7 Italy"/>
  <contact>
    <name value="HL7 Italy"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.it"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="IT"/>
      <display value="Italy"/>
    </coding>
  </jurisdiction>
  <structure>
    <url
         value="http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument"/>
    <mode value="source"/>
    <alias value="ClinicalDocument"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor"/>
    <mode value="queried"/>
    <alias value="AssignedAuthor"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity"/>
    <mode value="queried"/>
    <alias value="AssignedEntity"/>
  </structure>
  <structure>
    <url
         value="http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity"/>
    <mode value="queried"/>
    <alias value="AssociatedEntity"/>
  </structure>
  <structure>
    <url
         value="http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization"/>
    <mode value="queried"/>
    <alias value="CustodianOrganization"/>
  </structure>
  <structure>
    <url
         value="http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf"/>
    <mode value="queried"/>
    <alias value="OrganizationPartOf"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/Organization"/>
    <mode value="queried"/>
    <alias value="rapresentedOrganization"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/Section"/>
    <mode value="queried"/>
    <alias value="Section"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/PatientRole"/>
    <mode value="queried"/>
    <alias value="PatientRole"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/AD"/>
    <mode value="source"/>
    <alias value="AD"/>
  </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/Composition"/>
    <mode value="produced"/>
    <alias value="Composition"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Patient"/>
    <mode value="produced"/>
    <alias value="Patient"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
    <mode value="produced"/>
    <alias value="Encounter"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Person"/>
    <mode value="produced"/>
    <alias value="Patient"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/List"/>
    <mode value="produced"/>
    <alias value="List"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
    <mode value="produced"/>
    <alias value="Practitioner"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Organization"/>
    <mode value="produced"/>
    <alias value="Organization"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/Act"/>
    <mode value="produced"/>
    <alias value="Act"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ"/>
    <mode value="source"/>
    <alias value="IVL_PQ"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/cda/StructureDefinition/PQ"/>
    <mode value="source"/>
    <alias value="PQ"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
    <mode value="target"/>
    <alias value="SimpleQuantity"/>
  </structure>
  <import value="http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirDataTypes"/>
  <import value="http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirHeader"/>
  <group>
    <name value="CdaToBundle"/>
    <typeMode value="none"/>
    <input>
      <name value="cda"/>
      <type value="ClinicalDocument"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="ClinicalDocumentToBody"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e"/>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="composition"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Composition"/>
        </parameter>
      </target>
      <target>
        <context value="composition"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid1"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/Composition/"/>
        </parameter>
        <parameter>
          <valueId value="uuid1"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="Composition"/>
        </parameter>
      </target>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e2"/>
      </target>
      <target>
        <context value="e2"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="requestPAT"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="requestPAT"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="PUT"/>
        </parameter>
      </target>
      <target>
        <context value="e2"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="patient"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Patient"/>
        </parameter>
      </target>
      <target>
        <context value="patient"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid2"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e2"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/Patient/"/>
        </parameter>
        <parameter>
          <valueId value="uuid2"/>
        </parameter>
      </target>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e3"/>
      </target>
      <target>
        <context value="e3"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e3"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="encounter"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Encounter"/>
        </parameter>
      </target>
      <target>
        <context value="encounter"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid3"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e3"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/Encounter/"/>
        </parameter>
        <parameter>
          <valueId value="uuid3"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="Encounter"/>
        </parameter>
      </target>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e4"/>
      </target>
      <target>
        <context value="e4"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e4"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="DocumentReference"/>
        <transform value="create"/>
        <parameter>
          <valueString value="DocumentReference"/>
        </parameter>
      </target>
      <target>
        <context value="DocumentReference"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid4"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e4"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/DocumentReference/"/>
        </parameter>
        <parameter>
          <valueId value="uuid4"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="DocumentReference"/>
        </parameter>
      </target>
      <rule>
        <name value="cdatobundle"/>
        <source>
          <context value="cda"/>
        </source>
        <dependent>
          <name value="ClinicalDocumentToBundle"/>
          <variable value="cda"/>
          <variable value="patient"/>
          <variable value="composition"/>
          <variable value="encounter"/>
          <variable value="bundle"/>
          <variable value="DocumentReference"/>
        </dependent>
      </rule>
      <rule>
        <name value="patient"/>
        <source>
          <context value="cda"/>
          <element value="recordTarget"/>
          <variable value="recordTarget"/>
        </source>
        <rule>
          <name value="recPat"/>
          <source>
            <context value="recordTarget"/>
            <element value="patientRole"/>
            <variable value="patient"/>
          </source>
          <rule>
            <name value="idfr"/>
            <source>
              <context value="patient"/>
              <element value="id"/>
              <variable value="id"/>
            </source>
            <target>
              <context value="patient"/>
              <contextType value="variable"/>
              <element value="identifier"/>
              <variable value="identifier"/>
            </target>
            <rule>
              <name value="root1"/>
              <source>
                <context value="id"/>
                <element value="root"/>
                <variable value="r"/>
              </source>
              <target>
                <context value="identifier"/>
                <contextType value="variable"/>
                <element value="system"/>
                <transform value="translate"/>
                <parameter>
                  <valueId value="r"/>
                </parameter>
                <parameter>
                  <valueString
                               value="http://hl7.org/fhir/ConceptMap/special-oid2uri"/>
                </parameter>
                <parameter>
                  <valueString value="uri"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="value"/>
              <source>
                <context value="id"/>
                <element value="extension"/>
                <variable value="ext1"/>
              </source>
              <target>
                <context value="identifier"/>
                <contextType value="variable"/>
                <element value="value"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="ext1"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="assigningAuthorityName"/>
              <source>
                <context value="id"/>
                <element value="assigningAuthorityName"/>
                <variable value="s"/>
              </source>
              <target>
                <context value="identifier"/>
                <contextType value="variable"/>
                <element value="assigner"/>
                <variable value="a"/>
              </target>
              <target>
                <context value="a"/>
                <contextType value="variable"/>
                <element value="display"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="s"/>
                </parameter>
              </target>
            </rule>
          </rule>
          <rule>
            <name value="ext"/>
            <source>
              <context value="patient"/>
              <element value="id"/>
              <variable value="id"/>
              <condition
                         value="(root = '2.16.840.1.113883.2.9.4.3.2') or (root = '2.16.840.1.113883.2.9.4.3.7') or (root = '2.16.840.1.113883.2.9.4.3.3') or (root = '2.16.840.1.113883.2.9.4.3.17') or (root = '2.16.840.1.113883.2.9.4.3.18') or (root = '2.16.840.1.113883.2.9.2.10.4.1.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1.1') or (root = '2.16.840.1.113883.2.9.2.10.4.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1') or (root = '2.16.840.1.113883.2.9.4.3.15')"/>
            </source>
            <rule>
              <name value="UUID"/>
              <source>
                <context value="id"/>
                <element value="extension"/>
                <variable value="ext"/>
              </source>
              <target>
                <context value="requestPAT"/>
                <contextType value="variable"/>
                <element value="url"/>
                <transform value="append"/>
                <parameter>
                  <valueString value="Patient?identifier="/>
                </parameter>
                <parameter>
                  <valueId value="ext"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="ClinicalDocumentToBundle"/>
    <typeMode value="none"/>
    <input>
      <name value="cda"/>
      <type value="ClinicalDocument"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="patient"/>
      <type value="Patient"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="composition"/>
      <type value="Composition"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="encounter"/>
      <type value="Encounter"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="DocumentReference"/>
      <type value="DocumentReference"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="id"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
    </rule>
    <rule>
      <name value="identifier"/>
      <source>
        <context value="cda"/>
        <element value="id"/>
        <variable value="vvv"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="identifier"/>
        <variable value="vvv"/>
        <transform value="create"/>
      </target>
    </rule>
    <rule>
      <name value="type"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="type"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="transaction"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="date"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="timestamp"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="timestamp.now()"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="composition"/>
      <source>
        <context value="cda"/>
      </source>
      <dependent>
        <name value="ClinicalDocumentComposition"/>
        <variable value="cda"/>
        <variable value="composition"/>
        <variable value="patient"/>
        <variable value="encounter"/>
        <variable value="bundle"/>
        <variable value="DocumentReference"/>
      </dependent>
    </rule>
    <rule>
      <name value="ServiceRequest"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e"/>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="ServiceRequest"/>
        <transform value="create"/>
        <parameter>
          <valueString value="ServiceRequest"/>
        </parameter>
      </target>
      <target>
        <context value="ServiceRequest"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid1"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/ServiceRequest/"/>
        </parameter>
        <parameter>
          <valueId value="uuid1"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="ServiceRequest"/>
        </parameter>
      </target>
      <rule>
        <name value="intent"/>
        <source>
          <context value="cda"/>
        </source>
        <target>
          <context value="ServiceRequest"/>
          <contextType value="variable"/>
          <element value="intent"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="order"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="stats"/>
        <source>
          <context value="cda"/>
        </source>
        <target>
          <context value="ServiceRequest"/>
          <contextType value="variable"/>
          <element value="status"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="unknown"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="reference"/>
        <source>
          <context value="cda"/>
        </source>
        <target>
          <context value="ServiceRequest"/>
          <contextType value="variable"/>
          <element value="subject"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Patient/' + %patient.id"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="component"/>
        <source>
          <context value="cda"/>
          <element value="component"/>
          <variable value="component"/>
        </source>
        <rule>
          <name value="body"/>
          <source>
            <context value="component"/>
            <element value="structuredBody"/>
            <variable value="body"/>
          </source>
          <rule>
            <name value="component"/>
            <source>
              <context value="body"/>
              <element value="component"/>
              <variable value="component"/>
            </source>
            <rule>
              <name value="section"/>
              <source>
                <context value="component"/>
                <element value="section"/>
                <variable value="srcSection"/>
              </source>
              <rule>
                <name value="code"/>
                <source>
                  <context value="srcSection"/>
                  <element value="code"/>
                </source>
                <target>
                  <context value="composition"/>
                  <contextType value="variable"/>
                  <element value="section"/>
                  <variable value="tgtSection"/>
                </target>
                <dependent>
                  <name value="ClinicalDocumentSection"/>
                  <variable value="cda"/>
                  <variable value="srcSection"/>
                  <variable value="patient"/>
                  <variable value="tgtSection"/>
                  <variable value="bundle"/>
                  <variable value="encounter"/>
                  <variable value="ServiceRequest"/>
                </dependent>
              </rule>
            </rule>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="ClinicalDocumentSection"/>
    <typeMode value="none"/>
    <input>
      <name value="cda"/>
      <type value="ClinicalDocument"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="src"/>
      <type value="Section"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="patient"/>
      <type value="Patient"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="tgt"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="enc"/>
      <type value="Encounter"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="ServiceRequest"/>
      <type value="ServiceRequest"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="title"/>
      <source>
        <context value="src"/>
        <element value="title"/>
        <variable value="t"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="title"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="t.dataString"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="code"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="vvv"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="code"/>
        <variable value="vvv"/>
        <transform value="create"/>
      </target>
    </rule>
    <rule>
      <name value="Note"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition
                   value="(code = '48767-8') or (code = '51851-4') or (code = '57827-8') or (code = '57828-6')"/>
      </source>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="tgt"/>
          <contextType value="variable"/>
          <element value="entry"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString
                         value="'https://example/ServiceRequest/' + %ServiceRequest.id"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="cdaText"/>
      <source>
        <context value="src"/>
        <element value="text"/>
        <variable value="cdaText"/>
      </source>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="text"/>
        <variable value="fhirText"/>
      </target>
      <rule>
        <name value="narrativeStatus"/>
        <source>
          <context value="cdaText"/>
        </source>
        <target>
          <context value="fhirText"/>
          <contextType value="variable"/>
          <element value="status"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="generated"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="narrativeText"/>
        <source>
          <context value="cdaText"/>
          <variable value="t"/>
        </source>
        <target>
          <context value="fhirText"/>
          <contextType value="variable"/>
          <element value="div"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="t"/>
          </parameter>
        </target>
      </rule>
      <documentation value="src.entry as entry then{"/>
    </rule>
    <rule>
      <name value="Esenzioni"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '57827-8')"/>
      </source>
      <rule>
        <name value="id"/>
        <source>
          <context value="src"/>
          <element value="id"/>
          <variable value="vvv"/>
        </source>
        <target>
          <context value="ServiceRequest"/>
          <contextType value="variable"/>
          <element value="identifier"/>
          <variable value="vvv"/>
          <transform value="create"/>
        </target>
      </rule>
      <rule>
        <name value="entry"/>
        <source>
          <context value="src"/>
          <element value="entry"/>
          <variable value="entry"/>
        </source>
        <target>
          <context value="bundle"/>
          <contextType value="variable"/>
          <element value="entry"/>
          <variable value="e11"/>
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        <target>
          <context value="e11"/>
          <contextType value="variable"/>
          <element value="request"/>
          <variable value="request"/>
          <transform value="create"/>
          <parameter>
            <valueString value="BackboneElement"/>
          </parameter>
        </target>
        <target>
          <context value="request"/>
          <contextType value="variable"/>
          <element value="method"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="POST"/>
          </parameter>
        </target>
        <target>
          <context value="e11"/>
          <contextType value="variable"/>
          <element value="resource"/>
          <variable value="Coverage"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Coverage"/>
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        </target>
        <target>
          <context value="Coverage"/>
          <contextType value="variable"/>
          <element value="id"/>
          <variable value="uuid11"/>
          <transform value="uuid"/>
        </target>
        <target>
          <context value="e11"/>
          <contextType value="variable"/>
          <element value="fullUrl"/>
          <transform value="append"/>
          <parameter>
            <valueString value="https://example/Coverage/"/>
          </parameter>
          <parameter>
            <valueId value="uuid11"/>
          </parameter>
        </target>
        <target>
          <context value="request"/>
          <contextType value="variable"/>
          <element value="url"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="Coverage"/>
          </parameter>
        </target>
        <target>
          <context value="ServiceRequest"/>
          <contextType value="variable"/>
          <element value="insurance"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Coverage/' + %Coverage.id"/>
          </parameter>
        </target>
        <rule>
          <name value="reference"/>
          <source>
            <context value="src"/>
          </source>
          <target>
            <context value="Coverage"/>
            <contextType value="variable"/>
            <element value="beneficiary"/>
            <variable value="reference"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Reference"/>
            </parameter>
          </target>
          <target>
            <context value="reference"/>
            <contextType value="variable"/>
            <element value="reference"/>
            <transform value="evaluate"/>
            <parameter>
              <valueString value="'https://example/Patient/' + %patient.id"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="reference"/>
          <source>
            <context value="src"/>
          </source>
          <target>
            <context value="Coverage"/>
            <contextType value="variable"/>
            <element value="payor"/>
            <variable value="reference"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Reference"/>
            </parameter>
          </target>
          <target>
            <context value="reference"/>
            <contextType value="variable"/>
            <element value="reference"/>
            <transform value="evaluate"/>
            <parameter>
              <valueString value="'https://example/Patient/' + %patient.id"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="statusAbsent"/>
          <source>
            <context value="src"/>
            <condition value="statusCode.exists().not()"/>
          </source>
          <target>
            <context value="Coverage"/>
            <contextType value="variable"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="active"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="act"/>
          <source>
            <context value="entry"/>
            <element value="act"/>
            <variable value="act"/>
          </source>
          <rule>
            <name value="code"/>
            <source>
              <context value="act"/>
              <element value="code"/>
              <variable value="vvv"/>
            </source>
            <target>
              <context value="Coverage"/>
              <contextType value="variable"/>
              <element value="type"/>
              <variable value="vvv"/>
              <transform value="create"/>
            </target>
          </rule>
        </rule>
      </rule>
      <documentation
                     value="--------------Sezione Esenzioni------------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
    <rule>
      <name value="Esenzioni"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '57828-6')"/>
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      <rule>
        <name value="entry"/>
        <source>
          <context value="src"/>
          <element value="entry"/>
          <variable value="entry"/>
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        <rule>
          <name value="Observation"/>
          <source>
            <context value="entry"/>
            <element value="observation"/>
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            <name value="code"/>
            <source>
              <context value="observation"/>
              <element value="code"/>
              <variable value="vvv"/>
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              <context value="ServiceRequest"/>
              <contextType value="variable"/>
              <element value="code"/>
              <variable value="vvv"/>
              <transform value="create"/>
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          <rule>
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              <context value="observation"/>
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              <variable value="priorityCode"/>
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            <rule>
              <name value="priority"/>
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                <context value="priorityCode"/>
                <element value="code"/>
                <variable value="v"/>
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              <target>
                <context value="ServiceRequest"/>
                <contextType value="variable"/>
                <element value="priority"/>
                <transform value="translate"/>
                <parameter>
                  <valueId value="v"/>
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                <parameter>
                  <valueString value="#priority"/>
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                <parameter>
                  <valueString value="code"/>
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              </target>
            </rule>
            <documentation
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          <rule>
            <name value="value"/>
            <source>
              <context value="observation"/>
              <element value="repeatNumber"/>
              <variable value="repeatNumber"/>
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            <target>
              <context value="ServiceRequest"/>
              <contextType value="variable"/>
              <element value="quantity"/>
              <variable value="Ratio"/>
              <transform value="create"/>
              <parameter>
                <valueString value="Quantity"/>
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            </target>
            <rule>
              <name value="value"/>
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                <context value="repeatNumber"/>
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                <context value="Ratio"/>
                <contextType value="variable"/>
                <element value="value"/>
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                  <valueId value="value"/>
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              </target>
            </rule>
          </rule>
          <rule>
            <name value="Location"/>
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              <context value="observation"/>
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            <rule>
              <name value="PartROle"/>
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                <context value="participant"/>
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                <rule>
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                  <source>
                    <context value="scopingEntity"/>
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                    <variable value="vvv"/>
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                    <context value="ServiceRequest"/>
                    <contextType value="variable"/>
                    <element value="locationCode"/>
                    <variable value="vvv"/>
                    <transform value="create"/>
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                </rule>
              </rule>
            </rule>
          </rule>
          <rule>
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              <context value="observation"/>
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              <source>
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                <target>
                  <context value="bundle"/>
                  <contextType value="variable"/>
                  <element value="entry"/>
                  <variable value="e11"/>
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                  <context value="e11"/>
                  <contextType value="variable"/>
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                  <variable value="request"/>
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                <target>
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                  <contextType value="variable"/>
                  <element value="method"/>
                  <transform value="copy"/>
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                    <valueString value="POST"/>
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                <target>
                  <context value="e11"/>
                  <contextType value="variable"/>
                  <element value="resource"/>
                  <variable value="Condition"/>
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                    <valueString value="Condition"/>
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                <target>
                  <context value="Condition"/>
                  <contextType value="variable"/>
                  <element value="id"/>
                  <variable value="uuid11"/>
                  <transform value="uuid"/>
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                <target>
                  <context value="e11"/>
                  <contextType value="variable"/>
                  <element value="fullUrl"/>
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                    <valueString value="https://example/Condition/"/>
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                  <parameter>
                    <valueId value="uuid11"/>
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                <target>
                  <context value="request"/>
                  <contextType value="variable"/>
                  <element value="url"/>
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                    <valueString value="Condition"/>
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                <target>
                  <context value="ServiceRequest"/>
                  <contextType value="variable"/>
                  <element value="reasonReference"/>
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                  <parameter>
                    <valueString value="Reference"/>
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                <target>
                  <context value="reference"/>
                  <contextType value="variable"/>
                  <element value="reference"/>
                  <transform value="evaluate"/>
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                    <valueString
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                <rule>
                  <name value="reference"/>
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                    <context value="act"/>
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                    <context value="Condition"/>
                    <contextType value="variable"/>
                    <element value="subject"/>
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                    <transform value="create"/>
                    <parameter>
                      <valueString value="Reference"/>
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                  <target>
                    <context value="reference"/>
                    <contextType value="variable"/>
                    <element value="reference"/>
                    <transform value="evaluate"/>
                    <parameter>
                      <valueString
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                <rule>
                  <name value="reference"/>
                  <source>
                    <context value="act"/>
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                  <target>
                    <context value="Condition"/>
                    <contextType value="variable"/>
                    <element value="encounter"/>
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                      <valueString value="Reference"/>
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                  <target>
                    <context value="reference"/>
                    <contextType value="variable"/>
                    <element value="reference"/>
                    <transform value="evaluate"/>
                    <parameter>
                      <valueString
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                </rule>
                <rule>
                  <name value="status"/>
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                    <context value="act"/>
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                  <target>
                    <context value="Condition"/>
                    <contextType value="variable"/>
                    <element value="clinicalStatus"/>
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                  <rule>
                    <name value="st3"/>
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                      <context value="act"/>
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                    <target>
                      <context value="status2"/>
                      <contextType value="variable"/>
                      <element value="coding"/>
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                    <rule>
                      <name value="finald"/>
                      <source>
                        <context value="act"/>
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                      <target>
                        <context value="status3"/>
                        <contextType value="variable"/>
                        <element value="code"/>
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                        <parameter>
                          <valueString value="unknown"/>
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                    </rule>
                    <rule>
                      <name value="system"/>
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                        <context value="act"/>
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                      <target>
                        <context value="status3"/>
                        <contextType value="variable"/>
                        <element value="system"/>
                        <transform value="copy"/>
                        <parameter>
                          <valueString
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                    </rule>
                  </rule>
                </rule>
                <rule>
                  <name value="code"/>
                  <source>
                    <context value="act"/>
                    <element value="code"/>
                    <variable value="vvv"/>
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                  <target>
                    <context value="Condition"/>
                    <contextType value="variable"/>
                    <element value="code"/>
                    <variable value="vvv"/>
                    <transform value="create"/>
                  </target>
                </rule>
              </rule>
            </rule>
            <documentation
                           value="----------------codice Patologia------------------------------------------------------------------------------------------------------------------------------------"/>
          </rule>
          <rule>
            <name value="entryRelationship"/>
            <source>
              <context value="observation"/>
              <element value="entryRelationship"/>
              <variable value="entryRelationship"/>
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            <rule>
              <name value="Act"/>
              <source>
                <context value="entryRelationship"/>
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                <variable value="encounter"/>
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              <rule>
                <name value="templateId"/>
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                  <context value="encounter"/>
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                  <variable value="temid"/>
                  <condition
                             value="(root = '2.16.840.1.113883.3.1937.777.63.10.276')"/>
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                <rule>
                  <name value="encounter"/>
                  <source>
                    <context value="encounter"/>
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                    <context value="ServiceRequest"/>
                    <contextType value="variable"/>
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                    <variable value="reference"/>
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                    <parameter>
                      <valueString value="Reference"/>
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                  <target>
                    <context value="reference"/>
                    <contextType value="variable"/>
                    <element value="reference"/>
                    <transform value="evaluate"/>
                    <parameter>
                      <valueString
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                  <rule>
                    <name value="Act"/>
                    <source>
                      <context value="observation"/>
                      <element value="entryRelationship"/>
                      <variable value="entryRelationship"/>
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                    <rule>
                      <name value="templateId"/>
                      <source>
                        <context value="entryRelationship"/>
                        <element value="encounter"/>
                        <variable value="encounter1"/>
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                      <rule>
                        <name value="reference"/>
                        <source>
                          <context value="encounter1"/>
                          <element value="templateId"/>
                          <variable value="temid"/>
                          <condition
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                        <rule>
                          <name value="class"/>
                          <source>
                            <context value="encounter1"/>
                            <element value="code"/>
                            <variable value="code1"/>
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                          <target>
                            <context value="enc"/>
                            <contextType value="variable"/>
                            <element value="class"/>
                            <variable value="coding"/>
                            <transform value="create"/>
                            <parameter>
                              <valueString value="Coding"/>
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                          <rule>
                            <name value="code"/>
                            <source>
                              <context value="code1"/>
                              <element value="code"/>
                              <variable value="code"/>
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                            <target>
                              <context value="coding"/>
                              <contextType value="variable"/>
                              <element value="code"/>
                              <transform value="cast"/>
                              <parameter>
                                <valueId value="code"/>
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                              <parameter>
                                <valueString value="string"/>
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                            </target>
                          </rule>
                          <rule>
                            <name value="codeSystem"/>
                            <source>
                              <context value="code1"/>
                              <element value="codeSystem"/>
                              <variable value="system"/>
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                            <target>
                              <context value="coding"/>
                              <contextType value="variable"/>
                              <element value="system"/>
                              <transform value="translate"/>
                              <parameter>
                                <valueId value="system"/>
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                              <parameter>
                                <valueString
                                             value="http://hl7.org/fhir/ConceptMap/special-oid2uri"/>
                              </parameter>
                              <parameter>
                                <valueString value="uri"/>
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                            </target>
                          </rule>
                          <rule>
                            <name value="displayName"/>
                            <source>
                              <context value="code1"/>
                              <element value="displayName"/>
                              <variable value="display"/>
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                            <target>
                              <context value="coding"/>
                              <contextType value="variable"/>
                              <element value="display"/>
                              <transform value="cast"/>
                              <parameter>
                                <valueId value="display"/>
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                              <parameter>
                                <valueString value="string"/>
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                            </target>
                          </rule>
                          <documentation
                                         value="encounter1.code -&gt; enc.class;"/>
                        </rule>
                      </rule>
                    </rule>
                  </rule>
                </rule>
              </rule>
            </rule>
            <documentation
                           value="---------Tipo di Visita---------------------------------------------------------------------------------------------------------------------------------"/>
          </rule>
          <rule>
            <name value="entryRelationship"/>
            <source>
              <context value="observation"/>
              <element value="entryRelationship"/>
              <variable value="entryRelationship"/>
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            <rule>
              <name value="Act"/>
              <source>
                <context value="entryRelationship"/>
                <element value="act"/>
                <variable value="act"/>
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              <rule>
                <name value="templateId"/>
                <source>
                  <context value="act"/>
                  <element value="templateId"/>
                  <variable value="temid"/>
                  <condition
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                <rule>
                  <name value="reference"/>
                  <source>
                    <context value="act"/>
                    <element value="text"/>
                    <variable value="text"/>
                  </source>
                  <target>
                    <context value="ServiceRequest"/>
                    <contextType value="variable"/>
                    <element value="note"/>
                    <variable value="note"/>
                  </target>
                  <rule>
                    <name value="tcx"/>
                    <source>
                      <context value="text"/>
                      <element value="reference"/>
                      <variable value="t"/>
                    </source>
                    <rule>
                      <name value="reference"/>
                      <source>
                        <context value="t"/>
                        <element value="value"/>
                        <variable value="l"/>
                      </source>
                      <target>
                        <context value="note"/>
                        <contextType value="variable"/>
                        <element value="text"/>
                        <transform value="copy"/>
                        <parameter>
                          <valueId value="l"/>
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                      </target>
                    </rule>
                  </rule>
                </rule>
              </rule>
            </rule>
            <documentation
                           value="------------Nota esplicita--------------------------------------------------------------------------------------------------------------------------------------------"/>
          </rule>
          <rule>
            <name value="Act"/>
            <source>
              <context value="observation"/>
              <element value="entryRelationship"/>
              <variable value="entryRelationship"/>
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            <rule>
              <name value="templateId"/>
              <source>
                <context value="entryRelationship"/>
                <element value="act"/>
                <variable value="act"/>
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              <rule>
                <name value="reference"/>
                <source>
                  <context value="act"/>
                  <element value="templateId"/>
                  <variable value="temid"/>
                  <condition
                             value="(root = '2.16.840.1.113883.3.1937.777.63.10.278')"/>
                </source>
                <rule>
                  <name value="code"/>
                  <source>
                    <context value="act"/>
                    <element value="code"/>
                    <variable value="vvv"/>
                  </source>
                  <target>
                    <context value="ServiceRequest"/>
                    <contextType value="variable"/>
                    <element value="reasonCode"/>
                    <variable value="vvv"/>
                    <transform value="create"/>
                  </target>
                </rule>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="Act"/>
            <source>
              <context value="observation"/>
              <element value="entryRelationship"/>
              <variable value="entryRelationship"/>
            </source>
            <rule>
              <name value="templateId"/>
              <source>
                <context value="entryRelationship"/>
                <element value="observation"/>
                <variable value="observation"/>
              </source>
              <rule>
                <name value="Timing"/>
                <source>
                  <context value="observation"/>
                  <element value="templateId"/>
                  <variable value="temid"/>
                  <condition
                             value="(root = '2.16.840.1.113883.3.1937.777.63.10.277')"/>
                </source>
                <rule>
                  <name value="Count"/>
                  <source>
                    <context value="observation"/>
                    <element value="repeatNumber"/>
                    <variable value="repeatNumber"/>
                  </source>
                  <target>
                    <context value="ServiceRequest"/>
                    <contextType value="variable"/>
                    <element value="occurrence"/>
                    <variable value="Timing"/>
                    <transform value="create"/>
                    <parameter>
                      <valueString value="Timing"/>
                    </parameter>
                  </target>
                  <rule>
                    <name value="event"/>
                    <source>
                      <context value="repeatNumber"/>
                    </source>
                    <target>
                      <context value="Timing"/>
                      <contextType value="variable"/>
                      <element value="repeat"/>
                      <variable value="repeat"/>
                    </target>
                    <rule>
                      <name value="count"/>
                      <source>
                        <context value="repeatNumber"/>
                        <element value="value"/>
                        <variable value="value"/>
                      </source>
                      <target>
                        <context value="repeat"/>
                        <contextType value="variable"/>
                        <element value="count"/>
                        <transform value="copy"/>
                        <parameter>
                          <valueId value="value"/>
                        </parameter>
                      </target>
                    </rule>
                  </rule>
                </rule>
              </rule>
            </rule>
            <documentation
                           value="-----Sedute-----------------------------------------------------------------------------------------------------------------------------------------------"/>
          </rule>
        </rule>
      </rule>
      <documentation
                     value="-------------Sezione Prescrizioni-------------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
    <rule>
      <name value="Annotazioni"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '48767-8')"/>
      </source>
      <rule>
        <name value="entry"/>
        <source>
          <context value="src"/>
          <element value="entry"/>
          <variable value="entry"/>
        </source>
        <rule>
          <name value="act"/>
          <source>
            <context value="entry"/>
            <element value="act"/>
            <variable value="act"/>
          </source>
          <rule>
            <name value="reference"/>
            <source>
              <context value="act"/>
              <element value="text"/>
              <variable value="text"/>
            </source>
            <target>
              <context value="ServiceRequest"/>
              <contextType value="variable"/>
              <element value="note"/>
              <variable value="note"/>
            </target>
            <rule>
              <name value="tcx"/>
              <source>
                <context value="text"/>
                <element value="reference"/>
                <variable value="t"/>
              </source>
              <rule>
                <name value="reference"/>
                <source>
                  <context value="t"/>
                  <element value="value"/>
                  <variable value="l"/>
                </source>
                <target>
                  <context value="note"/>
                  <contextType value="variable"/>
                  <element value="text"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueId value="l"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
        </rule>
      </rule>
      <documentation
                     value="------------Sezione Annotazioni-----------------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
    <rule>
      <name value="MessaggioRegionale"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '51851-4')"/>
      </source>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
          <element value="text"/>
          <variable value="cdaText"/>
        </source>
        <target>
          <context value="ServiceRequest"/>
          <contextType value="variable"/>
          <element value="note"/>
          <variable value="note"/>
        </target>
        <rule>
          <name value="tcx"/>
          <source>
            <context value="cdaText"/>
            <variable value="text"/>
          </source>
          <rule>
            <name value="reference"/>
            <source>
              <context value="text"/>
              <variable value="l"/>
            </source>
            <target>
              <context value="note"/>
              <contextType value="variable"/>
              <element value="text"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="l"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <documentation
                     value="----------Sezione Messaggio Regionale-----------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
    <rule>
      <name value="ParametriVitali"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '8716-3')"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e11"/>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="Observation"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Observation"/>
        </parameter>
      </target>
      <target>
        <context value="Observation"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid11"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/Observation/"/>
        </parameter>
        <parameter>
          <valueId value="uuid11"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="Observation"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="reference"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <target>
        <context value="reference"/>
        <contextType value="variable"/>
        <element value="reference"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString
                       value="'https://example/Observation/' + %Observation.id"/>
        </parameter>
      </target>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="subject"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Patient/' + %patient.id"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="encounter"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Encounter/' + %enc.id"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="code"/>
        <source>
          <context value="src"/>
          <element value="code"/>
          <variable value="vvv"/>
        </source>
        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="code"/>
          <variable value="vvv"/>
          <transform value="create"/>
        </target>
      </rule>
      <rule>
        <name value="statuscode"/>
        <source>
          <context value="src"/>
          <condition value="Observation.statusCode.exists().not()"/>
        </source>
        <rule>
          <name value="status"/>
          <source>
            <context value="src"/>
          </source>
          <target>
            <context value="Observation"/>
            <contextType value="variable"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="final"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
          <element value="text"/>
          <variable value="cdaText"/>
        </source>
        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="note"/>
          <variable value="note"/>
        </target>
        <rule>
          <name value="reference"/>
          <source>
            <context value="cdaText"/>
            <variable value="t"/>
          </source>
          <target>
            <context value="note"/>
            <contextType value="variable"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="t"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <documentation
                     value="-------Sezione Parametri Vitali---------------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
    <rule>
      <name value="Allergie"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '48765-2')"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e11"/>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="AllergyIntolerance"/>
        <transform value="create"/>
        <parameter>
          <valueString value="AllergyIntolerance"/>
        </parameter>
      </target>
      <target>
        <context value="AllergyIntolerance"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid11"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/AllergyIntolerance/"/>
        </parameter>
        <parameter>
          <valueId value="uuid11"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="AllergyIntolerance"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="reference"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <target>
        <context value="reference"/>
        <contextType value="variable"/>
        <element value="reference"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString
                       value="'https://example/AllergyIntolerance/' + %AllergyIntolerance.id"/>
        </parameter>
      </target>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="AllergyIntolerance"/>
          <contextType value="variable"/>
          <element value="patient"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Patient/' + %patient.id"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="allergy"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="AllergyIntolerance"/>
          <contextType value="variable"/>
          <element value="clinicalStatus"/>
          <variable value="status"/>
          <transform value="create"/>
          <parameter>
            <valueString value="CodeableConcept"/>
          </parameter>
        </target>
        <rule>
          <name value="text"/>
          <source>
            <context value="src"/>
          </source>
          <target>
            <context value="status"/>
            <contextType value="variable"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="string"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="coding"/>
          <source>
            <context value="src"/>
          </source>
          <target>
            <context value="status"/>
            <contextType value="variable"/>
            <element value="coding"/>
            <variable value="coding"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Coding"/>
            </parameter>
          </target>
          <rule>
            <name value="active"/>
            <source>
              <context value="src"/>
            </source>
            <target>
              <context value="coding"/>
              <contextType value="variable"/>
              <element value="code"/>
              <transform value="copy"/>
              <parameter>
                <valueString value="active"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="system"/>
            <source>
              <context value="src"/>
            </source>
            <target>
              <context value="coding"/>
              <contextType value="variable"/>
              <element value="system"/>
              <transform value="copy"/>
              <parameter>
                <valueString
                             value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
          <element value="text"/>
          <variable value="cdaText"/>
        </source>
        <target>
          <context value="AllergyIntolerance"/>
          <contextType value="variable"/>
          <element value="note"/>
          <variable value="note"/>
        </target>
        <rule>
          <name value="reference"/>
          <source>
            <context value="cdaText"/>
            <variable value="t"/>
          </source>
          <target>
            <context value="note"/>
            <contextType value="variable"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="t"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <documentation
                     value="-------Sezione Allergie------------------------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
    <rule>
      <name value="StatoFunzionale"/>
      <source>
        <context value="src"/>
        <element value="code"/>
        <variable value="code"/>
        <condition value="(code = '47420-5')"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e11"/>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="request"/>
        <variable value="request"/>
        <transform value="create"/>
        <parameter>
          <valueString value="BackboneElement"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="method"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="POST"/>
        </parameter>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="Observation"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Observation"/>
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      </target>
      <target>
        <context value="Observation"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid11"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e11"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="https://example/Observation/"/>
        </parameter>
        <parameter>
          <valueId value="uuid11"/>
        </parameter>
      </target>
      <target>
        <context value="request"/>
        <contextType value="variable"/>
        <element value="url"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="Observation"/>
        </parameter>
      </target>
      <target>
        <context value="tgt"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="reference"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <target>
        <context value="reference"/>
        <contextType value="variable"/>
        <element value="reference"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString
                       value="'https://example/Observation/' + %Observation.id"/>
        </parameter>
      </target>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="subject"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Patient/' + %patient.id"/>
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        </target>
      </rule>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
        </source>
        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="encounter"/>
          <variable value="reference"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Reference"/>
          </parameter>
        </target>
        <target>
          <context value="reference"/>
          <contextType value="variable"/>
          <element value="reference"/>
          <transform value="evaluate"/>
          <parameter>
            <valueString value="'https://example/Encounter/' + %enc.id"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="code"/>
        <source>
          <context value="src"/>
          <element value="code"/>
          <variable value="vvv"/>
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        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="code"/>
          <variable value="vvv"/>
          <transform value="create"/>
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      </rule>
      <rule>
        <name value="statuscode"/>
        <source>
          <context value="src"/>
          <condition value="Observation.statusCode.exists().not()"/>
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        <rule>
          <name value="status"/>
          <source>
            <context value="src"/>
          </source>
          <target>
            <context value="Observation"/>
            <contextType value="variable"/>
            <element value="status"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="final"/>
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          </target>
        </rule>
      </rule>
      <rule>
        <name value="reference"/>
        <source>
          <context value="src"/>
          <element value="text"/>
          <variable value="cdaText"/>
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        <target>
          <context value="Observation"/>
          <contextType value="variable"/>
          <element value="note"/>
          <variable value="note"/>
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        <rule>
          <name value="reference"/>
          <source>
            <context value="cdaText"/>
            <variable value="t"/>
          </source>
          <target>
            <context value="note"/>
            <contextType value="variable"/>
            <element value="text"/>
            <transform value="copy"/>
            <parameter>
              <valueId value="t"/>
            </parameter>
          </target>
        </rule>
      </rule>
      <documentation
                     value="------Sezione Stato Funzionale------------------------------------------------------------------------------------------------------------------------------------------"/>
    </rule>
  </group>
</StructureMap>