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 - TTL Representation

Draft as of 2026-11-12

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

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

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