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: Mapping CSE-MDE vers FHIR Bundle - Contexte Français - XML Representation

Draft as of 2025-11-07

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<StructureMap xmlns="http://hl7.org/fhir">
  <id value="CdaFrMDEToBundle"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narratif généré : StructureMap CdaFrMDEToBundle</b></p><a name="CdaFrMDEToBundle"> </a><a name="hcCdaFrMDEToBundle"> </a><pre class="fml">
<b>map</b><span style="color: navy"> &quot;</span>https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaFrMDEToBundle<span style="color: navy">&quot; = &quot;</span>CdaFrMDEToBundle<span style="color: navy">&quot;

</span><span style="color: navy">// </span><span style="color: green">Mapping CSE-MDE vers FHIR Bundle - Contexte Français</span>

<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-ClinicalDocument.html" title="ClinicalDocument (CDA Class)">http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument</a><span style="color: navy">&quot; </span><b>alias </b>ClinicalDocument <b>as </b><b>source</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R4/bundle.html" title="Bundle">http://hl7.org/fhir/StructureDefinition/Bundle</a><span style="color: navy">&quot; </span><b>alias </b>Bundle <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R4/composition.html" title="Composition">http://hl7.org/fhir/StructureDefinition/Composition</a><span style="color: navy">&quot; </span><b>alias </b>Composition <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R4/patient.html" title="Patient">http://hl7.org/fhir/StructureDefinition/Patient</a><span style="color: navy">&quot; </span><b>alias </b>Patient <b>as </b><b>target</b>
<b>uses</b><span style="color: navy"> &quot;</span><a href="http://hl7.org/fhir/R4/observation.html" title="Observation">http://hl7.org/fhir/StructureDefinition/Observation</a><span style="color: navy">&quot; </span><b>alias </b>Observation <b>as </b><b>target</b>

<b>imports</b><span style="color: navy"> &quot;</span><a href="StructureMap-CdaToFHIRTypes.html" title="Mapping de CDA vers les FHIR Types (A partir des sources de Oliver Egger)">https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaToFHIRTypes</a><span style="color: navy">&quot;
</span><b>imports</b><span style="color: navy"> &quot;</span><a href="StructureMap-CdaToBundle.html" title="Mapping de CDA vers FHIR Bundle (A partir des sources de Oliver Egger)">https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaToBundle</a><span style="color: navy">&quot;
</span><b>imports</b><span style="color: navy"> &quot;</span><a href="StructureMap-CdaFrToBundle.html" title="Mapping de CDAFr vers FHIR Bundle (A partir des sources de Oliver Egger)">https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaFrToBundle</a><span style="color: navy">&quot;
</span>
<span style="color: navy">// </span><span style="color: green">Entry point</span>
<b>group </b>CdaFrMDEToBundle<span style="color: navy">(</span><b>source</b> <span style="color: maroon">cda</span><span style="color: navy"> : </span>ClinicalDocument, <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>  cda<span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">e</span><span style="color: navy">, </span> e.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Composition'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">composition</span><span style="color: navy">, </span> composition.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">uuid</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">uuid</span><span style="color: navy">)</span><span style="color: navy">, </span> bundle.entry<b> as </b><span style="color: maroon">e2</span><span style="color: navy">, </span> e2.resource = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Patient'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">patient</span><span style="color: navy">, </span> patient.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">uuid2</span><span style="color: navy">, </span> e2.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">uuid2</span><span style="color: navy">)</span><b> then </b>CdaFrMDEMapping<span style="color: navy">(</span><span style="color: maroon">cda</span><span style="color: navy">, </span><span style="color: maroon">patient</span><span style="color: navy">, </span><span style="color: maroon">composition</span><span style="color: navy">, </span><span style="color: maroon">bundle</span><span style="color: navy">)</span> <i>&quot;main&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">Main mapping group</span>
<b>group </b>CdaFrMDEMapping<span style="color: navy">(</span><b>source</b> <span style="color: maroon">cda</span><span style="color: navy"> : </span>ClinicalDocument, <b>target</b> <span style="color: maroon">patient</span><span style="color: navy"> : </span>Patient, <b>target</b> <span style="color: maroon">composition</span><span style="color: navy"> : </span>Composition, <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>  <span style="color: navy">// </span><span style="color: green">Bundle metadata</span>
  cda<span style="color: navy"><b> -&gt; </b></span>bundle.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span> <i>&quot;bundleId&quot;</i><span style="color: navy">;</span>
  cda.id<b> as </b><span style="color: maroon">cdaId</span><span style="color: navy"><b> -&gt; </b></span>bundle.identifier<b> as </b><span style="color: maroon">identifier</span><b> then</b><span style="color: navy"> {
</span>    cdaId.root<b> as </b><span style="color: maroon">root</span><b> where </b>cdaId.extension.exists()<span style="color: navy"><b> -&gt; </b></span>identifier.system = <b>translate</b><span style="color: navy">(</span><span style="color: maroon">root</span><span style="color: navy">, </span><span style="color: blue">'#oid2uri'</span><span style="color: navy">, </span><span style="color: blue">'uri'</span><span style="color: navy">)</span> <i>&quot;system&quot;</i><span style="color: navy">;</span>
    cdaId.extension<b> as </b><span style="color: maroon">extension</span><span style="color: navy"><b> -&gt; </b></span>identifier.value = <span style="color: maroon">extension</span> <i>&quot;value&quot;</i><span style="color: navy">;</span>
    cdaId.root<b> as </b><span style="color: maroon">root</span><b> where </b>cdaId.extension.empty()<span style="color: navy"><b> -&gt; </b></span>identifier.system = <span style="color: blue">'urn:ietf:rfc:3986'</span> <i>&quot;systemOid&quot;</i><span style="color: navy">;</span>
    cdaId.root<b> as </b><span style="color: maroon">root</span><b> where </b>cdaId.extension.empty()<span style="color: navy"><b> -&gt; </b></span>identifier.value = <b>append</b><span style="color: navy">(</span><span style="color: blue">'urn:oid:'</span><span style="color: navy">, </span><span style="color: maroon">root</span><span style="color: navy">)</span> <i>&quot;valueOid&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;bundleIdentifier&quot;</i><span style="color: navy">;</span>
  cda<span style="color: navy"><b> -&gt; </b></span>bundle.type = <span style="color: blue">'document'</span> <i>&quot;bundleType&quot;</i><span style="color: navy">;</span>
  cda.effectiveTime<b> as </b><span style="color: maroon">effectiveTime</span><span style="color: navy"><b> -&gt; </b></span>bundle.timestamp = <b>create</b><span style="color: navy">(</span><span style="color: blue">'instant'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">timestamp</span><b> then </b>TSInstant<span style="color: navy">(</span><span style="color: maroon">effectiveTime</span><span style="color: navy">, </span><span style="color: maroon">timestamp</span><span style="color: navy">)</span> <i>&quot;bundleTimestamp&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Composition using CdaToBundle function (includes patient mapping)</span>
  cda<span style="color: navy"><b> -&gt; </b></span>composition<b> then </b>ClinicalDocumentComposition<span style="color: navy">(</span><span style="color: maroon">cda</span><span style="color: navy">, </span><span style="color: maroon">composition</span><span style="color: navy">, </span><span style="color: maroon">patient</span><span style="color: navy">, </span><span style="color: maroon">bundle</span><span style="color: navy">)</span> <i>&quot;composition&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Add gender mapping after ClinicalDocumentComposition (which calls ClinicalDocumentPatientRole)</span>
  cda.recordTarget<b> as </b><span style="color: maroon">recordTarget</span><b> then</b><span style="color: navy"> {
</span>    recordTarget.patientRole<b> as </b><span style="color: maroon">patientRole</span><b> then</b><span style="color: navy"> {
</span>      patientRole.patient<b> as </b><span style="color: maroon">cdaPatient</span><b> then</b><span style="color: navy"> {
</span>        cdaPatient.administrativeGenderCode<b> as </b><span style="color: maroon">gender</span><b> then </b>MapGender<span style="color: navy">(</span><span style="color: maroon">gender</span><span style="color: navy">, </span><span style="color: maroon">patient</span><span style="color: navy">)</span> <i>&quot;patientGender&quot;</i><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;cdaPatient&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;recordTargetGender&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Process sections with observations</span>
  cda.component<b> as </b><span style="color: maroon">cdaComp</span><b> then</b><span style="color: navy"> {
</span>    cdaComp.structuredBody<b> as </b><span style="color: maroon">body</span><b> then</b><span style="color: navy"> {
</span>      body.component<b> as </b><span style="color: maroon">bodyComp</span><b> then</b><span style="color: navy"> {
</span>        bodyComp.section<b> as </b><span style="color: maroon">section</span><b> then</b><span style="color: navy"> {
</span>          <span style="color: navy">// </span><span style="color: green">Create composition section</span>
          section<span style="color: navy"><b> -&gt; </b></span>composition.section<b> as </b><span style="color: maroon">compSection</span><b> then</b><span style="color: navy"> {
</span>            section.title<b> as </b><span style="color: maroon">sectionTitle</span><span style="color: navy"><b> -&gt; </b></span>compSection.title = <span style="color: navy">(</span>sectionTitle.xmlText<span style="color: navy">)</span> <i>&quot;sectionTitle&quot;</i><span style="color: navy">;</span>
            section.code<b> as </b><span style="color: maroon">sectionCode</span><span style="color: navy"><b> -&gt; </b></span>compSection.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">cc</span><b> then </b>CDCodeableConcept<span style="color: navy">(</span><span style="color: maroon">sectionCode</span><span style="color: navy">, </span><span style="color: maroon">cc</span><span style="color: navy">)</span> <i>&quot;sectionCode&quot;</i><span style="color: navy">;</span>
            section.text<b> as </b><span style="color: maroon">sectionText</span><span style="color: navy"><b> -&gt; </b></span>compSection.text = <span style="color: maroon">sectionText</span> <i>&quot;sectionText&quot;</i><span style="color: navy">;</span>
            <span style="color: navy">// </span><span style="color: green">Process observations in organizers</span>
            section.entry<b> as </b><span style="color: maroon">entry</span><b> then</b><span style="color: navy"> {
</span>              entry.organizer<b> as </b><span style="color: maroon">organizer</span><b> then</b><span style="color: navy"> {
</span>                organizer.component<b> as </b><span style="color: maroon">orgComp</span><b> then</b><span style="color: navy"> {
</span>                  orgComp.observation<b> as </b><span style="color: maroon">obs</span><b> then</b><span style="color: navy"> {
</span>                    obs<span style="color: navy"><b> -&gt; </b></span> bundle.entry<b> as </b><span style="color: maroon">obsEntry</span><span style="color: navy">, </span> obsEntry.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">observation</span><span style="color: navy">, </span> observation.id = <b>uuid</b><span style="color: navy">(</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">obsUuid</span><span style="color: navy">, </span> obsEntry.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">obsUuid</span><span style="color: navy">)</span><span style="color: navy">, </span> compSection.entry = <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">obsRef</span><span style="color: navy">, </span> obsRef.reference = <b>append</b><span style="color: navy">(</span><span style="color: blue">'urn:uuid:'</span><span style="color: navy">, </span><span style="color: maroon">obsUuid</span><span style="color: navy">)</span><b> then </b>ProcessObservation<span style="color: navy">(</span><span style="color: maroon">cda</span><span style="color: navy">, </span><span style="color: maroon">obs</span><span style="color: navy">, </span><span style="color: maroon">observation</span><span style="color: navy">, </span><span style="color: maroon">patient</span><span style="color: navy">, </span><span style="color: maroon">composition</span><span style="color: navy">)</span> <i>&quot;processObs&quot;</i><span style="color: navy">;</span>
                  <span style="color: navy">}</span><span style="color: navy">;</span>
                <span style="color: navy">}</span> <i>&quot;orgComponent&quot;</i><span style="color: navy">;</span>
              <span style="color: navy">}</span><span style="color: navy">;</span>
            <span style="color: navy">}</span><span style="color: navy">;</span>
          <span style="color: navy">}</span> <i>&quot;compSection&quot;</i><span style="color: navy">;</span>
        <span style="color: navy">}</span><span style="color: navy">;</span>
      <span style="color: navy">}</span> <i>&quot;bodyComponent&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;cdaComponent&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">Process individual observation using CdaToFHIRTypes functions</span>
<b>group </b>ProcessObservation<span style="color: navy">(</span><b>source</b> <span style="color: maroon">cda</span><span style="color: navy"> : </span>ClinicalDocument, <b>source</b> <span style="color: maroon">obs</span>, <b>target</b> <span style="color: maroon">observation</span><span style="color: navy"> : </span>Observation, <b>target</b> <span style="color: maroon">patient</span><span style="color: navy"> : </span>Patient, <b>target</b> <span style="color: maroon">composition</span><span style="color: navy"> : </span>Composition<span style="color: navy">)</span><span style="color: navy"> {
</span>  <span style="color: navy">// </span><span style="color: green">Meta profile - ANS profiles based on LOINC code</span>
  obs.code<b> as </b><span style="color: maroon">obsCode</span><b> where </b>code = '29463-7'<span style="color: navy"><b> -&gt; </b></span>observation.meta = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Meta'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">meta</span><b> then</b><span style="color: navy"> {
</span>    obsCode<span style="color: navy"><b> -&gt; </b></span>meta.profile = <span style="color: blue">'https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-body-weight'</span> <i>&quot;profileWeight&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;metaWeight&quot;</i><span style="color: navy">;</span>
  obs.code<b> as </b><span style="color: maroon">obsCode</span><b> where </b>code = '8302-2'<span style="color: navy"><b> -&gt; </b></span>observation.meta = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Meta'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">meta</span><b> then</b><span style="color: navy"> {
</span>    obsCode<span style="color: navy"><b> -&gt; </b></span>meta.profile = <span style="color: blue">'https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-bodyheight'</span> <i>&quot;profileHeight&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;metaHeight&quot;</i><span style="color: navy">;</span>
  obs.code<b> as </b><span style="color: maroon">obsCode</span><b> where </b>code = '8287-5'<span style="color: navy"><b> -&gt; </b></span>observation.meta = <b>create</b><span style="color: navy">(</span><span style="color: blue">'Meta'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">meta</span><b> then</b><span style="color: navy"> {
</span>    obsCode<span style="color: navy"><b> -&gt; </b></span>meta.profile = <span style="color: blue">'https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-head-circumference'</span> <i>&quot;profileHeadCirc&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;metaHeadCirc&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Status - map CDA &quot;completed&quot; to FHIR &quot;final&quot;</span>
  obs.statusCode<b> as </b><span style="color: maroon">statusCode</span><b> where </b>code = 'completed'<span style="color: navy"><b> -&gt; </b></span>observation.status = <span style="color: blue">'final'</span> <i>&quot;statusCompleted&quot;</i><span style="color: navy">;</span>
  obs.statusCode<b> as </b><span style="color: maroon">statusCode</span><b> where </b>code != 'completed'<span style="color: navy"><b> -&gt; </b></span>observation.status = <b>create</b><span style="color: navy">(</span><span style="color: blue">'code'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">status</span><b> then </b>CSCode<span style="color: navy">(</span><span style="color: maroon">statusCode</span><span style="color: navy">, </span><span style="color: maroon">status</span><span style="color: navy">)</span> <i>&quot;statusOther&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Category - vital-signs for all observations in CSE-MDE</span>
  obs<span style="color: navy"><b> -&gt; </b></span>observation.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">category</span><b> then</b><span style="color: navy"> {
</span>    obs<span style="color: navy"><b> -&gt; </b></span>category.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">coding</span><b> then</b><span style="color: navy"> {
</span>      obs<span style="color: navy"><b> -&gt; </b></span>coding.system = <span style="color: blue">'http://terminology.hl7.org/CodeSystem/observation-category'</span> <i>&quot;system&quot;</i><span style="color: navy">;</span>
      obs<span style="color: navy"><b> -&gt; </b></span>coding.code = <span style="color: blue">'vital-signs'</span> <i>&quot;code&quot;</i><span style="color: navy">;</span>
    <span style="color: navy">}</span> <i>&quot;coding&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">}</span> <i>&quot;category&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Code using CDCodeableConcept from CdaToFHIRTypes</span>
  obs.code<b> as </b><span style="color: maroon">code</span><span style="color: navy"><b> -&gt; </b></span>observation.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">cc</span><b> then </b>CDCodeableConcept<span style="color: navy">(</span><span style="color: maroon">code</span><span style="color: navy">, </span><span style="color: maroon">cc</span><span style="color: navy">)</span> <i>&quot;obsCode&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">EffectiveDateTime - use effectiveTime from observation</span>
  obs.effectiveTime<b> as </b><span style="color: maroon">effectiveTime</span><span style="color: navy"><b> -&gt; </b></span>observation.effective = <b>create</b><span style="color: navy">(</span><span style="color: blue">'dateTime'</span><span style="color: navy">)</span><b> as </b><span style="color: maroon">dt</span><b> then </b>TSDateTime<span style="color: navy">(</span><span style="color: maroon">effectiveTime</span><span style="color: navy">, </span><span style="color: maroon">dt</span><span style="color: navy">)</span> <i>&quot;effectiveDateTime&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Value as Quantity using PQQuantity from CdaToFHIRTypes</span>
  obs.value<b> as </b><span style="color: maroon">value</span><span style="color: navy"><b> -&gt; </b></span>observation.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">qty</span><b> then </b>PQQuantity<span style="color: navy">(</span><span style="color: maroon">value</span><span style="color: navy">, </span><span style="color: maroon">qty</span><span style="color: navy">)</span> <i>&quot;obsValue&quot;</i><span style="color: navy">;</span>
  <span style="color: navy">// </span><span style="color: green">Subject reference</span>
  obs<span style="color: navy"><b> -&gt; </b></span> observation.subject = <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">ref</span><span style="color: navy">, </span> ref.reference = <span style="color: navy">(</span>'urn:uuid:' + %patient.id<span style="color: navy">)</span> <i>&quot;obsSubject&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span><span style="color: navy">// </span><span style="color: green">Map CDA v3 administrative gender to FHIR gender</span>
<b>group </b>MapGender<span style="color: navy">(</span><b>source</b> <span style="color: maroon">src</span>, <b>target</b> <span style="color: maroon">patient</span><span style="color: navy"> : </span>Patient<span style="color: navy">)</span><span style="color: navy"> {
</span>  src<b> where </b>code = 'M'<span style="color: navy"><b> -&gt; </b></span>patient.gender = <span style="color: blue">'male'</span> <i>&quot;genderMale&quot;</i><span style="color: navy">;</span>
  src<b> where </b>code = 'F'<span style="color: navy"><b> -&gt; </b></span>patient.gender = <span style="color: blue">'female'</span> <i>&quot;genderFemale&quot;</i><span style="color: navy">;</span>
  src<b> where </b>code = 'UN'<span style="color: navy"><b> -&gt; </b></span>patient.gender = <span style="color: blue">'other'</span> <i>&quot;genderOther&quot;</i><span style="color: navy">;</span>
  src<b> where </b>code = 'UNK'<span style="color: navy"><b> -&gt; </b></span>patient.gender = <span style="color: blue">'unknown'</span> <i>&quot;genderUnknown&quot;</i><span style="color: navy">;</span>
<span style="color: navy">}

</span></pre></div>
  </text>
  <url
       value="https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaFrMDEToBundle"/>
  <version value="0.1.0"/>
  <name value="CdaFrMDEToBundle"/>
  <title value="Mapping CSE-MDE vers FHIR Bundle - Contexte Français"/>
  <status value="draft"/>
  <date value="2025-11-07T10:30:30+00:00"/>
  <publisher
             value="Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris"/>
  <contact>
    <name
          value="Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris"/>
    <telecom>
      <system value="url"/>
      <value value="https://esante.gouv.fr"/>
    </telecom>
  </contact>
  <description value="Mapping CSE-MDE vers FHIR Bundle - Contexte Français"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="FR"/>
      <display value="FRANCE"/>
    </coding>
  </jurisdiction>
  <structure>
    <url
         value="http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"/>
    <mode value="source"/>
    <alias value="ClinicalDocument"/>
  </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/Composition"/>
    <mode value="target"/>
    <alias value="Composition"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Patient"/>
    <mode value="target"/>
    <alias value="Patient"/>
  </structure>
  <structure>
    <url value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <mode value="target"/>
    <alias value="Observation"/>
  </structure>
  <import
          value="https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaToFHIRTypes"/>
  <import
          value="https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaToBundle"/>
  <import
          value="https://interop.esante.gouv.fr/ig/fhir/mappingcdafhir/StructureMap/CdaFrToBundle"/>
  <group>
    <name value="CdaFrMDEToBundle"/>
    <typeMode value="none"/>
    <documentation value="Entry point"/>
    <input>
      <name value="cda"/>
      <type value="ClinicalDocument"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="main"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e"/>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="composition"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Composition"/>
        </parameter>
      </target>
      <target>
        <context value="composition"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="urn:uuid:"/>
        </parameter>
        <parameter>
          <valueId value="uuid"/>
        </parameter>
      </target>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="entry"/>
        <variable value="e2"/>
      </target>
      <target>
        <context value="e2"/>
        <contextType value="variable"/>
        <element value="resource"/>
        <variable value="patient"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Patient"/>
        </parameter>
      </target>
      <target>
        <context value="patient"/>
        <contextType value="variable"/>
        <element value="id"/>
        <variable value="uuid2"/>
        <transform value="uuid"/>
      </target>
      <target>
        <context value="e2"/>
        <contextType value="variable"/>
        <element value="fullUrl"/>
        <transform value="append"/>
        <parameter>
          <valueString value="urn:uuid:"/>
        </parameter>
        <parameter>
          <valueId value="uuid2"/>
        </parameter>
      </target>
      <dependent>
        <name value="CdaFrMDEMapping"/>
        <variable value="cda"/>
        <variable value="patient"/>
        <variable value="composition"/>
        <variable value="bundle"/>
      </dependent>
    </rule>
  </group>
  <group>
    <name value="CdaFrMDEMapping"/>
    <typeMode value="none"/>
    <documentation value="Main mapping group"/>
    <input>
      <name value="cda"/>
      <type value="ClinicalDocument"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="patient"/>
      <type value="Patient"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="composition"/>
      <type value="Composition"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="bundle"/>
      <type value="Bundle"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="bundleId"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="id"/>
        <transform value="uuid"/>
      </target>
    </rule>
    <rule>
      <name value="bundleIdentifier"/>
      <source>
        <context value="cda"/>
        <element value="id"/>
        <variable value="cdaId"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="identifier"/>
        <variable value="identifier"/>
      </target>
      <rule>
        <name value="system"/>
        <source>
          <context value="cdaId"/>
          <element value="root"/>
          <variable value="root"/>
          <condition value="cdaId.extension.exists()"/>
        </source>
        <target>
          <context value="identifier"/>
          <contextType value="variable"/>
          <element value="system"/>
          <transform value="translate"/>
          <parameter>
            <valueId value="root"/>
          </parameter>
          <parameter>
            <valueString value="#oid2uri"/>
          </parameter>
          <parameter>
            <valueString value="uri"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="value"/>
        <source>
          <context value="cdaId"/>
          <element value="extension"/>
          <variable value="extension"/>
        </source>
        <target>
          <context value="identifier"/>
          <contextType value="variable"/>
          <element value="value"/>
          <transform value="copy"/>
          <parameter>
            <valueId value="extension"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="systemOid"/>
        <source>
          <context value="cdaId"/>
          <element value="root"/>
          <variable value="root"/>
          <condition value="cdaId.extension.empty()"/>
        </source>
        <target>
          <context value="identifier"/>
          <contextType value="variable"/>
          <element value="system"/>
          <transform value="copy"/>
          <parameter>
            <valueString value="urn:ietf:rfc:3986"/>
          </parameter>
        </target>
      </rule>
      <rule>
        <name value="valueOid"/>
        <source>
          <context value="cdaId"/>
          <element value="root"/>
          <variable value="root"/>
          <condition value="cdaId.extension.empty()"/>
        </source>
        <target>
          <context value="identifier"/>
          <contextType value="variable"/>
          <element value="value"/>
          <transform value="append"/>
          <parameter>
            <valueString value="urn:oid:"/>
          </parameter>
          <parameter>
            <valueId value="root"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="bundleType"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="type"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="document"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="bundleTimestamp"/>
      <source>
        <context value="cda"/>
        <element value="effectiveTime"/>
        <variable value="effectiveTime"/>
      </source>
      <target>
        <context value="bundle"/>
        <contextType value="variable"/>
        <element value="timestamp"/>
        <variable value="timestamp"/>
        <transform value="create"/>
        <parameter>
          <valueString value="instant"/>
        </parameter>
      </target>
      <dependent>
        <name value="TSInstant"/>
        <variable value="effectiveTime"/>
        <variable value="timestamp"/>
      </dependent>
    </rule>
    <rule>
      <name value="composition"/>
      <source>
        <context value="cda"/>
      </source>
      <target>
        <context value="composition"/>
        <contextType value="variable"/>
      </target>
      <dependent>
        <name value="ClinicalDocumentComposition"/>
        <variable value="cda"/>
        <variable value="composition"/>
        <variable value="patient"/>
        <variable value="bundle"/>
      </dependent>
    </rule>
    <rule>
      <name value="recordTargetGender"/>
      <source>
        <context value="cda"/>
        <element value="recordTarget"/>
        <variable value="recordTarget"/>
      </source>
      <rule>
        <name value="patientRole"/>
        <source>
          <context value="recordTarget"/>
          <element value="patientRole"/>
          <variable value="patientRole"/>
        </source>
        <rule>
          <name value="cdaPatient"/>
          <source>
            <context value="patientRole"/>
            <element value="patient"/>
            <variable value="cdaPatient"/>
          </source>
          <rule>
            <name value="patientGender"/>
            <source>
              <context value="cdaPatient"/>
              <element value="administrativeGenderCode"/>
              <variable value="gender"/>
            </source>
            <dependent>
              <name value="MapGender"/>
              <variable value="gender"/>
              <variable value="patient"/>
            </dependent>
          </rule>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="cdaComponent"/>
      <source>
        <context value="cda"/>
        <element value="component"/>
        <variable value="cdaComp"/>
      </source>
      <rule>
        <name value="structuredBody"/>
        <source>
          <context value="cdaComp"/>
          <element value="structuredBody"/>
          <variable value="body"/>
        </source>
        <rule>
          <name value="bodyComponent"/>
          <source>
            <context value="body"/>
            <element value="component"/>
            <variable value="bodyComp"/>
          </source>
          <rule>
            <name value="section"/>
            <source>
              <context value="bodyComp"/>
              <element value="section"/>
              <variable value="section"/>
            </source>
            <rule>
              <name value="compSection"/>
              <source>
                <context value="section"/>
              </source>
              <target>
                <context value="composition"/>
                <contextType value="variable"/>
                <element value="section"/>
                <variable value="compSection"/>
              </target>
              <rule>
                <name value="sectionTitle"/>
                <source>
                  <context value="section"/>
                  <element value="title"/>
                  <variable value="sectionTitle"/>
                </source>
                <target>
                  <context value="compSection"/>
                  <contextType value="variable"/>
                  <element value="title"/>
                  <transform value="evaluate"/>
                  <parameter>
                    <valueString value="sectionTitle.xmlText"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="sectionCode"/>
                <source>
                  <context value="section"/>
                  <element value="code"/>
                  <variable value="sectionCode"/>
                </source>
                <target>
                  <context value="compSection"/>
                  <contextType value="variable"/>
                  <element value="code"/>
                  <variable value="cc"/>
                  <transform value="create"/>
                  <parameter>
                    <valueString value="CodeableConcept"/>
                  </parameter>
                </target>
                <dependent>
                  <name value="CDCodeableConcept"/>
                  <variable value="sectionCode"/>
                  <variable value="cc"/>
                </dependent>
              </rule>
              <rule>
                <name value="sectionText"/>
                <source>
                  <context value="section"/>
                  <element value="text"/>
                  <variable value="sectionText"/>
                </source>
                <target>
                  <context value="compSection"/>
                  <contextType value="variable"/>
                  <element value="text"/>
                  <transform value="copy"/>
                  <parameter>
                    <valueId value="sectionText"/>
                  </parameter>
                </target>
              </rule>
              <rule>
                <name value="entry"/>
                <source>
                  <context value="section"/>
                  <element value="entry"/>
                  <variable value="entry"/>
                </source>
                <rule>
                  <name value="organizer"/>
                  <source>
                    <context value="entry"/>
                    <element value="organizer"/>
                    <variable value="organizer"/>
                  </source>
                  <rule>
                    <name value="orgComponent"/>
                    <source>
                      <context value="organizer"/>
                      <element value="component"/>
                      <variable value="orgComp"/>
                    </source>
                    <rule>
                      <name value="observation"/>
                      <source>
                        <context value="orgComp"/>
                        <element value="observation"/>
                        <variable value="obs"/>
                      </source>
                      <rule>
                        <name value="processObs"/>
                        <source>
                          <context value="obs"/>
                        </source>
                        <target>
                          <context value="bundle"/>
                          <contextType value="variable"/>
                          <element value="entry"/>
                          <variable value="obsEntry"/>
                        </target>
                        <target>
                          <context value="obsEntry"/>
                          <contextType value="variable"/>
                          <element value="resource"/>
                          <variable value="observation"/>
                          <transform value="create"/>
                          <parameter>
                            <valueString value="Observation"/>
                          </parameter>
                        </target>
                        <target>
                          <context value="observation"/>
                          <contextType value="variable"/>
                          <element value="id"/>
                          <variable value="obsUuid"/>
                          <transform value="uuid"/>
                        </target>
                        <target>
                          <context value="obsEntry"/>
                          <contextType value="variable"/>
                          <element value="fullUrl"/>
                          <transform value="append"/>
                          <parameter>
                            <valueString value="urn:uuid:"/>
                          </parameter>
                          <parameter>
                            <valueId value="obsUuid"/>
                          </parameter>
                        </target>
                        <target>
                          <context value="compSection"/>
                          <contextType value="variable"/>
                          <element value="entry"/>
                          <variable value="obsRef"/>
                          <transform value="create"/>
                          <parameter>
                            <valueString value="Reference"/>
                          </parameter>
                        </target>
                        <target>
                          <context value="obsRef"/>
                          <contextType value="variable"/>
                          <element value="reference"/>
                          <transform value="append"/>
                          <parameter>
                            <valueString value="urn:uuid:"/>
                          </parameter>
                          <parameter>
                            <valueId value="obsUuid"/>
                          </parameter>
                        </target>
                        <dependent>
                          <name value="ProcessObservation"/>
                          <variable value="cda"/>
                          <variable value="obs"/>
                          <variable value="observation"/>
                          <variable value="patient"/>
                          <variable value="composition"/>
                        </dependent>
                      </rule>
                    </rule>
                  </rule>
                </rule>
              </rule>
            </rule>
          </rule>
        </rule>
      </rule>
    </rule>
  </group>
  <group>
    <name value="ProcessObservation"/>
    <typeMode value="none"/>
    <documentation
                   value="Process individual observation using CdaToFHIRTypes functions"/>
    <input>
      <name value="cda"/>
      <type value="ClinicalDocument"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="obs"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="observation"/>
      <type value="Observation"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="patient"/>
      <type value="Patient"/>
      <mode value="target"/>
    </input>
    <input>
      <name value="composition"/>
      <type value="Composition"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="metaWeight"/>
      <source>
        <context value="obs"/>
        <element value="code"/>
        <variable value="obsCode"/>
        <condition value="code = '29463-7'"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="meta"/>
        <variable value="meta"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Meta"/>
        </parameter>
      </target>
      <rule>
        <name value="profileWeight"/>
        <source>
          <context value="obsCode"/>
        </source>
        <target>
          <context value="meta"/>
          <contextType value="variable"/>
          <element value="profile"/>
          <transform value="copy"/>
          <parameter>
            <valueString
                         value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-body-weight"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="metaHeight"/>
      <source>
        <context value="obs"/>
        <element value="code"/>
        <variable value="obsCode"/>
        <condition value="code = '8302-2'"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="meta"/>
        <variable value="meta"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Meta"/>
        </parameter>
      </target>
      <rule>
        <name value="profileHeight"/>
        <source>
          <context value="obsCode"/>
        </source>
        <target>
          <context value="meta"/>
          <contextType value="variable"/>
          <element value="profile"/>
          <transform value="copy"/>
          <parameter>
            <valueString
                         value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-bodyheight"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="metaHeadCirc"/>
      <source>
        <context value="obs"/>
        <element value="code"/>
        <variable value="obsCode"/>
        <condition value="code = '8287-5'"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="meta"/>
        <variable value="meta"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Meta"/>
        </parameter>
      </target>
      <rule>
        <name value="profileHeadCirc"/>
        <source>
          <context value="obsCode"/>
        </source>
        <target>
          <context value="meta"/>
          <contextType value="variable"/>
          <element value="profile"/>
          <transform value="copy"/>
          <parameter>
            <valueString
                         value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-head-circumference"/>
          </parameter>
        </target>
      </rule>
    </rule>
    <rule>
      <name value="statusCompleted"/>
      <source>
        <context value="obs"/>
        <element value="statusCode"/>
        <variable value="statusCode"/>
        <condition value="code = 'completed'"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="status"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="final"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="statusOther"/>
      <source>
        <context value="obs"/>
        <element value="statusCode"/>
        <variable value="statusCode"/>
        <condition value="code != 'completed'"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="status"/>
        <variable value="status"/>
        <transform value="create"/>
        <parameter>
          <valueString value="code"/>
        </parameter>
      </target>
      <dependent>
        <name value="CSCode"/>
        <variable value="statusCode"/>
        <variable value="status"/>
      </dependent>
    </rule>
    <rule>
      <name value="category"/>
      <source>
        <context value="obs"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="category"/>
        <variable value="category"/>
        <transform value="create"/>
        <parameter>
          <valueString value="CodeableConcept"/>
        </parameter>
      </target>
      <rule>
        <name value="coding"/>
        <source>
          <context value="obs"/>
        </source>
        <target>
          <context value="category"/>
          <contextType value="variable"/>
          <element value="coding"/>
          <variable value="coding"/>
          <transform value="create"/>
          <parameter>
            <valueString value="Coding"/>
          </parameter>
        </target>
        <rule>
          <name value="system"/>
          <source>
            <context value="obs"/>
          </source>
          <target>
            <context value="coding"/>
            <contextType value="variable"/>
            <element value="system"/>
            <transform value="copy"/>
            <parameter>
              <valueString
                           value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            </parameter>
          </target>
        </rule>
        <rule>
          <name value="code"/>
          <source>
            <context value="obs"/>
          </source>
          <target>
            <context value="coding"/>
            <contextType value="variable"/>
            <element value="code"/>
            <transform value="copy"/>
            <parameter>
              <valueString value="vital-signs"/>
            </parameter>
          </target>
        </rule>
      </rule>
    </rule>
    <rule>
      <name value="obsCode"/>
      <source>
        <context value="obs"/>
        <element value="code"/>
        <variable value="code"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="code"/>
        <variable value="cc"/>
        <transform value="create"/>
        <parameter>
          <valueString value="CodeableConcept"/>
        </parameter>
      </target>
      <dependent>
        <name value="CDCodeableConcept"/>
        <variable value="code"/>
        <variable value="cc"/>
      </dependent>
    </rule>
    <rule>
      <name value="effectiveDateTime"/>
      <source>
        <context value="obs"/>
        <element value="effectiveTime"/>
        <variable value="effectiveTime"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="effective"/>
        <variable value="dt"/>
        <transform value="create"/>
        <parameter>
          <valueString value="dateTime"/>
        </parameter>
      </target>
      <dependent>
        <name value="TSDateTime"/>
        <variable value="effectiveTime"/>
        <variable value="dt"/>
      </dependent>
    </rule>
    <rule>
      <name value="obsValue"/>
      <source>
        <context value="obs"/>
        <element value="value"/>
        <variable value="value"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="value"/>
        <variable value="qty"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Quantity"/>
        </parameter>
      </target>
      <dependent>
        <name value="PQQuantity"/>
        <variable value="value"/>
        <variable value="qty"/>
      </dependent>
    </rule>
    <rule>
      <name value="obsSubject"/>
      <source>
        <context value="obs"/>
      </source>
      <target>
        <context value="observation"/>
        <contextType value="variable"/>
        <element value="subject"/>
        <variable value="ref"/>
        <transform value="create"/>
        <parameter>
          <valueString value="Reference"/>
        </parameter>
      </target>
      <target>
        <context value="ref"/>
        <contextType value="variable"/>
        <element value="reference"/>
        <transform value="evaluate"/>
        <parameter>
          <valueString value="'urn:uuid:' + %patient.id"/>
        </parameter>
      </target>
    </rule>
  </group>
  <group>
    <name value="MapGender"/>
    <typeMode value="none"/>
    <documentation value="Map CDA v3 administrative gender to FHIR gender"/>
    <input>
      <name value="src"/>
      <mode value="source"/>
    </input>
    <input>
      <name value="patient"/>
      <type value="Patient"/>
      <mode value="target"/>
    </input>
    <rule>
      <name value="genderMale"/>
      <source>
        <context value="src"/>
        <condition value="code = 'M'"/>
      </source>
      <target>
        <context value="patient"/>
        <contextType value="variable"/>
        <element value="gender"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="male"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="genderFemale"/>
      <source>
        <context value="src"/>
        <condition value="code = 'F'"/>
      </source>
      <target>
        <context value="patient"/>
        <contextType value="variable"/>
        <element value="gender"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="female"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="genderOther"/>
      <source>
        <context value="src"/>
        <condition value="code = 'UN'"/>
      </source>
      <target>
        <context value="patient"/>
        <contextType value="variable"/>
        <element value="gender"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="other"/>
        </parameter>
      </target>
    </rule>
    <rule>
      <name value="genderUnknown"/>
      <source>
        <context value="src"/>
        <condition value="code = 'UNK'"/>
      </source>
      <target>
        <context value="patient"/>
        <contextType value="variable"/>
        <element value="gender"/>
        <transform value="copy"/>
        <parameter>
          <valueString value="unknown"/>
        </parameter>
      </target>
    </rule>
  </group>
</StructureMap>