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="HRExtractMedications"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureMap HRExtractMedications</b></p><a name="HRExtractMedications"> </a><a name="hcHRExtractMedications"> </a><pre class="fml">
<span style="color: #cc00cc">/// <b>url</b> = </span><span style="color: blue">'https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractMedications'</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">'HRExtractMedications'</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/medicationstatement.html" title="MedicationStatement">http://hl7.org/fhir/StructureDefinition/MedicationStatement</a><span style="color: navy">" </span><b>alias </b>MedicationStatement <b>as </b><b>target</b>
<b>group </b>HRExtractMedications<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">it</span><b> where </b><span style="color: navy">(</span>linkId = 'medications-current'<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><b> where </b><span style="color: navy">(</span>value = false<span style="color: navy">)</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> <b>append</b><span style="color: navy">(</span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-medications-none'</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>
qr<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">'-medications-none'</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">'Observation/'</span><span style="color: navy">, </span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-medications-none'</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> 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">'survey'</span> <i>"categoryCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'Survey'</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<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">'medications-none'</span> <i>"codeCode"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>cd.display = <span style="color: blue">'No current medication'</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>
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>
qr<span style="color: navy"><b> -> </b></span>obs.value = <span style="color: blue">true</span> <i>"value"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"none"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"current"</i><span style="color: navy">;</span>
qr.item<b> as </b><span style="color: maroon">g</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine'<span style="color: navy">)</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">'MedicationStatement'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">ms</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">ci</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine.code'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> ci.answer first<b> as </b><span style="color: maroon">ca</span><b> then</b><span style="color: navy"> {
</span> ca.value<span style="color: navy"> : </span>Coding<b> as </b><span style="color: maroon">cv</span><b> then</b><span style="color: navy"> {
</span> cv.code<b> as </b><span style="color: maroon">c</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">'-medicine-'</span><span style="color: navy">, </span><span style="color: maroon">c</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">idText</span><span style="color: navy">, </span> ms.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>
cv.code<b> as </b><span style="color: maroon">c</span><span style="color: navy"><b> -> </b></span>e.fullUrl = <b>append</b><span style="color: navy">(</span><span style="color: blue">'MedicationStatement/'</span><span style="color: navy">, </span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-medicine-'</span><span style="color: navy">, </span><span style="color: maroon">c</span><span style="color: navy">)</span> <i>"fullUrl"</i><span style="color: navy">;</span>
cv.code<b> as </b><span style="color: maroon">c</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">'MedicationStatement/'</span><span style="color: navy">, </span><span style="color: maroon">qid</span><span style="color: navy">, </span><span style="color: blue">'-medicine-'</span><span style="color: navy">, </span><span style="color: maroon">c</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>
cv<span style="color: navy"><b> -> </b></span> ms.medication = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableReference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cr</span><span style="color: navy">, </span> cr.concept = <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">concept</span><b> then</b><span style="color: navy"> {
</span> cv<span style="color: navy"><b> -> </b></span>concept.coding = <span style="color: maroon">cv</span> <i>"coding"</i><span style="color: navy">;</span>
cv.display<b> as </b><span style="color: maroon">d</span><span style="color: navy"><b> -> </b></span>concept.text = <span style="color: maroon">d</span> <i>"text"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"medication"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coded"</i><span style="color: navy">;</span>
ca.value<span style="color: navy"> : </span>string<b> as </b><span style="color: maroon">sv</span><b> then</b><span style="color: navy"> {
</span> qr<span style="color: navy"><b> -> </b></span> ms.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">newId</span><span style="color: navy">, </span> e.fullUrl = <b>append</b><span style="color: navy">(</span><span style="color: blue">'urn:uuid:'</span><span style="color: navy">, </span><span style="color: maroon">newId</span><span style="color: navy">)</span> <i>"id"</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">'POST'</span> <i>"method"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>rq.url = <span style="color: blue">'MedicationStatement'</span> <i>"url"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"request"</i><span style="color: navy">;</span>
sv<span style="color: navy"><b> -> </b></span> ms.medication = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableReference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cr</span><span style="color: navy">, </span> cr.concept = <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">concept</span><span style="color: navy">, </span> concept.text = <span style="color: maroon">sv</span> <i>"medication"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"unlisted"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"code"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span> ms.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-medication-statement'</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> ms.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>ms.extension = <span style="color: maroon">x</span> <i>"tenant"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>ms.status = <span style="color: blue">'recorded'</span> <i>"status"</i><span style="color: navy">;</span>
qr.subject<b> as </b><span style="color: maroon">s</span><span style="color: navy"><b> -> </b></span>ms.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>ms.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>ms.dateAsserted = <span style="color: maroon">t</span> <i>"asserted"</i><span style="color: navy">;</span>
qr.author<b> as </b><span style="color: maroon">au</span><span style="color: navy"><b> -> </b></span>ms.informationSource = <span style="color: maroon">au</span> <i>"source"</i><span style="color: navy">;</span>
qr<span style="color: navy"><b> -> </b></span>ms.dosage<b> as </b><span style="color: maroon">dos</span><b> then</b><span style="color: navy"> {
</span> g.item<b> as </b><span style="color: maroon">ri</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine.route'<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> dos.route = <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">concept</span><span style="color: navy">, </span> concept.coding = <span style="color: maroon">rv</span> <i>"route"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"routeItem"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">fi</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine.frequency'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> fi.answer first<b> as </b><span style="color: maroon">fa</span><b> then</b><span style="color: navy"> {
</span> fa.value<b> as </b><span style="color: maroon">fv</span><span style="color: navy"><b> -> </b></span> dos.timing<b> as </b><span style="color: maroon">tm</span><span style="color: navy">, </span> tm.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">concept</span><span style="color: navy">, </span> concept.coding = <span style="color: maroon">fv</span> <i>"frequency"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"frequencyItem"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"dosage"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">si</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine.strength'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> si.answer first<b> as </b><span style="color: maroon">sa</span><b> then</b><span style="color: navy"> {
</span> sa.value<b> as </b><span style="color: maroon">sv</span><span style="color: navy"><b> -> </b></span> ms.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <b>append</b><span style="color: navy">(</span><span style="color: maroon">sv</span><span style="color: navy">, </span><span style="color: blue">', strength as recorded'</span><span style="color: navy">)</span> <i>"strength"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"strengthItem"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">fo</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine.form'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> fo.answer first<b> as </b><span style="color: maroon">fa</span><b> then</b><span style="color: navy"> {
</span> fa.value<b> as </b><span style="color: maroon">fv</span><b> then</b><span style="color: navy"> {
</span> fv.display<b> as </b><span style="color: maroon">d</span><span style="color: navy"><b> -> </b></span> ms.note<b> as </b><span style="color: maroon">n</span><span style="color: navy">, </span> n.text = <b>append</b><span style="color: navy">(</span><span style="color: maroon">d</span><span style="color: navy">, </span><span style="color: blue">', form as recorded'</span><span style="color: navy">)</span> <i>"form"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"coding"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"formItem"</i><span style="color: navy">;</span>
g.item<b> as </b><span style="color: maroon">re</span><b> where </b><span style="color: navy">(</span>linkId = 'medicine.reason'<span style="color: navy">)</span><b> then</b><span style="color: navy"> {
</span> re.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> ms.reason = <b>create</b><span style="color: navy">(</span><span style="color: blue">'CodeableReference'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">cr</span><span style="color: navy">, </span> cr.concept = <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">concept</span><span style="color: navy">, </span> concept.text = <span style="color: maroon">rv</span> <i>"reason"</i><span style="color: navy">;</span>
<span style="color: navy">}</span><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"reasonItem"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"medicine"</i><span style="color: navy">;</span>
<span style="color: navy">}</span> <i>"response"</i><span style="color: navy">;</span>
<span style="color: navy">}
</span></pre></div>
</text>
<url
value="https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractMedications"/>
<version value="0.2.0"/>
<name value="HRExtractMedications"/>
<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/MedicationStatement"/>
<mode value="target"/>
<alias value="MedicationStatement"/>
</structure>
<group>
<name value="HRExtractMedications"/>
<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="current"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="it"/>
<condition value="linkId = 'medications-current'"/>
</source>
<rule>
<name value="none"/>
<source>
<context value="it"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="a"/>
<condition value="value = false"/>
</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="id"/>
<source>
<context value="qr"/>
</source>
<target>
<variable value="idText"/>
<transform value="append"/>
<parameter>
<valueId value="qid"/>
</parameter>
<parameter>
<valueString value="-medications-none"/>
</parameter>
</target>
<target>
<context value="obs"/>
<element value="id"/>
<transform value="cast"/>
<parameter>
<valueId value="idText"/>
</parameter>
<parameter>
<valueString value="id"/>
</parameter>
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</rule>
<rule>
<name value="fullUrl"/>
<source>
<context value="qr"/>
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<context value="e"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="Observation/"/>
</parameter>
<parameter>
<valueId value="qid"/>
</parameter>
<parameter>
<valueString value="-medications-none"/>
</parameter>
</target>
</rule>
<rule>
<name value="request"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="e"/>
<element value="request"/>
<variable value="rq"/>
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<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="-medications-none"/>
</parameter>
</target>
</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"/>
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<context value="qm"/>
<element value="tag"/>
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</source>
<target>
<context value="obs"/>
<element value="meta"/>
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<target>
<context value="m"/>
<element value="tag"/>
<transform value="copy"/>
<parameter>
<valueId value="t"/>
</parameter>
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</rule>
</rule>
<rule>
<name value="tenant"/>
<source>
<context value="qr"/>
<element value="extension"/>
<variable value="x"/>
<condition
value="url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'"/>
</source>
<target>
<context value="obs"/>
<element value="extension"/>
<transform value="copy"/>
<parameter>
<valueId value="x"/>
</parameter>
</target>
</rule>
<rule>
<name value="status"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="status"/>
<transform value="copy"/>
<parameter>
<valueString value="final"/>
</parameter>
</target>
</rule>
<rule>
<name value="category"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="category"/>
<variable value="cv"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<rule>
<name value="categoryCoding"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cv"/>
<element value="coding"/>
<variable value="cd"/>
<transform value="create"/>
<parameter>
<valueString value="Coding"/>
</parameter>
</target>
<rule>
<name value="categorySystem"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cd"/>
<element value="system"/>
<transform value="copy"/>
<parameter>
<valueString
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryCode"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cd"/>
<element value="code"/>
<transform value="copy"/>
<parameter>
<valueString value="survey"/>
</parameter>
</target>
</rule>
<rule>
<name value="categoryDisplay"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="cd"/>
<element value="display"/>
<transform value="copy"/>
<parameter>
<valueString value="Survey"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="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="medications-none"/>
</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="No current medication"/>
</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>
<rule>
<name value="value"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="obs"/>
<element value="value"/>
<transform value="copy"/>
<parameter>
<valueBoolean value="true"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="medicine"/>
<source>
<context value="qr"/>
<element value="item"/>
<variable value="g"/>
<condition value="linkId = 'medicine'"/>
</source>
<target>
<context value="bundle"/>
<element value="entry"/>
<variable value="e"/>
</target>
<target>
<context value="e"/>
<element value="resource"/>
<variable value="ms"/>
<transform value="create"/>
<parameter>
<valueString value="MedicationStatement"/>
</parameter>
</target>
<rule>
<name value="code"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="ci"/>
<condition value="linkId = 'medicine.code'"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="ci"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="ca"/>
</source>
<rule>
<name value="coded"/>
<source>
<context value="ca"/>
<type value="Coding"/>
<element value="value"/>
<variable value="cv"/>
</source>
<rule>
<name value="id"/>
<source>
<context value="cv"/>
<element value="code"/>
<variable value="c"/>
</source>
<target>
<variable value="idText"/>
<transform value="append"/>
<parameter>
<valueId value="qid"/>
</parameter>
<parameter>
<valueString value="-medicine-"/>
</parameter>
<parameter>
<valueId value="c"/>
</parameter>
</target>
<target>
<context value="ms"/>
<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="cv"/>
<element value="code"/>
<variable value="c"/>
</source>
<target>
<context value="e"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="MedicationStatement/"/>
</parameter>
<parameter>
<valueId value="qid"/>
</parameter>
<parameter>
<valueString value="-medicine-"/>
</parameter>
<parameter>
<valueId value="c"/>
</parameter>
</target>
</rule>
<rule>
<name value="request"/>
<source>
<context value="cv"/>
<element value="code"/>
<variable value="c"/>
</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="MedicationStatement/"/>
</parameter>
<parameter>
<valueId value="qid"/>
</parameter>
<parameter>
<valueString value="-medicine-"/>
</parameter>
<parameter>
<valueId value="c"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="medication"/>
<source>
<context value="cv"/>
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<target>
<context value="ms"/>
<element value="medication"/>
<variable value="cr"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableReference"/>
</parameter>
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<target>
<context value="cr"/>
<element value="concept"/>
<variable value="concept"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<rule>
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<context value="cv"/>
</source>
<target>
<context value="concept"/>
<element value="coding"/>
<transform value="copy"/>
<parameter>
<valueId value="cv"/>
</parameter>
</target>
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<rule>
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<context value="cv"/>
<element value="display"/>
<variable value="d"/>
</source>
<target>
<context value="concept"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="d"/>
</parameter>
</target>
</rule>
</rule>
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<rule>
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<source>
<context value="ca"/>
<type value="string"/>
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<rule>
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<source>
<context value="qr"/>
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<element value="id"/>
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<transform value="uuid"/>
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<context value="e"/>
<element value="fullUrl"/>
<transform value="append"/>
<parameter>
<valueString value="urn:uuid:"/>
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<parameter>
<valueId value="newId"/>
</parameter>
</target>
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<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="POST"/>
</parameter>
</target>
</rule>
<rule>
<name value="url"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="rq"/>
<element value="url"/>
<transform value="copy"/>
<parameter>
<valueString value="MedicationStatement"/>
</parameter>
</target>
</rule>
</rule>
<rule>
<name value="medication"/>
<source>
<context value="sv"/>
</source>
<target>
<context value="ms"/>
<element value="medication"/>
<variable value="cr"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableReference"/>
</parameter>
</target>
<target>
<context value="cr"/>
<element value="concept"/>
<variable value="concept"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<target>
<context value="concept"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="sv"/>
</parameter>
</target>
</rule>
</rule>
</rule>
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<rule>
<name value="profile"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="ms"/>
<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-medication-statement"/>
</parameter>
</target>
</rule>
<rule>
<name value="tags"/>
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<context value="qr"/>
<element value="meta"/>
<variable value="qm"/>
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<rule>
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</source>
<target>
<context value="ms"/>
<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="ms"/>
<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="ms"/>
<element value="status"/>
<transform value="copy"/>
<parameter>
<valueString value="recorded"/>
</parameter>
</target>
</rule>
<rule>
<name value="subject"/>
<source>
<context value="qr"/>
<element value="subject"/>
<variable value="s"/>
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<target>
<context value="ms"/>
<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="ms"/>
<element value="encounter"/>
<transform value="copy"/>
<parameter>
<valueId value="en"/>
</parameter>
</target>
</rule>
<rule>
<name value="asserted"/>
<source>
<context value="qr"/>
<element value="authored"/>
<variable value="t"/>
</source>
<target>
<context value="ms"/>
<element value="dateAsserted"/>
<transform value="copy"/>
<parameter>
<valueId value="t"/>
</parameter>
</target>
</rule>
<rule>
<name value="source"/>
<source>
<context value="qr"/>
<element value="author"/>
<variable value="au"/>
</source>
<target>
<context value="ms"/>
<element value="informationSource"/>
<transform value="copy"/>
<parameter>
<valueId value="au"/>
</parameter>
</target>
</rule>
<rule>
<name value="dosage"/>
<source>
<context value="qr"/>
</source>
<target>
<context value="ms"/>
<element value="dosage"/>
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</target>
<rule>
<name value="routeItem"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="ri"/>
<condition value="linkId = 'medicine.route'"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="ri"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="ra"/>
</source>
<rule>
<name value="route"/>
<source>
<context value="ra"/>
<element value="value"/>
<variable value="rv"/>
</source>
<target>
<context value="dos"/>
<element value="route"/>
<variable value="concept"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<target>
<context value="concept"/>
<element value="coding"/>
<transform value="copy"/>
<parameter>
<valueId value="rv"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="frequencyItem"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="fi"/>
<condition value="linkId = 'medicine.frequency'"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="fi"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="fa"/>
</source>
<rule>
<name value="frequency"/>
<source>
<context value="fa"/>
<element value="value"/>
<variable value="fv"/>
</source>
<target>
<context value="dos"/>
<element value="timing"/>
<variable value="tm"/>
</target>
<target>
<context value="tm"/>
<element value="code"/>
<variable value="concept"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<target>
<context value="concept"/>
<element value="coding"/>
<transform value="copy"/>
<parameter>
<valueId value="fv"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</rule>
<rule>
<name value="strengthItem"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="si"/>
<condition value="linkId = 'medicine.strength'"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="si"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="sa"/>
</source>
<rule>
<name value="strength"/>
<source>
<context value="sa"/>
<element value="value"/>
<variable value="sv"/>
</source>
<target>
<context value="ms"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="append"/>
<parameter>
<valueId value="sv"/>
</parameter>
<parameter>
<valueString value=", strength as recorded"/>
</parameter>
</target>
</rule>
</rule>
</rule>
<rule>
<name value="formItem"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="fo"/>
<condition value="linkId = 'medicine.form'"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="fo"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="fa"/>
</source>
<rule>
<name value="coding"/>
<source>
<context value="fa"/>
<element value="value"/>
<variable value="fv"/>
</source>
<rule>
<name value="form"/>
<source>
<context value="fv"/>
<element value="display"/>
<variable value="d"/>
</source>
<target>
<context value="ms"/>
<element value="note"/>
<variable value="n"/>
</target>
<target>
<context value="n"/>
<element value="text"/>
<transform value="append"/>
<parameter>
<valueId value="d"/>
</parameter>
<parameter>
<valueString value=", form as recorded"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</rule>
<rule>
<name value="reasonItem"/>
<source>
<context value="g"/>
<element value="item"/>
<variable value="re"/>
<condition value="linkId = 'medicine.reason'"/>
</source>
<rule>
<name value="answer"/>
<source>
<context value="re"/>
<element value="answer"/>
<listMode value="first"/>
<variable value="ra"/>
</source>
<rule>
<name value="reason"/>
<source>
<context value="ra"/>
<element value="value"/>
<variable value="rv"/>
</source>
<target>
<context value="ms"/>
<element value="reason"/>
<variable value="cr"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableReference"/>
</parameter>
</target>
<target>
<context value="cr"/>
<element value="concept"/>
<variable value="concept"/>
<transform value="create"/>
<parameter>
<valueString value="CodeableConcept"/>
</parameter>
</target>
<target>
<context value="concept"/>
<element value="text"/>
<transform value="copy"/>
<parameter>
<valueId value="rv"/>
</parameter>
</target>
</rule>
</rule>
</rule>
</rule>
</rule>
</group>
</StructureMap>