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 imaging form - JSON Representation

Draft as of 2026-11-12

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{
  "resourceType" : "StructureMap",
  "id" : "HRExtractImaging",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap HRExtractImaging</b></p><a name=\"HRExtractImaging\"> </a><a name=\"hcHRExtractImaging\"> </a><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractImaging'</span>\r\n<span style=\"color: #cc00cc\">/// <b>version</b> = </span><span style=\"color: blue\">'0.2.0'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'HRExtractImaging'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'draft'</span>\r\n\r\n<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>\r\n<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>\r\n<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>\r\n<b>uses</b><span style=\"color: navy\"> &quot;</span><a href=\"http://hl7.org/fhir/R5/imagingstudy.html\" title=\"ImagingStudy\">http://hl7.org/fhir/StructureDefinition/ImagingStudy</a><span style=\"color: navy\">&quot; </span><b>alias </b>ImagingStudy <b>as </b><b>target</b>\r\n\r\n<b>group </b>HRExtractImaging<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\"> {\r\n</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>\r\n  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\"> {\r\n</span>    qr.item<b> as </b><span style=\"color: maroon\">pi</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'pack-id'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>      pi.answer first<b> as </b><span style=\"color: maroon\">pa</span><b> then</b><span style=\"color: navy\"> {\r\n</span>        pa.value<b> as </b><span style=\"color: maroon\">pack</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\">'ImagingStudy'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">st</span><b> then</b><span style=\"color: navy\"> {\r\n</span>          qr<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\">'-imaging-study'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">idText</span><span style=\"color: navy\">, </span> st.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>\r\n          qr<span style=\"color: navy\"><b> -&gt; </b></span>e.fullUrl = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'ImagingStudy/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">qid</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'-imaging-study'</span><span style=\"color: navy\">)</span> <i>&quot;fullUrl&quot;</i><span style=\"color: navy\">;</span>\r\n          qr<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\"> {\r\n</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>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>rq.url = <b>append</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'ImagingStudy/'</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">qid</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'-imaging-study'</span><span style=\"color: navy\">)</span> <i>&quot;url&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;request&quot;</i><span style=\"color: navy\">;</span>\r\n          qr<span style=\"color: navy\"><b> -&gt; </b></span> st.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-imaging-study'</span> <i>&quot;profile&quot;</i><span style=\"color: navy\">;</span>\r\n          qr.meta<b> as </b><span style=\"color: maroon\">qm</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            qm.tag<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -&gt; </b></span> st.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>\r\n          <span style=\"color: navy\">}</span> <i>&quot;tags&quot;</i><span style=\"color: navy\">;</span>\r\n          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>st.extension = <span style=\"color: maroon\">x</span> <i>&quot;tenant&quot;</i><span style=\"color: navy\">;</span>\r\n          pack<span style=\"color: navy\"><b> -&gt; </b></span>st.identifier<b> as </b><span style=\"color: maroon\">ident</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            qr<span style=\"color: navy\"><b> -&gt; </b></span>ident.system = <span style=\"color: blue\">'https://fhir.optimalhealth.org/sid/optomed-pack'</span> <i>&quot;system&quot;</i><span style=\"color: navy\">;</span>\r\n            pack<span style=\"color: navy\"><b> -&gt; </b></span>ident.value = <span style=\"color: maroon\">pack</span> <i>&quot;value&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;identifier&quot;</i><span style=\"color: navy\">;</span>\r\n          qr<b> where </b><span style=\"color: navy\">(</span>(item.where(linkId = 'images-right').answer.value = true) or (item.where(linkId = 'images-left').answer.value = true)<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>st.status = <span style=\"color: blue\">'available'</span> <i>&quot;available&quot;</i><span style=\"color: navy\">;</span>\r\n          qr<b> where </b><span style=\"color: navy\">(</span>((item.where(linkId = 'images-right').answer.value = true) or (item.where(linkId = 'images-left').answer.value = true)).not()<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>st.status = <span style=\"color: blue\">'cancelled'</span> <i>&quot;cancelled&quot;</i><span style=\"color: navy\">;</span>\r\n          qr<span style=\"color: navy\"><b> -&gt; </b></span>st.modality = <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\"> {\r\n</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\"> {\r\n</span>              qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.system = <span style=\"color: blue\">'http://dicom.nema.org/resources/ontology/DCM'</span> <i>&quot;modalitySystem&quot;</i><span style=\"color: navy\">;</span>\r\n              qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'OP'</span> <i>&quot;modalityCode&quot;</i><span style=\"color: navy\">;</span>\r\n              qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Ophthalmic Photography'</span> <i>&quot;modalityDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span> <i>&quot;modalityCoding&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;modality&quot;</i><span style=\"color: navy\">;</span>\r\n          qr.subject<b> as </b><span style=\"color: maroon\">s</span><span style=\"color: navy\"><b> -&gt; </b></span>st.subject = <span style=\"color: maroon\">s</span><span style=\"color: navy\">;</span>\r\n          qr.encounter<b> as </b><span style=\"color: maroon\">en</span><span style=\"color: navy\"><b> -&gt; </b></span>st.encounter = <span style=\"color: maroon\">en</span><span style=\"color: navy\">;</span>\r\n          qr.item<b> as </b><span style=\"color: maroon\">ti</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'retinal-capture-time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            ti.answer first<b> as </b><span style=\"color: maroon\">ta</span><b> then</b><span style=\"color: navy\"> {\r\n</span>              ta.value<b> as </b><span style=\"color: maroon\">tv</span><span style=\"color: navy\"><b> -&gt; </b></span>st.started = <span style=\"color: maroon\">tv</span> <i>&quot;started&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;started&quot;</i><span style=\"color: navy\">;</span>\r\n          qr.item<b> as </b><span style=\"color: maroon\">r</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'images-right') and (answer.value = true)<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>st.series<b> as </b><span style=\"color: maroon\">ser</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            pack<span style=\"color: navy\"><b> -&gt; </b></span> <b>append</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">pack</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'-R'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">uidText</span><span style=\"color: navy\">, </span> ser.uid = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">uidText</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'id'</span><span style=\"color: navy\">)</span> <i>&quot;uid&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>ser.modality = <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\"> {\r\n</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\"> {\r\n</span>                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.system = <span style=\"color: blue\">'http://dicom.nema.org/resources/ontology/DCM'</span> <i>&quot;modalitySystem&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'OP'</span> <i>&quot;modalityCode&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Ophthalmic Photography'</span> <i>&quot;modalityDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n              <span style=\"color: navy\">}</span> <i>&quot;modalityCoding&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span> <i>&quot;modality&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>ser.laterality = <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\"> {\r\n</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\"> {\r\n</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-eye'</span> <i>&quot;lateralitySystem&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'right'</span> <i>&quot;lateralityCode&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Right eye'</span> <i>&quot;lateralityDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n              <span style=\"color: navy\">}</span> <i>&quot;lateralityCoding&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span> <i>&quot;laterality&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>ser.description = <span style=\"color: blue\">'Right eye'</span> <i>&quot;description&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;right&quot;</i><span style=\"color: navy\">;</span>\r\n          qr.item<b> as </b><span style=\"color: maroon\">l</span><b> where </b><span style=\"color: navy\">(</span>(linkId = 'images-left') and (answer.value = true)<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -&gt; </b></span>st.series<b> as </b><span style=\"color: maroon\">ser</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            pack<span style=\"color: navy\"><b> -&gt; </b></span> <b>append</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">pack</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'-L'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">uidText</span><span style=\"color: navy\">, </span> ser.uid = <b>cast</b><span style=\"color: navy\">(</span><span style=\"color: maroon\">uidText</span><span style=\"color: navy\">, </span><span style=\"color: blue\">'id'</span><span style=\"color: navy\">)</span> <i>&quot;uid&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>ser.modality = <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\"> {\r\n</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\"> {\r\n</span>                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.system = <span style=\"color: blue\">'http://dicom.nema.org/resources/ontology/DCM'</span> <i>&quot;modalitySystem&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'OP'</span> <i>&quot;modalityCode&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Ophthalmic Photography'</span> <i>&quot;modalityDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n              <span style=\"color: navy\">}</span> <i>&quot;modalityCoding&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span> <i>&quot;modality&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>ser.laterality = <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\"> {\r\n</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\"> {\r\n</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-eye'</span> <i>&quot;lateralitySystem&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'left'</span> <i>&quot;lateralityCode&quot;</i><span style=\"color: navy\">;</span>\r\n                qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Left eye'</span> <i>&quot;lateralityDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n              <span style=\"color: navy\">}</span> <i>&quot;lateralityCoding&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span> <i>&quot;laterality&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>ser.description = <span style=\"color: blue\">'Left eye'</span> <i>&quot;description&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;left&quot;</i><span style=\"color: navy\">;</span>\r\n          qr.item<b> as </b><span style=\"color: maroon\">ri</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'images-reason'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span>            ri.answer first<b> as </b><span style=\"color: maroon\">ra</span><b> then</b><span style=\"color: navy\"> {\r\n</span>              ra.value<b> as </b><span style=\"color: maroon\">rv</span><span style=\"color: navy\"><b> -&gt; </b></span> st.note<b> as </b><span style=\"color: maroon\">n</span><span style=\"color: navy\">, </span> n.text = <span style=\"color: maroon\">rv</span> <i>&quot;note&quot;</i><span style=\"color: navy\">;</span>\r\n            <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;reason&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;study&quot;</i><span style=\"color: navy\">;</span>\r\n      <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;pack&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'images-dilated'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</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\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>Answer<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>\r\n        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\"> {\r\n</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\"> {\r\n</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>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'images-dilated'</span> <i>&quot;codeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Images taken with dilation'</span> <i>&quot;codeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;codeCoding&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;code&quot;</i><span style=\"color: navy\">;</span>\r\n        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>\r\n      <span style=\"color: navy\">}</span> <i>&quot;obs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;dilated&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'images-right'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</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\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>Answer<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>\r\n        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\"> {\r\n</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\"> {\r\n</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>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'images-right'</span> <i>&quot;codeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Image captured of the right eye'</span> <i>&quot;codeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;codeCoding&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;code&quot;</i><span style=\"color: navy\">;</span>\r\n        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>\r\n      <span style=\"color: navy\">}</span> <i>&quot;obs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;rightAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'images-left'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</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\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>Answer<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>\r\n        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\"> {\r\n</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\"> {\r\n</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>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'images-left'</span> <i>&quot;codeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Image captured of the left eye'</span> <i>&quot;codeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;codeCoding&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;code&quot;</i><span style=\"color: navy\">;</span>\r\n        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>\r\n      <span style=\"color: navy\">}</span> <i>&quot;obs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;leftAnswer&quot;</i><span style=\"color: navy\">;</span>\r\n    qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'images-synced'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</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\"> {\r\n</span>        qr<span style=\"color: navy\"><b> -&gt; </b></span>obs<b> then </b>Answer<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>\r\n        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\"> {\r\n</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\"> {\r\n</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>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'images-synced'</span> <i>&quot;codeCode&quot;</i><span style=\"color: navy\">;</span>\r\n            qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Images synced to the device cloud storage'</span> <i>&quot;codeDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n          <span style=\"color: navy\">}</span> <i>&quot;codeCoding&quot;</i><span style=\"color: navy\">;</span>\r\n        <span style=\"color: navy\">}</span> <i>&quot;code&quot;</i><span style=\"color: navy\">;</span>\r\n        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>\r\n      <span style=\"color: navy\">}</span> <i>&quot;obs&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;synced&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;response&quot;</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>Answer<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\"> {\r\n</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\"> {\r\n</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>\r\n    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>\r\n    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\"> {\r\n</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>\r\n      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>\r\n    <span style=\"color: navy\">}</span> <i>&quot;request&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;ids&quot;</i><span style=\"color: navy\">;</span>\r\n  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>\r\n  qr.meta<b> as </b><span style=\"color: maroon\">qm</span><b> then</b><span style=\"color: navy\"> {\r\n</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>\r\n  <span style=\"color: navy\">}</span> <i>&quot;tags&quot;</i><span style=\"color: navy\">;</span>\r\n  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>\r\n  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>\r\n  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\"> {\r\n</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\"> {\r\n</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>\r\n      qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.code = <span style=\"color: blue\">'imaging'</span> <i>&quot;categoryCode&quot;</i><span style=\"color: navy\">;</span>\r\n      qr<span style=\"color: navy\"><b> -&gt; </b></span>cd.display = <span style=\"color: blue\">'Imaging'</span> <i>&quot;categoryDisplay&quot;</i><span style=\"color: navy\">;</span>\r\n    <span style=\"color: navy\">}</span> <i>&quot;categoryCoding&quot;</i><span style=\"color: navy\">;</span>\r\n  <span style=\"color: navy\">}</span> <i>&quot;category&quot;</i><span style=\"color: navy\">;</span>\r\n  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>\r\n  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>\r\n  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>\r\n  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>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
  },
  "url" : "https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractImaging",
  "version" : "0.2.0",
  "name" : "HRExtractImaging",
  "status" : "draft",
  "date" : "2026-11-12T10:14:36+00:00",
  "publisher" : "Savannah Informatics",
  "contact" : [
    {
      "name" : "Savannah Informatics",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://optimalhealth.org"
        }
      ]
    },
    {
      "name" : "Savannah Informatics",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://optimalhealth.org"
        }
      ]
    }
  ],
  "structure" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
      "mode" : "source",
      "alias" : "QR"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
      "mode" : "target",
      "alias" : "Bundle"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/Observation",
      "mode" : "target",
      "alias" : "Observation"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
      "mode" : "target",
      "alias" : "ImagingStudy"
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      "name" : "HRExtractImaging",
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          "type" : "QR",
          "mode" : "source"
        },
        {
          "name" : "bundle",
          "type" : "Bundle",
          "mode" : "target"
        }
      ],
      "rule" : [
        {
          "name" : "type",
          "source" : [
            {
              "context" : "qr"
            }
          ],
          "target" : [
            {
              "context" : "bundle",
              "element" : "type",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueString" : "transaction"
                }
              ]
            }
          ]
        },
        {
          "name" : "response",
          "source" : [
            {
              "context" : "qr"
            }
          ],
          "target" : [
            {
              "variable" : "qid",
              "transform" : "evaluate",
              "parameter" : [
                {
                  "valueId" : "qr"
                },
                {
                  "valueString" : "id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')"
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              ]
            }
          ],
          "rule" : [
            {
              "name" : "pack",
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                {
                  "context" : "qr",
                  "element" : "item",
                  "variable" : "pi",
                  "condition" : "linkId = 'pack-id'"
                }
              ],
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                {
                  "name" : "answer",
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                    {
                      "context" : "pi",
                      "element" : "answer",
                      "listMode" : "first",
                      "variable" : "pa"
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "study",
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                        {
                          "context" : "pa",
                          "element" : "value",
                          "variable" : "pack"
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                      ],
                      "target" : [
                        {
                          "context" : "bundle",
                          "element" : "entry",
                          "variable" : "e"
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                        {
                          "context" : "e",
                          "element" : "resource",
                          "variable" : "st",
                          "transform" : "create",
                          "parameter" : [
                            {
                              "valueString" : "ImagingStudy"
                            }
                          ]
                        }
                      ],
                      "rule" : [
                        {
                          "name" : "id",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "variable" : "idText",
                              "transform" : "append",
                              "parameter" : [
                                {
                                  "valueId" : "qid"
                                },
                                {
                                  "valueString" : "-imaging-study"
                                }
                              ]
                            },
                            {
                              "context" : "st",
                              "element" : "id",
                              "transform" : "cast",
                              "parameter" : [
                                {
                                  "valueId" : "idText"
                                },
                                {
                                  "valueString" : "id"
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                              ]
                            }
                          ]
                        },
                        {
                          "name" : "fullUrl",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "e",
                              "element" : "fullUrl",
                              "transform" : "append",
                              "parameter" : [
                                {
                                  "valueString" : "ImagingStudy/"
                                },
                                {
                                  "valueId" : "qid"
                                },
                                {
                                  "valueString" : "-imaging-study"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "request",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "e",
                              "element" : "request",
                              "variable" : "rq"
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "method",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "rq",
                                  "element" : "method",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "PUT"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "url",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "rq",
                                  "element" : "url",
                                  "transform" : "append",
                                  "parameter" : [
                                    {
                                      "valueString" : "ImagingStudy/"
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                                    {
                                      "valueId" : "qid"
                                    },
                                    {
                                      "valueString" : "-imaging-study"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "profile",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "meta",
                              "variable" : "m"
                            },
                            {
                              "context" : "m",
                              "element" : "profile",
                              "transform" : "copy",
                              "parameter" : [
                                {
                                  "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-imaging-study"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "tags",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "meta",
                              "variable" : "qm"
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "tag",
                              "source" : [
                                {
                                  "context" : "qm",
                                  "element" : "tag",
                                  "variable" : "t"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "st",
                                  "element" : "meta",
                                  "variable" : "m"
                                },
                                {
                                  "context" : "m",
                                  "element" : "tag",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueId" : "t"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "tenant",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "extension",
                              "variable" : "x",
                              "condition" : "url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "extension",
                              "transform" : "copy",
                              "parameter" : [
                                {
                                  "valueId" : "x"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "identifier",
                          "source" : [
                            {
                              "context" : "pack"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "identifier",
                              "variable" : "ident"
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "system",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ident",
                                  "element" : "system",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "https://fhir.optimalhealth.org/sid/optomed-pack"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "value",
                              "source" : [
                                {
                                  "context" : "pack"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ident",
                                  "element" : "value",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueId" : "pack"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "available",
                          "source" : [
                            {
                              "context" : "qr",
                              "condition" : "(item.where(linkId = 'images-right').answer.value = true) or (item.where(linkId = 'images-left').answer.value = true)"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "status",
                              "transform" : "copy",
                              "parameter" : [
                                {
                                  "valueString" : "available"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "cancelled",
                          "source" : [
                            {
                              "context" : "qr",
                              "condition" : "((item.where(linkId = 'images-right').answer.value = true) or (item.where(linkId = 'images-left').answer.value = true)).not()"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "status",
                              "transform" : "copy",
                              "parameter" : [
                                {
                                  "valueString" : "cancelled"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "modality",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "modality",
                              "variable" : "cv",
                              "transform" : "create",
                              "parameter" : [
                                {
                                  "valueString" : "CodeableConcept"
                                }
                              ]
                            }
                          ],
                          "rule" : [
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                              "name" : "modalityCoding",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cv",
                                  "element" : "coding",
                                  "variable" : "cd",
                                  "transform" : "create",
                                  "parameter" : [
                                    {
                                      "valueString" : "Coding"
                                    }
                                  ]
                                }
                              ],
                              "rule" : [
                                {
                                  "name" : "modalitySystem",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cd",
                                      "element" : "system",
                                      "transform" : "copy",
                                      "parameter" : [
                                        {
                                          "valueString" : "http://dicom.nema.org/resources/ontology/DCM"
                                        }
                                      ]
                                    }
                                  ]
                                },
                                {
                                  "name" : "modalityCode",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cd",
                                      "element" : "code",
                                      "transform" : "copy",
                                      "parameter" : [
                                        {
                                          "valueString" : "OP"
                                        }
                                      ]
                                    }
                                  ]
                                },
                                {
                                  "name" : "modalityDisplay",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cd",
                                      "element" : "display",
                                      "transform" : "copy",
                                      "parameter" : [
                                        {
                                          "valueString" : "Ophthalmic Photography"
                                        }
                                      ]
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "subject",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "subject",
                              "variable" : "s"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "subject",
                              "transform" : "copy",
                              "parameter" : [
                                {
                                  "valueId" : "s"
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                              ]
                            }
                          ]
                        },
                        {
                          "name" : "encounter",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "encounter",
                              "variable" : "en"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "encounter",
                              "transform" : "copy",
                              "parameter" : [
                                {
                                  "valueId" : "en"
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "started",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "item",
                              "variable" : "ti",
                              "condition" : "linkId = 'retinal-capture-time'"
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "answer",
                              "source" : [
                                {
                                  "context" : "ti",
                                  "element" : "answer",
                                  "listMode" : "first",
                                  "variable" : "ta"
                                }
                              ],
                              "rule" : [
                                {
                                  "name" : "started",
                                  "source" : [
                                    {
                                      "context" : "ta",
                                      "element" : "value",
                                      "variable" : "tv"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "st",
                                      "element" : "started",
                                      "transform" : "copy",
                                      "parameter" : [
                                        {
                                          "valueId" : "tv"
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                                      ]
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "right",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "item",
                              "variable" : "r",
                              "condition" : "(linkId = 'images-right') and (answer.value = true)"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "series",
                              "variable" : "ser"
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "uid",
                              "source" : [
                                {
                                  "context" : "pack"
                                }
                              ],
                              "target" : [
                                {
                                  "variable" : "uidText",
                                  "transform" : "append",
                                  "parameter" : [
                                    {
                                      "valueId" : "pack"
                                    },
                                    {
                                      "valueString" : "-R"
                                    }
                                  ]
                                },
                                {
                                  "context" : "ser",
                                  "element" : "uid",
                                  "transform" : "cast",
                                  "parameter" : [
                                    {
                                      "valueId" : "uidText"
                                    },
                                    {
                                      "valueString" : "id"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "modality",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ser",
                                  "element" : "modality",
                                  "variable" : "cv",
                                  "transform" : "create",
                                  "parameter" : [
                                    {
                                      "valueString" : "CodeableConcept"
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                                  ]
                                }
                              ],
                              "rule" : [
                                {
                                  "name" : "modalityCoding",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cv",
                                      "element" : "coding",
                                      "variable" : "cd",
                                      "transform" : "create",
                                      "parameter" : [
                                        {
                                          "valueString" : "Coding"
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                                      ]
                                    }
                                  ],
                                  "rule" : [
                                    {
                                      "name" : "modalitySystem",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "system",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "http://dicom.nema.org/resources/ontology/DCM"
                                            }
                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "modalityCode",
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                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "code",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "OP"
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                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "modalityDisplay",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "display",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "Ophthalmic Photography"
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                                          ]
                                        }
                                      ]
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "laterality",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ser",
                                  "element" : "laterality",
                                  "variable" : "cv",
                                  "transform" : "create",
                                  "parameter" : [
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                                      "valueString" : "CodeableConcept"
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                                  ]
                                }
                              ],
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                                {
                                  "name" : "lateralityCoding",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cv",
                                      "element" : "coding",
                                      "variable" : "cd",
                                      "transform" : "create",
                                      "parameter" : [
                                        {
                                          "valueString" : "Coding"
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                                      ]
                                    }
                                  ],
                                  "rule" : [
                                    {
                                      "name" : "lateralitySystem",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "system",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-eye"
                                            }
                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "lateralityCode",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "code",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "right"
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                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "lateralityDisplay",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "display",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "Right eye"
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                                          ]
                                        }
                                      ]
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "description",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ser",
                                  "element" : "description",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "Right eye"
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                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "left",
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                            {
                              "context" : "qr",
                              "element" : "item",
                              "variable" : "l",
                              "condition" : "(linkId = 'images-left') and (answer.value = true)"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "st",
                              "element" : "series",
                              "variable" : "ser"
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "uid",
                              "source" : [
                                {
                                  "context" : "pack"
                                }
                              ],
                              "target" : [
                                {
                                  "variable" : "uidText",
                                  "transform" : "append",
                                  "parameter" : [
                                    {
                                      "valueId" : "pack"
                                    },
                                    {
                                      "valueString" : "-L"
                                    }
                                  ]
                                },
                                {
                                  "context" : "ser",
                                  "element" : "uid",
                                  "transform" : "cast",
                                  "parameter" : [
                                    {
                                      "valueId" : "uidText"
                                    },
                                    {
                                      "valueString" : "id"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "modality",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ser",
                                  "element" : "modality",
                                  "variable" : "cv",
                                  "transform" : "create",
                                  "parameter" : [
                                    {
                                      "valueString" : "CodeableConcept"
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                                  ]
                                }
                              ],
                              "rule" : [
                                {
                                  "name" : "modalityCoding",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cv",
                                      "element" : "coding",
                                      "variable" : "cd",
                                      "transform" : "create",
                                      "parameter" : [
                                        {
                                          "valueString" : "Coding"
                                        }
                                      ]
                                    }
                                  ],
                                  "rule" : [
                                    {
                                      "name" : "modalitySystem",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "system",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "http://dicom.nema.org/resources/ontology/DCM"
                                            }
                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "modalityCode",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "code",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "OP"
                                            }
                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "modalityDisplay",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "display",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "Ophthalmic Photography"
                                            }
                                          ]
                                        }
                                      ]
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "laterality",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ser",
                                  "element" : "laterality",
                                  "variable" : "cv",
                                  "transform" : "create",
                                  "parameter" : [
                                    {
                                      "valueString" : "CodeableConcept"
                                    }
                                  ]
                                }
                              ],
                              "rule" : [
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                                  "name" : "lateralityCoding",
                                  "source" : [
                                    {
                                      "context" : "qr"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "cv",
                                      "element" : "coding",
                                      "variable" : "cd",
                                      "transform" : "create",
                                      "parameter" : [
                                        {
                                          "valueString" : "Coding"
                                        }
                                      ]
                                    }
                                  ],
                                  "rule" : [
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                                      "name" : "lateralitySystem",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "system",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-eye"
                                            }
                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "lateralityCode",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "code",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "left"
                                            }
                                          ]
                                        }
                                      ]
                                    },
                                    {
                                      "name" : "lateralityDisplay",
                                      "source" : [
                                        {
                                          "context" : "qr"
                                        }
                                      ],
                                      "target" : [
                                        {
                                          "context" : "cd",
                                          "element" : "display",
                                          "transform" : "copy",
                                          "parameter" : [
                                            {
                                              "valueString" : "Left eye"
                                            }
                                          ]
                                        }
                                      ]
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "description",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "ser",
                                  "element" : "description",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "Left eye"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        },
                        {
                          "name" : "reason",
                          "source" : [
                            {
                              "context" : "qr",
                              "element" : "item",
                              "variable" : "ri",
                              "condition" : "linkId = 'images-reason'"
                            }
                          ],
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                            {
                              "name" : "answer",
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                                {
                                  "context" : "ri",
                                  "element" : "answer",
                                  "listMode" : "first",
                                  "variable" : "ra"
                                }
                              ],
                              "rule" : [
                                {
                                  "name" : "note",
                                  "source" : [
                                    {
                                      "context" : "ra",
                                      "element" : "value",
                                      "variable" : "rv"
                                    }
                                  ],
                                  "target" : [
                                    {
                                      "context" : "st",
                                      "element" : "note",
                                      "variable" : "n"
                                    },
                                    {
                                      "context" : "n",
                                      "element" : "text",
                                      "transform" : "copy",
                                      "parameter" : [
                                        {
                                          "valueId" : "rv"
                                        }
                                      ]
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "dilated",
              "source" : [
                {
                  "context" : "qr",
                  "element" : "item",
                  "variable" : "it",
                  "condition" : "linkId = 'images-dilated'"
                }
              ],
              "rule" : [
                {
                  "name" : "obs",
                  "source" : [
                    {
                      "context" : "it",
                      "element" : "answer",
                      "listMode" : "first",
                      "variable" : "a"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "bundle",
                      "element" : "entry",
                      "variable" : "e"
                    },
                    {
                      "context" : "e",
                      "element" : "resource",
                      "variable" : "obs",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Observation"
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                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "base",
                      "source" : [
                        {
                          "context" : "qr"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs"
                        }
                      ],
                      "dependent" : [
                        {
                          "name" : "Answer",
                          "parameter" : [
                            {
                              "valueId" : "qr"
                            },
                            {
                              "valueId" : "it"
                            },
                            {
                              "valueId" : "obs"
                            },
                            {
                              "valueId" : "e"
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "code",
                      "source" : [
                        {
                          "context" : "qr"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "code",
                          "variable" : "cv",
                          "transform" : "create",
                          "parameter" : [
                            {
                              "valueString" : "CodeableConcept"
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                          ]
                        }
                      ],
                      "rule" : [
                        {
                          "name" : "codeCoding",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "cv",
                              "element" : "coding",
                              "variable" : "cd",
                              "transform" : "create",
                              "parameter" : [
                                {
                                  "valueString" : "Coding"
                                }
                              ]
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "codeSystem",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "system",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeCode",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "code",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "images-dilated"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeDisplay",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "display",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "Images taken with dilation"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "value",
                      "source" : [
                        {
                          "context" : "a",
                          "element" : "value",
                          "variable" : "v"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "value",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueId" : "v"
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                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "rightAnswer",
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                {
                  "context" : "qr",
                  "element" : "item",
                  "variable" : "it",
                  "condition" : "linkId = 'images-right'"
                }
              ],
              "rule" : [
                {
                  "name" : "obs",
                  "source" : [
                    {
                      "context" : "it",
                      "element" : "answer",
                      "listMode" : "first",
                      "variable" : "a"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "bundle",
                      "element" : "entry",
                      "variable" : "e"
                    },
                    {
                      "context" : "e",
                      "element" : "resource",
                      "variable" : "obs",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Observation"
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                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "base",
                      "source" : [
                        {
                          "context" : "qr"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs"
                        }
                      ],
                      "dependent" : [
                        {
                          "name" : "Answer",
                          "parameter" : [
                            {
                              "valueId" : "qr"
                            },
                            {
                              "valueId" : "it"
                            },
                            {
                              "valueId" : "obs"
                            },
                            {
                              "valueId" : "e"
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                          ]
                        }
                      ]
                    },
                    {
                      "name" : "code",
                      "source" : [
                        {
                          "context" : "qr"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "code",
                          "variable" : "cv",
                          "transform" : "create",
                          "parameter" : [
                            {
                              "valueString" : "CodeableConcept"
                            }
                          ]
                        }
                      ],
                      "rule" : [
                        {
                          "name" : "codeCoding",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "cv",
                              "element" : "coding",
                              "variable" : "cd",
                              "transform" : "create",
                              "parameter" : [
                                {
                                  "valueString" : "Coding"
                                }
                              ]
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "codeSystem",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "system",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeCode",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "code",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "images-right"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeDisplay",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "display",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "Image captured of the right eye"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "value",
                      "source" : [
                        {
                          "context" : "a",
                          "element" : "value",
                          "variable" : "v"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "value",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueId" : "v"
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                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "leftAnswer",
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                {
                  "context" : "qr",
                  "element" : "item",
                  "variable" : "it",
                  "condition" : "linkId = 'images-left'"
                }
              ],
              "rule" : [
                {
                  "name" : "obs",
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                    {
                      "context" : "it",
                      "element" : "answer",
                      "listMode" : "first",
                      "variable" : "a"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "bundle",
                      "element" : "entry",
                      "variable" : "e"
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                    {
                      "context" : "e",
                      "element" : "resource",
                      "variable" : "obs",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Observation"
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                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "base",
                      "source" : [
                        {
                          "context" : "qr"
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                      ],
                      "target" : [
                        {
                          "context" : "obs"
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                      ],
                      "dependent" : [
                        {
                          "name" : "Answer",
                          "parameter" : [
                            {
                              "valueId" : "qr"
                            },
                            {
                              "valueId" : "it"
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                            {
                              "valueId" : "obs"
                            },
                            {
                              "valueId" : "e"
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                          ]
                        }
                      ]
                    },
                    {
                      "name" : "code",
                      "source" : [
                        {
                          "context" : "qr"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "code",
                          "variable" : "cv",
                          "transform" : "create",
                          "parameter" : [
                            {
                              "valueString" : "CodeableConcept"
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                          ]
                        }
                      ],
                      "rule" : [
                        {
                          "name" : "codeCoding",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "cv",
                              "element" : "coding",
                              "variable" : "cd",
                              "transform" : "create",
                              "parameter" : [
                                {
                                  "valueString" : "Coding"
                                }
                              ]
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "codeSystem",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "system",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeCode",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "code",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "images-left"
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                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeDisplay",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "display",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "Image captured of the left eye"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "value",
                      "source" : [
                        {
                          "context" : "a",
                          "element" : "value",
                          "variable" : "v"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "value",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueId" : "v"
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                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "name" : "synced",
              "source" : [
                {
                  "context" : "qr",
                  "element" : "item",
                  "variable" : "it",
                  "condition" : "linkId = 'images-synced'"
                }
              ],
              "rule" : [
                {
                  "name" : "obs",
                  "source" : [
                    {
                      "context" : "it",
                      "element" : "answer",
                      "listMode" : "first",
                      "variable" : "a"
                    }
                  ],
                  "target" : [
                    {
                      "context" : "bundle",
                      "element" : "entry",
                      "variable" : "e"
                    },
                    {
                      "context" : "e",
                      "element" : "resource",
                      "variable" : "obs",
                      "transform" : "create",
                      "parameter" : [
                        {
                          "valueString" : "Observation"
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                      ]
                    }
                  ],
                  "rule" : [
                    {
                      "name" : "base",
                      "source" : [
                        {
                          "context" : "qr"
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                      ],
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                        {
                          "context" : "obs"
                        }
                      ],
                      "dependent" : [
                        {
                          "name" : "Answer",
                          "parameter" : [
                            {
                              "valueId" : "qr"
                            },
                            {
                              "valueId" : "it"
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                            {
                              "valueId" : "obs"
                            },
                            {
                              "valueId" : "e"
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                          ]
                        }
                      ]
                    },
                    {
                      "name" : "code",
                      "source" : [
                        {
                          "context" : "qr"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "code",
                          "variable" : "cv",
                          "transform" : "create",
                          "parameter" : [
                            {
                              "valueString" : "CodeableConcept"
                            }
                          ]
                        }
                      ],
                      "rule" : [
                        {
                          "name" : "codeCoding",
                          "source" : [
                            {
                              "context" : "qr"
                            }
                          ],
                          "target" : [
                            {
                              "context" : "cv",
                              "element" : "coding",
                              "variable" : "cd",
                              "transform" : "create",
                              "parameter" : [
                                {
                                  "valueString" : "Coding"
                                }
                              ]
                            }
                          ],
                          "rule" : [
                            {
                              "name" : "codeSystem",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "system",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement"
                                    }
                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeCode",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "code",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "images-synced"
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                                  ]
                                }
                              ]
                            },
                            {
                              "name" : "codeDisplay",
                              "source" : [
                                {
                                  "context" : "qr"
                                }
                              ],
                              "target" : [
                                {
                                  "context" : "cd",
                                  "element" : "display",
                                  "transform" : "copy",
                                  "parameter" : [
                                    {
                                      "valueString" : "Images synced to the device cloud storage"
                                    }
                                  ]
                                }
                              ]
                            }
                          ]
                        }
                      ]
                    },
                    {
                      "name" : "value",
                      "source" : [
                        {
                          "context" : "a",
                          "element" : "value",
                          "variable" : "v"
                        }
                      ],
                      "target" : [
                        {
                          "context" : "obs",
                          "element" : "value",
                          "transform" : "copy",
                          "parameter" : [
                            {
                              "valueId" : "v"
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                          ]
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name" : "Answer",
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        {
          "name" : "qr",
          "type" : "QR",
          "mode" : "source"
        },
        {
          "name" : "it",
          "mode" : "source"
        },
        {
          "name" : "obs",
          "type" : "Observation",
          "mode" : "target"
        },
        {
          "name" : "e",
          "mode" : "target"
        }
      ],
      "rule" : [
        {
          "name" : "ids",
          "source" : [
            {
              "context" : "qr"
            }
          ],
          "target" : [
            {
              "variable" : "qid",
              "transform" : "evaluate",
              "parameter" : [
                {
                  "valueId" : "qr"
                },
                {
                  "valueString" : "id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')"
                }
              ]
            }
          ],
          "rule" : [
            {
              "name" : "id",
              "source" : [
                {
                  "context" : "it",
                  "element" : "linkId",
                  "variable" : "k"
                }
              ],
              "target" : [
                {
                  "variable" : "idText",
                  "transform" : "append",
                  "parameter" : [
                    {
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                    {
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                    {
                      "valueId" : "k"
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                {
                  "context" : "obs",
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                  "parameter" : [
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                    {
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            {
              "name" : "fullUrl",
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                  "context" : "it",
                  "element" : "linkId",
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                {
                  "context" : "e",
                  "element" : "fullUrl",
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                    {
                      "valueString" : "Observation/"
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                    {
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                    {
                      "valueString" : "-"
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                      "valueId" : "k"
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              "name" : "request",
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                      "context" : "rq",
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                        {
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                  "name" : "url",
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                    {
                      "context" : "qr"
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                  ],
                  "target" : [
                    {
                      "context" : "rq",
                      "element" : "url",
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                      "parameter" : [
                        {
                          "valueString" : "Observation/"
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                        {
                          "valueId" : "qid"
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                        {
                          "valueString" : "-"
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                        {
                          "valueId" : "k"
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                  ]
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              ]
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            {
              "context" : "qr"
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            {
              "context" : "obs",
              "element" : "meta",
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            {
              "context" : "m",
              "element" : "profile",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-observation"
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              ]
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          ]
        },
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          "name" : "tags",
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              "context" : "qr",
              "element" : "meta",
              "variable" : "qm"
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              "name" : "tag",
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                  "context" : "qm",
                  "element" : "tag",
                  "variable" : "t"
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              "target" : [
                {
                  "context" : "obs",
                  "element" : "meta",
                  "variable" : "m"
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                {
                  "context" : "m",
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                  "parameter" : [
                    {
                      "valueId" : "t"
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        {
          "name" : "tenant",
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              "context" : "qr",
              "element" : "extension",
              "variable" : "x",
              "condition" : "url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'"
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          ],
          "target" : [
            {
              "context" : "obs",
              "element" : "extension",
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                {
                  "valueId" : "x"
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        {
          "name" : "status",
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            {
              "context" : "qr"
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            {
              "context" : "obs",
              "element" : "status",
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              "parameter" : [
                {
                  "valueString" : "final"
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              ]
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        {
          "name" : "category",
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            {
              "context" : "qr"
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          ],
          "target" : [
            {
              "context" : "obs",
              "element" : "category",
              "variable" : "cv",
              "transform" : "create",
              "parameter" : [
                {
                  "valueString" : "CodeableConcept"
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          "rule" : [
            {
              "name" : "categoryCoding",
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                {
                  "context" : "qr"
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              "target" : [
                {
                  "context" : "cv",
                  "element" : "coding",
                  "variable" : "cd",
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                  "parameter" : [
                    {
                      "valueString" : "Coding"
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              ],
              "rule" : [
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                  "name" : "categorySystem",
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                    {
                      "context" : "qr"
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                    {
                      "context" : "cd",
                      "element" : "system",
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                        {
                          "valueString" : "http://terminology.hl7.org/CodeSystem/observation-category"
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                  "name" : "categoryCode",
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                    {
                      "context" : "qr"
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                    {
                      "context" : "cd",
                      "element" : "code",
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                        {
                          "valueString" : "imaging"
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                {
                  "name" : "categoryDisplay",
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                    {
                      "context" : "qr"
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                    {
                      "context" : "cd",
                      "element" : "display",
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                      "parameter" : [
                        {
                          "valueString" : "Imaging"
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          "name" : "subject",
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            {
              "context" : "qr",
              "element" : "subject",
              "variable" : "s"
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          "name" : "encounter",
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              "context" : "qr",
              "element" : "encounter",
              "variable" : "en"
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            {
              "context" : "obs",
              "element" : "encounter",
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              "parameter" : [
                {
                  "valueId" : "en"
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        {
          "name" : "effective",
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            {
              "context" : "qr",
              "element" : "authored",
              "variable" : "t"
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            {
              "context" : "obs",
              "element" : "effective",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueId" : "t"
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        },
        {
          "name" : "performer",
          "source" : [
            {
              "context" : "qr",
              "element" : "author",
              "variable" : "au"
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          ],
          "target" : [
            {
              "context" : "obs",
              "element" : "performer",
              "transform" : "copy",
              "parameter" : [
                {
                  "valueId" : "au"
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          ]
        }
      ]
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  ]
}