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 |
{
"resourceType" : "StructureMap",
"id" : "HRExtractVitals",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureMap HRExtractVitals</b></p><a name=\"HRExtractVitals\"> </a><a name=\"hcHRExtractVitals\"> </a><pre class=\"fml\">\r\n<span style=\"color: #cc00cc\">/// <b>url</b> = </span><span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractVitals'</span>\r\n<span style=\"color: #cc00cc\">/// <b>version</b> = </span><span style=\"color: blue\">'0.2.0'</span>\r\n<span style=\"color: #cc00cc\">/// <b>name</b> = </span><span style=\"color: blue\">'HRExtractVitals'</span>\r\n<span style=\"color: #cc00cc\">/// <b>status</b> = </span><span style=\"color: blue\">'draft'</span>\r\n\r\n<b>uses</b><span style=\"color: navy\"> "</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>\r\n<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>\r\n<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>\r\n\r\n<b>group </b>HRExtractVitals<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>target</b> <span style=\"color: maroon\">bundle</span><span style=\"color: navy\"> : </span>Bundle<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>bundle.type = <span style=\"color: blue\">'transaction'</span> <i>"type"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-1'<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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Reading<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">g</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>"reading"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">si</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-1.8480-6'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> si.answer first<b> as </b><span style=\"color: maroon\">sa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sa.value<b> as </b><span style=\"color: maroon\">sv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Systolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"systolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"systolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">di</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-1.8462-4'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> di.answer first<b> as </b><span style=\"color: maroon\">da</span><b> then</b><span style=\"color: navy\"> {\r\n</span> da.value<b> as </b><span style=\"color: maroon\">dv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Diastolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">dv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"diastolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diastolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">ti</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-1.time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ti.answer first<b> as </b><span style=\"color: maroon\">ta</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ta.value<b> as </b><span style=\"color: maroon\">tv</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">tv</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"timeItem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.extension<b> as </b><span style=\"color: maroon\">x</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>x.url = <span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-reading-sequence'</span> <i>"url"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>x.value = <span style=\"color: blue\">1</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sequence"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"reading1"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-2'<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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Reading<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">g</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>"reading"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">si</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-2.8480-6'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> si.answer first<b> as </b><span style=\"color: maroon\">sa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sa.value<b> as </b><span style=\"color: maroon\">sv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Systolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"systolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"systolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">di</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-2.8462-4'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> di.answer first<b> as </b><span style=\"color: maroon\">da</span><b> then</b><span style=\"color: navy\"> {\r\n</span> da.value<b> as </b><span style=\"color: maroon\">dv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Diastolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">dv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"diastolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diastolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">ti</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-2.time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ti.answer first<b> as </b><span style=\"color: maroon\">ta</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ta.value<b> as </b><span style=\"color: maroon\">tv</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">tv</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"timeItem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.extension<b> as </b><span style=\"color: maroon\">x</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>x.url = <span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-reading-sequence'</span> <i>"url"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>x.value = <span style=\"color: blue\">2</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sequence"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">pi</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-2.bp-position'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> pi.answer first<b> as </b><span style=\"color: maroon\">pa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> pa.value<b> as </b><span style=\"color: maroon\">pv</span><span style=\"color: navy\"><b> -> </b></span>obs.extension<b> as </b><span style=\"color: maroon\">x</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>x.url = <span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-reading-position'</span> <i>"url"</i><span style=\"color: navy\">;</span>\r\n pv<span style=\"color: navy\"><b> -> </b></span> x.value = <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\">pv</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"extension"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"position"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"reading2"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3'<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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Reading<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">g</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>"reading"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">si</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3.8480-6'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> si.answer first<b> as </b><span style=\"color: maroon\">sa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sa.value<b> as </b><span style=\"color: maroon\">sv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Systolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"systolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"systolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">di</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3.8462-4'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> di.answer first<b> as </b><span style=\"color: maroon\">da</span><b> then</b><span style=\"color: navy\"> {\r\n</span> da.value<b> as </b><span style=\"color: maroon\">dv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Diastolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">dv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"diastolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diastolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">ti</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3.time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ti.answer first<b> as </b><span style=\"color: maroon\">ta</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ta.value<b> as </b><span style=\"color: maroon\">tv</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">tv</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"timeItem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.extension<b> as </b><span style=\"color: maroon\">x</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>x.url = <span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-reading-sequence'</span> <i>"url"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>x.value = <span style=\"color: blue\">3</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"sequence"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"reading3"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">it</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'retinal-capture-time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.answer first<b> as </b><span style=\"color: maroon\">a</span><span style=\"color: navy\"><b> -> </b></span> bundle.entry<b> as </b><span style=\"color: maroon\">e</span><span style=\"color: navy\">, </span> e.resource = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Observation'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">obs</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Shared<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>\r\n 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>\r\n 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\"> {\r\n</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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'procedure'</span> <i>"categoryCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Procedure'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n 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\"> {\r\n</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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'retinal-capture-time'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Time of retinal capture'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n a.value<b> as </b><span style=\"color: maroon\">v</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">v</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n 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>\r\n <span style=\"color: navy\">}</span> <i>"obs"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"captureTime"</i><span style=\"color: navy\">;</span>\r\n 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\"> {\r\n</span> qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-mean'<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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Reading<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">g</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>"reading"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Derived<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"derivedCategory"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">si</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-mean.8480-6'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> si.answer first<b> as </b><span style=\"color: maroon\">sa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sa.value<b> as </b><span style=\"color: maroon\">sv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Systolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"systolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"systolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">di</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-mean.8462-4'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> di.answer first<b> as </b><span style=\"color: maroon\">da</span><b> then</b><span style=\"color: navy\"> {\r\n</span> da.value<b> as </b><span style=\"color: maroon\">dv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Diastolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">dv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"diastolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diastolicItem"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">r3</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> r3.item<b> as </b><span style=\"color: maroon\">ti</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3.time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ti.answer first<b> as </b><span style=\"color: maroon\">ta</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ta.value<b> as </b><span style=\"color: maroon\">tv</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">tv</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"time"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"reading3"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.method = <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\">m</span><span style=\"color: navy\">, </span> m.text = <span style=\"color: blue\">'Mean of readings 2 and 3'</span> <i>"method"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">r</span><span style=\"color: navy\">, </span> r.reference = <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\">'-bp-reading-2'</span><span style=\"color: navy\">)</span> <i>"reading2Ref"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">r</span><span style=\"color: navy\">, </span> r.reference = <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\">'-bp-reading-3'</span><span style=\"color: navy\">)</span> <i>"reading3Ref"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"mean"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">g</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-mean-all'<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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Reading<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">g</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>"reading"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Derived<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"derivedCategory"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">si</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-mean-all.8480-6'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> si.answer first<b> as </b><span style=\"color: maroon\">sa</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sa.value<b> as </b><span style=\"color: maroon\">sv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Systolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">sv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"systolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"systolicItem"</i><span style=\"color: navy\">;</span>\r\n g.item<b> as </b><span style=\"color: maroon\">di</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-mean-all.8462-4'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> di.answer first<b> as </b><span style=\"color: maroon\">da</span><b> then</b><span style=\"color: navy\"> {\r\n</span> da.value<b> as </b><span style=\"color: maroon\">dv</span><span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Diastolic<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">dv</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">obs</span><span style=\"color: navy\">)</span> <i>"diastolic"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"diastolicItem"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">r3</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> r3.item<b> as </b><span style=\"color: maroon\">ti</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-reading-3.time'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ti.answer first<b> as </b><span style=\"color: maroon\">ta</span><b> then</b><span style=\"color: navy\"> {\r\n</span> ta.value<b> as </b><span style=\"color: maroon\">tv</span><span style=\"color: navy\"><b> -> </b></span>obs.effective = <span style=\"color: maroon\">tv</span> <i>"effective"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"time"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"reading3"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.method = <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\">m</span><span style=\"color: navy\">, </span> m.text = <span style=\"color: blue\">'Mean of readings 1, 2 and 3'</span> <i>"method"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">r</span><span style=\"color: navy\">, </span> r.reference = <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\">'-bp-reading-1'</span><span style=\"color: navy\">)</span> <i>"reading1Ref"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">r</span><span style=\"color: navy\">, </span> r.reference = <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\">'-bp-reading-2'</span><span style=\"color: navy\">)</span> <i>"reading2Ref"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span> obs.derivedFrom = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Reference'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">r</span><span style=\"color: navy\">, </span> r.reference = <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\">'-bp-reading-3'</span><span style=\"color: navy\">)</span> <i>"reading3Ref"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"meanAll"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"derived"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">The category a value worked out on this form carries beside its FHIR one.</span>\r\n<b>group </b>Derived<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\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</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\"> {\r\n</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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cd.system = <span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/CodeSystem/hr-observation-category'</span> <i>"derivedSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'derived'</span> <i>"derivedCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Derived'</span> <i>"derivedDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"derivedCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">One reading on the core blood pressure profile: the panel code, the monitor</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">as a component, and the shared identity. The group item's linkId names it.</span>\r\n<b>group </b>Reading<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\">g</span>, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">e</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>obs<b> then </b>Shared<span style=\"color: navy\">(</span><span style=\"color: maroon\">qr</span><span style=\"color: navy\">, </span><span style=\"color: maroon\">g</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>\r\n 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-blood-pressure'</span> <i>"profile"</i><span style=\"color: navy\">;</span>\r\n 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\"> {\r\n</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\"> {\r\n</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>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'vital-signs'</span> <i>"categoryCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Vital Signs'</span> <i>"categoryDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"categoryCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"category"</i><span style=\"color: navy\">;</span>\r\n 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\"> {\r\n</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\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cd.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"codeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'85354-9'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Blood pressure panel with all children optional'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n qr.item<b> as </b><span style=\"color: maroon\">d</span><b> where </b><span style=\"color: navy\">(</span>linkId = 'bp-device'<span style=\"color: navy\">)</span><b> then</b><span style=\"color: navy\"> {\r\n</span> d.answer first<b> as </b><span style=\"color: maroon\">da</span><b> then</b><span style=\"color: navy\"> {\r\n</span> da.value<b> as </b><span style=\"color: maroon\">dv</span><span style=\"color: navy\"><b> -> </b></span>obs.extension<b> as </b><span style=\"color: maroon\">x</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>x.url = <span style=\"color: blue\">'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-reading-device'</span> <i>"url"</i><span style=\"color: navy\">;</span>\r\n dv<span style=\"color: navy\"><b> -> </b></span> x.value = <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\">dv</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"extension"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"device"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>Systolic<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\">sv</span>, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> sv<span style=\"color: navy\"><b> -> </b></span>obs.component<b> as </b><span style=\"color: maroon\">comp</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>comp.code = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cv</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cv.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cd</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cd.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"codeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'8480-6'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Systolic blood pressure'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n sv<span style=\"color: navy\"><b> -> </b></span>comp.value = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Quantity'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">q</span><b> then</b><span style=\"color: navy\"> {\r\n</span> sv<span style=\"color: navy\"><b> -> </b></span>q.value = <span style=\"color: maroon\">sv</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>q.system = <span style=\"color: blue\">'http://unitsofmeasure.org'</span> <i>"system"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>q.code = <span style=\"color: blue\">'mm[Hg]'</span> <i>"unitCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>q.unit = <span style=\"color: blue\">'mmHg'</span> <i>"unit"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"quantity"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"component"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><b>group </b>Diastolic<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\">dv</span>, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation<span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> dv<span style=\"color: navy\"><b> -> </b></span>obs.component<b> as </b><span style=\"color: maroon\">comp</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>comp.code = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'CodeableConcept'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cv</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cv.coding = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Coding'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">cd</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>cd.system = <span style=\"color: blue\">'http://loinc.org'</span> <i>"codeSystem"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.code = <span style=\"color: blue\">'8462-4'</span> <i>"codeCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>cd.display = <span style=\"color: blue\">'Diastolic blood pressure'</span> <i>"codeDisplay"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"codeCoding"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"code"</i><span style=\"color: navy\">;</span>\r\n dv<span style=\"color: navy\"><b> -> </b></span>comp.value = <b>create</b><span style=\"color: navy\">(</span><span style=\"color: blue\">'Quantity'</span><span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">q</span><b> then</b><span style=\"color: navy\"> {\r\n</span> dv<span style=\"color: navy\"><b> -> </b></span>q.value = <span style=\"color: maroon\">dv</span> <i>"value"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>q.system = <span style=\"color: blue\">'http://unitsofmeasure.org'</span> <i>"system"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>q.code = <span style=\"color: blue\">'mm[Hg]'</span> <i>"unitCode"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>q.unit = <span style=\"color: blue\">'mmHg'</span> <i>"unit"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"quantity"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"component"</i><span style=\"color: navy\">;</span>\r\n<span style=\"color: navy\">}\r\n\r\n</span><span style=\"color: navy\">// </span><span style=\"color: green\">Identity, tags, tenant, subject, encounter and performer. The profile is set</span>\r\n<span style=\"color: navy\">// </span><span style=\"color: green\">here for a measurement and overridden by Reading for a blood pressure.</span>\r\n<b>group </b>Shared<span style=\"color: navy\">(</span><b>source</b> <span style=\"color: maroon\">qr</span><span style=\"color: navy\"> : </span>QR, <b>source</b> <span style=\"color: maroon\">it</span>, <b>target</b> <span style=\"color: maroon\">obs</span><span style=\"color: navy\"> : </span>Observation, <b>target</b> <span style=\"color: maroon\">e</span><span style=\"color: navy\">)</span><span style=\"color: navy\"> {\r\n</span> qr<span style=\"color: navy\"><b> -> </b></span>evaluate<span style=\"color: navy\">(</span>qr<span style=\"color: navy\">, </span>id.replaceMatches('/_history/.*$', '').replaceMatches('^.*/', '')<span style=\"color: navy\">)</span><b> as </b><span style=\"color: maroon\">qid</span><b> then</b><span style=\"color: navy\"> {\r\n</span> it.linkId<b> as </b><span style=\"color: maroon\">k</span><span style=\"color: navy\"><b> -> </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>\r\n 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>\r\n 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\"> {\r\n</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>\r\n 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>\r\n <span style=\"color: navy\">}</span> <i>"request"</i><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"ids"</i><span style=\"color: navy\">;</span>\r\n qr.meta<b> as </b><span style=\"color: maroon\">qm</span><b> then</b><span style=\"color: navy\"> {\r\n</span> qm.tag<b> as </b><span style=\"color: maroon\">t</span><span style=\"color: navy\"><b> -> </b></span> obs.meta<b> as </b><span style=\"color: maroon\">m</span><span style=\"color: navy\">, </span> m.tag = <span style=\"color: maroon\">t</span><span style=\"color: navy\">;</span>\r\n <span style=\"color: navy\">}</span> <i>"tags"</i><span style=\"color: navy\">;</span>\r\n qr.extension<b> as </b><span style=\"color: maroon\">x</span><b> where </b><span style=\"color: navy\">(</span>url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'<span style=\"color: navy\">)</span><span style=\"color: navy\"><b> -> </b></span>obs.extension = <span style=\"color: maroon\">x</span> <i>"tenant"</i><span style=\"color: navy\">;</span>\r\n qr<span style=\"color: navy\"><b> -> </b></span>obs.status = <span style=\"color: blue\">'final'</span> <i>"status"</i><span style=\"color: navy\">;</span>\r\n 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>\r\n 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>\r\n 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>\r\n<span style=\"color: navy\">}\r\n\r\n</span></pre></div>"
},
"url" : "https://fhir.optimalhealth.org/ig/healthy-route/StructureMap/HRExtractVitals",
"version" : "0.2.0",
"name" : "HRExtractVitals",
"status" : "draft",
"date" : "2026-11-12T10:14:36+00:00",
"publisher" : "Savannah Informatics",
"contact" : [
{
"name" : "Savannah Informatics",
"telecom" : [
{
"system" : "url",
"value" : "https://optimalhealth.org"
}
]
},
{
"name" : "Savannah Informatics",
"telecom" : [
{
"system" : "url",
"value" : "https://optimalhealth.org"
}
]
}
],
"structure" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"mode" : "source",
"alias" : "QR"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
"mode" : "target",
"alias" : "Bundle"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/Observation",
"mode" : "target",
"alias" : "Observation"
}
],
"group" : [
{
"name" : "HRExtractVitals",
"input" : [
{
"name" : "qr",
"type" : "QR",
"mode" : "source"
},
{
"name" : "bundle",
"type" : "Bundle",
"mode" : "target"
}
],
"rule" : [
{
"name" : "type",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "bundle",
"element" : "type",
"transform" : "copy",
"parameter" : [
{
"valueString" : "transaction"
}
]
}
]
},
{
"name" : "reading1",
"source" : [
{
"context" : "qr",
"element" : "item",
"variable" : "g",
"condition" : "linkId = 'bp-reading-1'"
}
],
"target" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "e"
},
{
"context" : "e",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [
{
"valueString" : "Observation"
}
]
}
],
"rule" : [
{
"name" : "reading",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "obs"
}
],
"dependent" : [
{
"name" : "Reading",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "g"
},
{
"valueId" : "obs"
},
{
"valueId" : "e"
}
]
}
]
},
{
"name" : "systolicItem",
"source" : [
{
"context" : "g",
"element" : "item",
"variable" : "si",
"condition" : "linkId = 'bp-reading-1.8480-6'"
}
],
"rule" : [
{
"name" : "answer",
"source" : [
{
"context" : "si",
"element" : "answer",
"listMode" : "first",
"variable" : "sa"
}
],
"rule" : [
{
"name" : "systolic",
"source" : [
{
"context" : "sa",
"element" : "value",
"variable" : "sv"
}
],
"target" : [
{
"context" : "obs"
}
],
"dependent" : [
{
"name" : "Systolic",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "sv"
},
{
"valueId" : "obs"
}
]
}
]
}
]
}
]
},
{
"name" : "diastolicItem",
"source" : [
{
"context" : "g",
"element" : "item",
"variable" : "di",
"condition" : "linkId = 'bp-reading-1.8462-4'"
}
],
"rule" : [
{
"name" : "answer",
"source" : [
{
"context" : "di",
"element" : "answer",
"listMode" : "first",
"variable" : "da"
}
],
"rule" : [
{
"name" : "diastolic",
"source" : [
{
"context" : "da",
"element" : "value",
"variable" : "dv"
}
],
"target" : [
{
"context" : "obs"
}
],
"dependent" : [
{
"name" : "Diastolic",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "dv"
},
{
"valueId" : "obs"
}
]
}
]
}
]
}
]
},
{
"name" : "timeItem",
"source" : [
{
"context" : "g",
"element" : "item",
"variable" : "ti",
"condition" : "linkId = 'bp-reading-1.time'"
}
],
"rule" : [
{
"name" : "answer",
"source" : [
{
"context" : "ti",
"element" : "answer",
"listMode" : "first",
"variable" : "ta"
}
],
"rule" : [
{
"name" : "effective",
"source" : [
{
"context" : "ta",
"element" : "value",
"variable" : "tv"
}
],
"target" : [
{
"context" : "obs",
"element" : "effective",
"transform" : "copy",
"parameter" : [
{
"valueId" : "tv"
}
]
}
]
}
]
}
]
},
{
"name" : "sequence",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "obs",
"element" : "extension",
"variable" : "x"
}
],
"rule" : [
{
"name" : "url",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "x",
"element" : "url",
"transform" : "copy",
"parameter" : [
{
"valueString" : "https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-reading-sequence"
}
]
}
]
},
{
"name" : "value",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "x",
"element" : "value",
"transform" : "copy",
"parameter" : [
{
"valueInteger" : 1
}
]
}
]
}
]
}
]
},
{
"name" : "reading2",
"source" : [
{
"context" : "qr",
"element" : "item",
"variable" : "g",
"condition" : "linkId = 'bp-reading-2'"
}
],
"target" : [
{
"context" : "bundle",
"element" : "entry",
"variable" : "e"
},
{
"context" : "e",
"element" : "resource",
"variable" : "obs",
"transform" : "create",
"parameter" : [
{
"valueString" : "Observation"
}
]
}
],
"rule" : [
{
"name" : "reading",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "obs"
}
],
"dependent" : [
{
"name" : "Reading",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "g"
},
{
"valueId" : "obs"
},
{
"valueId" : "e"
}
]
}
]
},
{
"name" : "systolicItem",
"source" : [
{
"context" : "g",
"element" : "item",
"variable" : "si",
"condition" : "linkId = 'bp-reading-2.8480-6'"
}
],
"rule" : [
{
"name" : "answer",
"source" : [
{
"context" : "si",
"element" : "answer",
"listMode" : "first",
"variable" : "sa"
}
],
"rule" : [
{
"name" : "systolic",
"source" : [
{
"context" : "sa",
"element" : "value",
"variable" : "sv"
}
],
"target" : [
{
"context" : "obs"
}
],
"dependent" : [
{
"name" : "Systolic",
"parameter" : [
{
"valueId" : "qr"
},
{
"valueId" : "sv"
},
{
"valueId" : "obs"
}
]
}
]
}
]
}
]
},
{
"name" : "diastolicItem",
"source" : [
{
"context" : "g",
"element" : "item",
"variable" : "di",
"condition" : "linkId = 'bp-reading-2.8462-4'"
}
],
"rule" : [
{
"name" : "answer",
"source" : [
{
"context" : "di",
"element" : "answer",
"listMode" : "first",
"variable" : "da"
}
],
"rule" : [
{
"name" : "diastolic",
"source" : [
{
"context" : "da",
"element" : "value",
"variable" : "dv"
}
],
"target" : [
{
"context" : "obs"
}
],
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},
{
"valueId" : "k"
}
]
}
]
},
{
"name" : "request",
"source" : [
{
"context" : "it",
"element" : "linkId",
"variable" : "k"
}
],
"target" : [
{
"context" : "e",
"element" : "request",
"variable" : "rq"
}
],
"rule" : [
{
"name" : "method",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "rq",
"element" : "method",
"transform" : "copy",
"parameter" : [
{
"valueString" : "PUT"
}
]
}
]
},
{
"name" : "url",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "rq",
"element" : "url",
"transform" : "append",
"parameter" : [
{
"valueString" : "Observation/"
},
{
"valueId" : "qid"
},
{
"valueString" : "-"
},
{
"valueId" : "k"
}
]
}
]
}
]
}
]
},
{
"name" : "tags",
"source" : [
{
"context" : "qr",
"element" : "meta",
"variable" : "qm"
}
],
"rule" : [
{
"name" : "tag",
"source" : [
{
"context" : "qm",
"element" : "tag",
"variable" : "t"
}
],
"target" : [
{
"context" : "obs",
"element" : "meta",
"variable" : "m"
},
{
"context" : "m",
"element" : "tag",
"transform" : "copy",
"parameter" : [
{
"valueId" : "t"
}
]
}
]
}
]
},
{
"name" : "tenant",
"source" : [
{
"context" : "qr",
"element" : "extension",
"variable" : "x",
"condition" : "url = 'https://fhir.optimalhealth.org/ig/healthy-route/StructureDefinition/hr-tenant'"
}
],
"target" : [
{
"context" : "obs",
"element" : "extension",
"transform" : "copy",
"parameter" : [
{
"valueId" : "x"
}
]
}
]
},
{
"name" : "status",
"source" : [
{
"context" : "qr"
}
],
"target" : [
{
"context" : "obs",
"element" : "status",
"transform" : "copy",
"parameter" : [
{
"valueString" : "final"
}
]
}
]
},
{
"name" : "subject",
"source" : [
{
"context" : "qr",
"element" : "subject",
"variable" : "s"
}
],
"target" : [
{
"context" : "obs",
"element" : "subject",
"transform" : "copy",
"parameter" : [
{
"valueId" : "s"
}
]
}
]
},
{
"name" : "encounter",
"source" : [
{
"context" : "qr",
"element" : "encounter",
"variable" : "en"
}
],
"target" : [
{
"context" : "obs",
"element" : "encounter",
"transform" : "copy",
"parameter" : [
{
"valueId" : "en"
}
]
}
]
},
{
"name" : "performer",
"source" : [
{
"context" : "qr",
"element" : "author",
"variable" : "au"
}
],
"target" : [
{
"context" : "obs",
"element" : "performer",
"transform" : "copy",
"parameter" : [
{
"valueId" : "au"
}
]
}
]
}
]
}
]
}