<?xml version="1.0" encoding="UTF-8"?>

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