Healthy Route Implementation Guide
0.2.0 - ci-build
Healthy Route Implementation Guide, published by Savannah Informatics. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/healthy-route-ig/ and changes regularly. See the Directory of published versions
| Draft as of 2026-11-12 |
<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"> "</span><a href="http://hl7.org/fhir/R5/questionnaireresponse.html" title="QuestionnaireResponse">http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse</a><span style="color: navy">" </span><b>alias </b>QR <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/bundle.html" title="Bundle">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style="color: navy">" </span><b>alias </b>Bundle <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/observation.html" title="Observation">http://hl7.org/fhir/StructureDefinition/Observation</a><span style="color: navy">" </span><b>alias </b>Observation <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> "</span><a href="http://hl7.org/fhir/R5/imagingstudy.html" title="ImagingStudy">http://hl7.org/fhir/StructureDefinition/ImagingStudy</a><span style="color: navy">" </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> -> </b></span>bundle.type = <span style="color: blue">'transaction'</span> <i>"type"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </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>"id"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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>"fullUrl"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </b></span>rq.method = <span style="color: blue">'PUT'</span> <i>"method"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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>"url"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"request"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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>"profile"</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> -> </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>"tags"</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> -> </b></span>st.extension = <span style="color: maroon">x</span> <i>"tenant"</i><span style="color: navy">;</span>
pack<span style="color: navy"><b> -> </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> -> </b></span>ident.system = <span style="color: blue">'https://fhir.optimalhealth.org/sid/optomed-pack'</span> <i>"system"</i><span style="color: navy">;</span>
pack<span style="color: navy"><b> -> </b></span>ident.value = <span style="color: maroon">pack</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"identifier"</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> -> </b></span>st.status = <span style="color: blue">'available'</span> <i>"available"</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> -> </b></span>st.status = <span style="color: blue">'cancelled'</span> <i>"cancelled"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'http://dicom.nema.org/resources/ontology/DCM'</span> <i>"modalitySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'OP'</span> <i>"modalityCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Ophthalmic Photography'</span> <i>"modalityDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"modalityCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"modality"</i><span style="color: navy">;</span>
qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </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> -> </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> -> </b></span>st.started = <span style="color: maroon">tv</span> <i>"started"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"started"</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> -> </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> -> </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>"uid"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'http://dicom.nema.org/resources/ontology/DCM'</span> <i>"modalitySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'OP'</span> <i>"modalityCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Ophthalmic Photography'</span> <i>"modalityDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"modalityCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"modality"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-eye'</span> <i>"lateralitySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'right'</span> <i>"lateralityCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Right eye'</span> <i>"lateralityDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"lateralityCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"laterality"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>ser.description = <span style="color: blue">'Right eye'</span> <i>"description"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"right"</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> -> </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> -> </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>"uid"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'http://dicom.nema.org/resources/ontology/DCM'</span> <i>"modalitySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'OP'</span> <i>"modalityCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Ophthalmic Photography'</span> <i>"modalityDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"modalityCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"modality"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-eye'</span> <i>"lateralitySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'left'</span> <i>"lateralityCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Left eye'</span> <i>"lateralityDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"lateralityCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"laterality"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>ser.description = <span style="color: blue">'Left eye'</span> <i>"description"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"left"</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> -> </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>"note"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"reason"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"study"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"pack"</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> -> </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> -> </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>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>"codeSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'images-dilated'</span> <i>"codeCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Images taken with dilation'</span> <i>"codeDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codeCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"obs"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"dilated"</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> -> </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> -> </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>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>"codeSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'images-right'</span> <i>"codeCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Image captured of the right eye'</span> <i>"codeDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codeCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"obs"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"rightAnswer"</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> -> </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> -> </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>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>"codeSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'images-left'</span> <i>"codeCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Image captured of the left eye'</span> <i>"codeDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codeCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"obs"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"leftAnswer"</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> -> </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> -> </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>"base"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-measurement'</span> <i>"codeSystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'images-synced'</span> <i>"codeCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Images synced to the device cloud storage'</span> <i>"codeDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"codeCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
a.value<b> as </b><span style="color: maroon">v</span><span style="color: navy"><b> -> </b></span>obs.value = <span style="color: maroon">v</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"obs"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"synced"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"response"</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> -> </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> -> </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>"id"</i><span style="color: navy">;</span>
it.linkId<b> as </b><span style="color: maroon">k</span><span style="color: navy"><b> -> </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>"fullUrl"</i><span style="color: navy">;</span>
it.linkId<b> as </b><span style="color: maroon">k</span><span style="color: navy"><b> -> </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> -> </b></span>rq.method = <span style="color: blue">'PUT'</span> <i>"method"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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>"url"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"request"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"ids"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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>"profile"</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> -> </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>"tags"</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> -> </b></span>obs.extension = <span style="color: maroon">x</span> <i>"tenant"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>obs.status = <span style="color: blue">'final'</span> <i>"status"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </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> -> </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> -> </b></span>cd.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>"categorySystem"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.code = <span style="color: blue">'imaging'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Imaging'</span> <i>"categoryDisplay"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"categoryCoding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"category"</i><span style="color: navy">;</span>
qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </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> -> </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> -> </b></span>obs.effective = <span style="color: maroon">t</span> <i>"effective"</i><span style="color: navy">;</span>
qr.author<b> as </b><span style="color: maroon">au</span><span style="color: navy"><b> -> </b></span>obs.performer = <span style="color: maroon">au</span> <i>"performer"</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>