Healthy Route Implementation Guide
0.2.0 - ci-build

Healthy Route Implementation Guide, published by Savannah Informatics. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/healthy-route-ig/ and changes regularly. See the Directory of published versions

: Extract the eligibility checklist - XML Representation

Draft as of 2026-11-12

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="HRExtractEligibility"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap HRExtractEligibility</b></p><a name="HRExtractEligibility"> </a><a name="hcHRExtractEligibility"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractEligibility'</span>
<span style="color: #cc00cc">/// <b>version</b> = </span><span style="color: blue">'0.2.0'</span>
<span style="color: #cc00cc">/// <b>name</b> = </span><span style="color: blue">'HRExtractEligibility'</span>
<span style="color: #cc00cc">/// <b>status</b> = </span><span style="color: blue">'draft'</span>

<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/questionnaireresponse.html" title="QuestionnaireResponse">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style="color: navy">&quot; </span><b>alias </b>QR <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/bundle.html" title="Bundle">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style="color: navy">&quot; </span><b>alias </b>Bundle <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R5/observation.html" title="Observation">http://hl7.org/fhir/StructureDefinition/Observation</a><span style="color: navy">&quot; </span><b>alias </b>Observation <b>as </b><b>target</b>

<b>group </b>HRExtractEligibility<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>target</b> <span style="color: maroon">bundle</span><span style="color: navy"> : </span>Bundle<span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>bundle.type = <span style="color: blue">'transaction'</span> <i>&quot;type&quot;</i><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">grp</span><b> where </b><span style="color: navy">(</span>linkId = 'inclusions'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'capable-of-consent'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'capable-of-consent'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Capable of giving signed informed consent'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;capable&quot;</i><span style="color: navy">;</span>
    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'documented-egfr'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.category = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;laboratorySystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'laboratory'</span> <i>&quot;laboratoryCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Laboratory'</span> <i>&quot;laboratoryDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;laboratoryCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;laboratory&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'documented-egfr'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Documented eGFR'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        grp.item<b> as </b><span style="color: maroon">di</span><b> where </b><span style="color: navy">(</span>linkId = 'documented-egfr.date'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>          di.answer first<b> as </b><span style="color: maroon">da</span><b> then</b><span style="color: navy"> {
</span>            da.value<b> as </b><span style="color: maroon">dv</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">dv</span><span style="color: navy">, </span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;date&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Quantity'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">q</span><b> then</b><span style="color: navy"> {
</span>          v<span style="color: navy"><b> -&gt; </b></span>q.value = <span style="color: maroon">v</span> <i>&quot;value&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>q.system = <span style="color: blue">'http://unitsofmeasure.org'</span> <i>&quot;system&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>q.code = <span style="color: blue">'mL/min/{1.73_m2}'</span> <i>&quot;unitCode&quot;</i><span style="color: navy">;</span>
          qr<span style="color: navy"><b> -&gt; </b></span>q.unit = <span style="color: blue">'mL/min/1.73m2'</span> <i>&quot;unit&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;quantity&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;egfr&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;inclusions&quot;</i><span style="color: navy">;</span>
  qr.item<b> as </b><span style="color: maroon">grp</span><b> where </b><span style="color: navy">(</span>linkId = 'exclusions'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'excl-undesirable'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'excl-undesirable'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Condition making participation undesirable'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;undesirable&quot;</i><span style="color: navy">;</span>
    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'excl-eye-condition'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'excl-eye-condition'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Eye condition precluding retinal imaging'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;eye&quot;</i><span style="color: navy">;</span>
    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'excl-emergency'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'excl-emergency'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Hypertensive, hyperglycaemic or hypoglycaemic emergency'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;emergency&quot;</i><span style="color: navy">;</span>
    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'excl-involvement'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'excl-involvement'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Involvement in the planning or conduct of the study'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;involvement&quot;</i><span style="color: navy">;</span>
    grp.item<b> as </b><span style="color: maroon">it</span><b> where </b><span style="color: navy">(</span>linkId = 'excl-noncompliance'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span>      it.answer first<b> as </b><span style="color: maroon">a</span><span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Observation'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>        qr<span style="color: navy"><b> -&gt; </b></span>obs<b> then </b>Criterion<span style="color: navy">(</span><span style="color: maroon">qr</span><span style="color: navy">, </span><span style="color: maroon">it</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">e</span><span style="color: navy">)</span> <i>&quot;base&quot;</i><span style="color: navy">;</span>
        qr<span style="color: navy"><b> -&gt; </b></span>obs.code = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>          qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>            qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>&quot;codeSystem&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'excl-noncompliance'</span> <i>&quot;codeCode&quot;</i><span style="color: navy">;</span>
            qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Unlikely to comply with study procedures'</span> <i>&quot;codeDisplay&quot;</i><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;codeCoding&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
        qr.authored<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span>obs.effective = <span style="color: maroon">t</span> <i>&quot;effective&quot;</i><span style="color: navy">;</span>
        a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -&gt; </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;obs&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;noncompliance&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;exclusions&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><b>group </b>Criterion<span style="color: navy">(</span><b>source</b> <span style="color: maroon">qr</span><span style="color: navy"> : </span>QR, <b>source</b> <span style="color: maroon">it</span>, <b>target</b> <span style="color: maroon">obs</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">e</span><span style="color: navy">)</span><span style="color: navy"> {
</span>  qr<span style="color: navy"><b> -&gt; </b></span>evaluate<span style="color: navy">(</span>qr<span style="color: navy">, </span>id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')<span style="color: navy">)</span><b> as </b><span style="color: maroon">qid</span><b> then</b><span style="color: navy"> {
</span>    it.linkId<b> as </b><span style="color: maroon">k</span><span style="color: navy"><b> -&gt; </b></span> <b>append</b><span style="color: navy">(</span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-'</span><span style="color: navy">, </span><span style="color: maroon">k</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">idText</span><span style="color: navy">, </span> obs.id = <b>cast</b><span style="color: navy">(</span><span style="color: maroon">idText</span><span style="color: navy">, </span><span style="color: blue">'id'</span><span style="color: navy">)</span> <i>&quot;id&quot;</i><span style="color: navy">;</span>
    it.linkId<b> as </b><span style="color: maroon">k</span><span style="color: navy"><b> -&gt; </b></span>e.fullUrl = <b>append</b><span style="color: navy">(</span><span style="color: blue">'Observation/'</span><span style="color: navy">, </span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-'</span><span style="color: navy">, </span><span style="color: maroon">k</span><span style="color: navy">)</span> <i>&quot;fullUrl&quot;</i><span style="color: navy">;</span>
    it.linkId<b> as </b><span style="color: maroon">k</span><span style="color: navy"><b> -&gt; </b></span>e.request<b> as </b><span style="color: maroon">rq</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>rq.method = <span style="color: blue">'PUT'</span> <i>&quot;method&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>rq.url = <b>append</b><span style="color: navy">(</span><span style="color: blue">'Observation/'</span><span style="color: navy">, </span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-'</span><span style="color: navy">, </span><span style="color: maroon">k</span><span style="color: navy">)</span> <i>&quot;url&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;request&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;ids&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span> obs.meta<b> as </b><span style="color: maroon">m</span><span style="color: navy">, </span> m.profile = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-observation'</span> <i>&quot;profile&quot;</i><span style="color: navy">;</span>
  qr.meta<b> as </b><span style="color: maroon">qm</span><b> then</b><span style="color: navy"> {
</span>    qm.tag<b> as </b><span style="color: maroon">t</span><span style="color: navy"><b> -&gt; </b></span> obs.meta<b> as </b><span style="color: maroon">m</span><span style="color: navy">, </span> m.tag = <span style="color: maroon">t</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;tags&quot;</i><span style="color: navy">;</span>
  qr.extension<b> as </b><span style="color: maroon">x</span><b> where </b><span style="color: navy">(</span>url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'<span style="color: navy">)</span><span style="color: navy"><b> -&gt; </b></span>obs.extension = <span style="color: maroon">x</span> <i>&quot;tenant&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>obs.status = <span style="color: blue">'final'</span> <i>&quot;status&quot;</i><span style="color: navy">;</span>
  qr<span style="color: navy"><b> -&gt; </b></span>obs.category = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableConcept'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span>    qr<span style="color: navy"><b> -&gt; </b></span>cv.coding = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Coding'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cd</span><b> then</b><span style="color: navy"> {
</span>      qr<span style="color: navy"><b> -&gt; </b></span>cd.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;categorySystem&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>cd.code = <span style="color: blue">'survey'</span> <i>&quot;categoryCode&quot;</i><span style="color: navy">;</span>
      qr<span style="color: navy"><b> -&gt; </b></span>cd.display = <span style="color: blue">'Survey'</span> <i>&quot;categoryDisplay&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;categoryCoding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
  qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -&gt; </b></span>obs.subject = <span style="color: maroon">s</span><span style="color: navy">;</span>
  qr.encounter<b> as </b><span style="color: maroon">en</span><span style="color: navy"><b> -&gt; </b></span>obs.encounter = <span style="color: maroon">en</span><span style="color: navy">;</span>
  qr.author<b> as </b><span style="color: maroon">au</span><span style="color: navy"><b> -&gt; </b></span>obs.performer = <span style="color: maroon">au</span> <i>&quot;performer&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span></pre></div>
  </text>
  <url
       value="https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractEligibility"/>
  <version value="0.2.0"/>
  <name value="HRExtractEligibility"/>
  <status value="draft"/>
  <date value="2026-11-12T10:14:36+00:00"/>
  <publisher value="Savannah Informatics"/>
  <contact>
    <name value="Savannah Informatics"/>
    <telecom>
      <system value="url"/>
      <value value="https://optimalhealth.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Savannah Informatics"/>
    <telecom>
      <system value="url"/>
      <value value="https://optimalhealth.org"/>
    </telecom>
  </contact>
  <structure>
    <url
         value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/>
    <mode value="source"/>
    <alias value="QR"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
    <mode value="target"/>
    <alias value="Bundle"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <mode value="target"/>
    <alias value="Observation"/>
  </structure>
  <group>
    <name value="HRExtractEligibility"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="type"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="bundle"/>
        <element value="type"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="transaction"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="inclusions"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="grp"/>
        <condition value="linkId = 'inclusions'"/>
      </source>
      <rule>
        <name value="capable"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'capable-of-consent'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="capable-of-consent"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="Capable of giving signed informed consent"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="effective"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="effective"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="value"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="egfr"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'documented-egfr'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="laboratory"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="category"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="laboratoryCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="laboratorySystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="laboratoryCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="laboratory"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="laboratoryDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="Laboratory"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="documented-egfr"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="Documented eGFR"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="date"/>
            <source>
              <context value="grp"/>
              <element value="item"/>
              <variable value="di"/>
              <condition value="linkId = 'documented-egfr.date'"/>
            </source>
            <rule>
              <name value="answer"/>
              <source>
                <context value="di"/>
                <element value="answer"/>
                <listMode value="first"/>
                <variable value="da"/>
              </source>
              <rule>
                <name value="effective"/>
                <source>
                  <context value="da"/>
                  <element value="value"/>
                  <variable value="dv"/>
                </source>
                <target>
                  <context value="obs"/>
                  <element value="effective"/>
                  <transform value="cast"/>
                  <parameter>
                    <valueId value="dv"/>
                  </parameter>
                  <parameter>
                    <valueString value="dateTime"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="quantity"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <variable value="q"/>
              <transform value="create"/>
              <parameter>
                <valueString value="Quantity"/>
              </parameter>
            </target>
            <rule>
              <name value="value"/>
              <source>
                <context value="v"/>
              </source>
              <target>
                <context value="q"/>
                <element value="value"/>
                <transform value="copy"/>
                <parameter>
                  <valueId value="v"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="system"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="q"/>
                <element value="system"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="http://unitsofmeasure.org"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="unitCode"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="q"/>
                <element value="code"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="mL/min/{1.73_m2}"/>
                </parameter>
              </target>
            </rule>
            <rule>
              <name value="unit"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="q"/>
                <element value="unit"/>
                <transform value="copy"/>
                <parameter>
                  <valueString value="mL/min/1.73m2"/>
                </parameter>
              </target>
            </rule>
          </rule>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="exclusions"/>
      <source>
        <context value="qr"/>
        <element value="item"/>
        <variable value="grp"/>
        <condition value="linkId = 'exclusions'"/>
      </source>
      <rule>
        <name value="undesirable"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'excl-undesirable'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="excl-undesirable"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="Condition making participation undesirable"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="effective"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="effective"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="value"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="eye"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'excl-eye-condition'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="excl-eye-condition"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="Eye condition precluding retinal imaging"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="effective"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="effective"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="value"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="emergency"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'excl-emergency'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="excl-emergency"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="Hypertensive, hyperglycaemic or hypoglycaemic emergency"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="effective"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="effective"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="value"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="involvement"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'excl-involvement'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="excl-involvement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="Involvement in the planning or conduct of the study"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="effective"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="effective"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="value"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
      <rule>
        <name value="noncompliance"/>
        <source>
          <context value="grp"/>
          <element value="item"/>
          <variable value="it"/>
          <condition value="linkId = 'excl-noncompliance'"/>
        </source>
        <rule>
          <name value="obs"/>
          <source>
            <context value="it"/>
            <element value="answer"/>
            <listMode value="first"/>
            <variable value="a"/>
          </source>
          <target>
            <context value="bundle"/>
            <element value="entry"/>
            <variable value="e"/>
          </target>
          <target>
            <context value="e"/>
            <element value="resource"/>
            <variable value="obs"/>
            <transform value="create"/>
            <parameter>
              <valueString value="Observation"/>
            </parameter>
          </target>
          <rule>
            <name value="base"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
            </target>
            <dependent>
              <name value="Criterion"/>
              <parameter>
                <valueId value="qr"/>
              </parameter>
              <parameter>
                <valueId value="it"/>
              </parameter>
              <parameter>
                <valueId value="obs"/>
              </parameter>
              <parameter>
                <valueId value="e"/>
              </parameter>
            </dependent>
          </rule>
          <rule>
            <name value="code"/>
            <source>
              <context value="qr"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="code"/>
              <variable value="cv"/>
              <transform value="create"/>
              <parameter>
                <valueString value="CodeableConcept"/>
              </parameter>
            </target>
            <rule>
              <name value="codeCoding"/>
              <source>
                <context value="qr"/>
              </source>
              <target>
                <context value="cv"/>
                <element value="coding"/>
                <variable value="cd"/>
                <transform value="create"/>
                <parameter>
                  <valueString value="Coding"/>
                </parameter>
              </target>
              <rule>
                <name value="codeSystem"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="system"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeCode"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="code"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString value="excl-noncompliance"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="codeDisplay"/>
                <source>
                  <context value="qr"/>
                </source>
                <target>
                  <context value="cd"/>
                  <element value="display"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueString
                                 value="Unlikely to comply with study procedures"/>
                  </parameter>
                </target>
              </rule>
            </rule>
          </rule>
          <rule>
            <name value="effective"/>
            <source>
              <context value="qr"/>
              <element value="authored"/>
              <variable value="t"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="effective"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="t"/>
              </parameter>
            </target>
          </rule>
          <rule>
            <name value="value"/>
            <source>
              <context value="a"/>
              <element value="value"/>
              <variable value="v"/>
            </source>
            <target>
              <context value="obs"/>
              <element value="value"/>
              <transform value="copy"/>
              <parameter>
                <valueId value="v"/>
              </parameter>
            </target>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="Criterion"/>
    <input>
      <name value="qr"/>
      <type value="QR"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="it"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="e"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="ids"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <variable value="qid"/>
        <transform value="evaluate"/>
        <parameter>
          <valueId value="qr"/>
        </parameter>
        <parameter>
          <valueString
                       value="id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')"/>
        </parameter>
      </target>
      <rule>
        <name value="id"/>
        <source>
          <context value="it"/>
          <element value="linkId"/>
          <variable value="k"/>
        </source>
        <target>
          <variable value="idText"/>
          <transform value="append"/>
          <parameter>
            <valueId value="qid"/>
          </parameter>
          <parameter>
            <valueString value="-"/>
          </parameter>
          <parameter>
            <valueId value="k"/>
          </parameter>
        </target>
        <target>
          <context value="obs"/>
          <element value="id"/>
          <transform value="cast"/>
          <parameter>
            <valueId value="idText"/>
          </parameter>
          <parameter>
            <valueString value="id"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="fullUrl"/>
        <source>
          <context value="it"/>
          <element value="linkId"/>
          <variable value="k"/>
        </source>
        <target>
          <context value="e"/>
          <element value="fullUrl"/>
          <transform value="append"/>
          <parameter>
            <valueString value="Observation/"/>
          </parameter>
          <parameter>
            <valueId value="qid"/>
          </parameter>
          <parameter>
            <valueString value="-"/>
          </parameter>
          <parameter>
            <valueId value="k"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="request"/>
        <source>
          <context value="it"/>
          <element value="linkId"/>
          <variable value="k"/>
        </source>
        <target>
          <context value="e"/>
          <element value="request"/>
          <variable value="rq"/>
        </target>
        <rule>
          <name value="method"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="rq"/>
            <element value="method"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="PUT"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="url"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="rq"/>
            <element value="url"/>
            <transform value="append"/>
            <parameter>
              <valueString value="Observation/"/>
            </parameter>
            <parameter>
              <valueId value="qid"/>
            </parameter>
            <parameter>
              <valueString value="-"/>
            </parameter>
            <parameter>
              <valueId value="k"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="profile"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="meta"/>
        <variable value="m"/>
      </target>
      <target>
        <context value="m"/>
        <element value="profile"/>
        <transform value="copy"/>
        <parameter>
          <valueString
                       value="https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-observation"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="tags"/>
      <source>
        <context value="qr"/>
        <element value="meta"/>
        <variable value="qm"/>
      </source>
      <rule>
        <name value="tag"/>
        <source>
          <context value="qm"/>
          <element value="tag"/>
          <variable value="t"/>
        </source>
        <target>
          <context value="obs"/>
          <element value="meta"/>
          <variable value="m"/>
        </target>
        <target>
          <context value="m"/>
          <element value="tag"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="t"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="tenant"/>
      <source>
        <context value="qr"/>
        <element value="extension"/>
        <variable value="x"/>
        <condition
                   value="url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="extension"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="x"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="status"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="category"/>
      <source>
        <context value="qr"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="category"/>
        <variable value="cv"/>
        <transform value="create"/>
        <parameter>
          <valueString value="CodeableConcept"/>
        </parameter>
      </target>
      <rule>
        <name value="categoryCoding"/>
        <source>
          <context value="qr"/>
        </source>
        <target>
          <context value="cv"/>
          <element value="coding"/>
          <variable value="cd"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Coding"/>
          </parameter>
        </target>
        <rule>
          <name value="categorySystem"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="cd"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryCode"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="cd"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="survey"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="categoryDisplay"/>
          <source>
            <context value="qr"/>
          </source>
          <target>
            <context value="cd"/>
            <element value="display"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="Survey"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="subject"/>
      <source>
        <context value="qr"/>
        <element value="subject"/>
        <variable value="s"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="subject"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="s"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="encounter"/>
      <source>
        <context value="qr"/>
        <element value="encounter"/>
        <variable value="en"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="encounter"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="en"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="performer"/>
      <source>
        <context value="qr"/>
        <element value="author"/>
        <variable value="au"/>
      </source>
      <target>
        <context value="obs"/>
        <element value="performer"/>
        <transform value="copy"/>
        <parameter>
          <valueId value="au"/>
        </parameter>
      </target>
    </rule>
  </group>
</StructureMap>