# Ccc.b18-21.signs.2m.m - WHO FHIR Implementation Guide (IG): Integrated Management of Childhood Illness (IMCI) in emergencies v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Ccc.b18-21.signs.2m.m**

## StructureMap: Ccc.b18-21.signs.2m.m 

| | |
| :--- | :--- |
| *Official URL*:https://smart.who.int/ccc/StructureMap/Ccc.b18-21.signs.2m.m | *Version*:0.1.0 |
| Active as of 2026-04-07 | *Computable Name*:Ccc.b18-21.signs.2m.m |

```
map "https://smart.who.int/ccc/StructureMap/Ccc.b18-21.signs.2m.m" = "Ccc.b18-21.signs.2m.m"


uses "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse" alias 'questionnaireResponse' as source
uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias 'Bundle' as target
uses "https://smart.who.int/ccc/StructureDefinition/observation" alias 'Observation' as target
uses "https://smart.who.int/ccc/StructureDefinition/Cccobservation" alias 'Ccc Observation' as produced

group bundletrans(source src : questionnaireResponse, target bundle : Bundle) {
  src -> bundle.id = uuid() "id";
  src -> bundle.type = 'batch' "type";
  src.item first as item where (linkId = 'Ccc.B18S2.DE07') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb18s2de07(src, tgt) "ca6d2440";
      } "4d3562ea";
    } "1f5e2e49";
  } "eeb88b76";
  src.item first as item where (linkId = 'Ccc.B18S2.DE08') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb18s2de08(src, tgt) "c262db3f";
      } "f43b4802";
    } "b192f8b8";
  } "45ffea94";
  src.item first as item where (linkId = 'Ccc.B18S2.DE12') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb18s2de12(src, tgt) "6f6b2618";
      } "09f8d74d";
    } "5e6747fd";
  } "8665f72f";
  src.item first as item where (linkId = 'Ccc.B18S2.DE13') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb18s2de13(src, tgt) "80759c57";
      } "f658f964";
    } "30291a87";
  } "5c0dbbd7";
  src.item first as item where (linkId = 'Ccc.B19S2.DE01') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb19s2de01(src, tgt) "732434fb";
      } "a79173fe";
    } "355d3980";
  } "55fa8d66";
  src.item first as item where (linkId = 'Ccc.B19S2.DE02') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb19s2de02(src, tgt) "19b33283";
      } "723e7b39";
    } "ab195945";
  } "a451ea64";
  src.item first as item where (linkId = 'Ccc.B19S2.DE04') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb19s2de04(src, tgt) "5f959962";
      } "ec59f51c";
    } "08a1cfa8";
  } "3bb01182";
  src.item first as item where (linkId = 'Ccc.B11S2.DE01') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb11s2de01(src, tgt) "571f12fb";
      } "df9369ca";
    } "b1634b07";
  } "bf55dba7";
  src.item first as item where (linkId = 'Ccc.B11S2.DE02') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb11s2de02(src, tgt) "35df08c4";
      } "52eb002b";
    } "c096f5b2";
  } "f35e6a90";
  src.item first as item where (linkId = 'Ccc.B11S2.DE06') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb11s2de06(src, tgt) "048f10f9";
      } "011caec9";
    } "431cd0b3";
  } "5a3f8e99";
  src.item first as item where (linkId = 'Ccc.B21S2.DE01') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de01(src, tgt) "94478be1";
      } "2cf57502";
    } "a5752431";
  } "431eb374";
  src.item first as item where (linkId = 'Ccc.B21S2.DE05') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de05(src, tgt) "8cbd2b43";
      } "04b19cec";
    } "1e478ba6";
  } "a6ecc4b7";
  src.item first as item where (linkId = 'Ccc.B21S2.DE06') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de06(src, tgt) "2d3c82db";
      } "d38f9e09";
    } "18c5885a";
  } "3a24e445";
  src.item first as item where (linkId = 'Ccc.B21S2.DE08') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de08(src, tgt) "f361a68d";
      } "5189a3f8";
    } "a0b4c2bc";
  } "79ee0a37";
  src where src.item.where(linkId = 'Ccc.B21S2.DE09').answer.where(value.code = 'Ccc.B21S2.DE11') then {
    src.item first as item where (linkId = 'Ccc.B21S2.DE09') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src then CccobservationCccb21s2de09Cccb21s2de11t(src, tgt) "a9a122af";
        } "d7f85848";
      } "6de484e0";
    } "37c1ad1e";
  } "7d349d00";
  src where src.item.where(linkId = 'Ccc.B21S2.DE09').exists() and src.item.where(linkId = 'Ccc.B21S2.DE09').answer.where(value.code = 'Ccc.B21S2.DE11').empty() then {
    src.item first as item where (linkId = 'Ccc.B21S2.DE09') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src then CccobservationCccb21s2de09Cccb21s2de11f(src, tgt) "d1d28f86";
        } "d67305e0";
      } "653bf0a8";
    } "4899742e";
  } "e01f9812";
  src where src.item.where(linkId = 'Ccc.B21S2.DE09').answer.where(value.code = 'Ccc.B21S2.DE10') then {
    src.item first as item where (linkId = 'Ccc.B21S2.DE09') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src then CccobservationCccb21s2de09Cccb21s2de10t(src, tgt) "8e89324d";
        } "93674a9a";
      } "aa6f3f2f";
    } "94e88b7c";
  } "9864ed15";
  src where src.item.where(linkId = 'Ccc.B21S2.DE09').exists() and src.item.where(linkId = 'Ccc.B21S2.DE09').answer.where(value.code = 'Ccc.B21S2.DE10').empty() then {
    src.item first as item where (linkId = 'Ccc.B21S2.DE09') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src then CccobservationCccb21s2de09Cccb21s2de10f(src, tgt) "b433f49e";
        } "e8c61eb0";
      } "fa7e3d84";
    } "68af5a34";
  } "e81b6afa";
  src.item first as item where (linkId = 'Ccc.B21S2.DE12') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de12(src, tgt) "8f04b3ac";
      } "b1374c84";
    } "8cb03aa0";
  } "e2b672db";
  src.item first as item where (linkId = 'Ccc.B21S2.DE13') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de13(src, tgt) "0aaf1ecd";
      } "695ddd29";
    } "64398d2e";
  } "e854f1bd";
  src.item first as item where (linkId = 'Ccc.B21S2.DE15') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de15(src, tgt) "7858a431";
      } "43de516f";
    } "e494830e";
  } "faf9102b";
  src.item first as item where (linkId = 'Ccc.B21S2.DE16') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de16(src, tgt) "b2e4c410";
      } "b8bfacf5";
    } "9b56be06";
  } "be6683f9";
  src.item first as item where (linkId = 'Ccc.B21S2.DE18') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de18(src, tgt) "87a87f89";
      } "ecd09b62";
    } "af8f5c24";
  } "c0db11dc";
  src.item first as item where (linkId = 'Ccc.B21S2.DE21') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de21(src, tgt) "e288e392";
      } "ae968910";
    } "46cbfc52";
  } "8f89318d";
  src.item first as item where (linkId = 'Ccc.B21S2.DE24') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de24(src, tgt) "c746464e";
      } "6b52ad04";
    } "c7688cc7";
  } "668c3c42";
  src.item first as item where (linkId = 'Ccc.B21S2.DE27') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de27(src, tgt) "46c80d1a";
      } "1c5eb3d7";
    } "c270b0d1";
  } "24323941";
  src.item first as item where (linkId = 'Ccc.B21S2.DE30') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de30(src, tgt) "f7a188b4";
      } "8891d1a4";
    } "ec6c3ef3";
  } "5e474dbb";
  src.item first as item where (linkId = 'Ccc.B21S2.DE31') and answer.exists() then {
    src -> bundle.entry as entry then {
      src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
      src -> entry.resource = create('Observation') as tgt then {
        src -> tgt then CccobservationCccb21s2de31(src, tgt) "7b00306c";
      } "ded65bf0";
    } "6c051e6d";
  } "0dac018e";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as item where (linkId = 'Ccc.B22.DE01') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src -> tgt then CccobservationCccb22de01(src, tgt) "94788d70";
        } "cafa1f90";
      } "44017cb3";
    } "1c5108b8";
  } "88bb5c43";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as item where (linkId = 'Ccc.B22.DE02') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src -> tgt then CccobservationCccb22de02(src, tgt) "c3e885af";
        } "60b301de";
      } "815e425c";
    } "85d3c3a3";
  } "c7e0dbc2";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as itm2 where linkId = 'second' then {
      itm2.item first as item where (linkId = 'Ccc.B22.DE04') and answer.exists() then {
        src -> bundle.entry as entry then {
          src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
          src -> entry.resource = create('Observation') as tgt then {
            src -> tgt then CccobservationCccb22de04(src, tgt) "42ed4c3a";
          } "b802d4a2";
        } "c7431f4f";
      } "ad5094ed";
    } "3b2e9629";
  } "318dfe75";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as itm2 where linkId = 'second' then {
      itm2.item first as item where (linkId = 'Ccc.B22.DE05') and answer.exists() then {
        src -> bundle.entry as entry then {
          src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
          src -> entry.resource = create('Observation') as tgt then {
            src -> tgt then CccobservationCccb22de05(src, tgt) "3be4cd34";
          } "b7585bc2";
        } "61b1a5c6";
      } "d9d928a7";
    } "9853d168";
  } "c21c2c7c";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as item where (linkId = 'Ccc.B22.DE07') and answer.exists() then {
      src -> bundle.entry as entry then {
        src ->  entry.request as request,  request.method = 'POST',  uuid() as uuid,  request.url = append('/Observation/', uuid) "b50ac4c5";
        src -> entry.resource = create('Observation') as tgt then {
          src -> tgt then CccobservationCccb22de07(src, tgt) "fa30cee1";
        } "aad75965";
      } "8267defb";
    } "a2eebe03";
  } "7ef76f25";
}

group CccobservationCccb18s2de07(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb18s2de07";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B18S2.DE07' "code-Cccb18s2de07";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B18S2.DE07') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb18s2de07";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb18s2de07";
    } "bdab9370";
  } "03e3bd99";
}

group CccobservationCccb18s2de08(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb18s2de08";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B18S2.DE08' "code-Cccb18s2de08";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B18S2.DE08') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "0b46e243";
}

group CccobservationCccb18s2de12(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb18s2de12";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B18S2.DE12' "code-Cccb18s2de12";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B18S2.DE12') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb18s2de12";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb18s2de12";
    } "bdab9370";
  } "c2b6211e";
}

group CccobservationCccb18s2de13(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb18s2de13";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B18S2.DE13' "code-Cccb18s2de13";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B18S2.DE13') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb18s2de13";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb18s2de13";
    } "bdab9370";
  } "5c58b9dd";
}

group CccobservationCccb19s2de01(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb19s2de01";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B19S2.DE01' "code-Cccb19s2de01";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B19S2.DE01') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb19s2de01";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb19s2de01";
    } "bdab9370";
  } "9cc43da0";
}

group CccobservationCccb19s2de02(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb19s2de02";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B19S2.DE02' "code-Cccb19s2de02";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B19S2.DE02') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb19s2de02";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb19s2de02";
    } "bdab9370";
  } "c6f7f824";
}

group CccobservationCccb19s2de04(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb19s2de04";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B19S2.DE04' "code-Cccb19s2de04";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B19S2.DE04') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "42fb84b8";
}

group CccobservationCccb11s2de01(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb11s2de01";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B11S2.DE01' "code-Cccb11s2de01";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B11S2.DE01') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb11s2de01";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb11s2de01";
    } "bdab9370";
  } "7fc3f941";
}

group CccobservationCccb11s2de02(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb11s2de02";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B11S2.DE02' "code-Cccb11s2de02";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B11S2.DE02') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "73bc942d";
}

group CccobservationCccb11s2de06(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb11s2de06";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B11S2.DE06' "code-Cccb11s2de06";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B11S2.DE06') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb11s2de06";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb11s2de06";
    } "bdab9370";
  } "47e72c0c";
}

group CccobservationCccb21s2de01(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de01";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE01' "code-Cccb21s2de01";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE01') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = create('Coding') as c,  c.code = val,  c.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  tgt.status = 'final' "759a9a54";
      } "1b820ab0";
    } "d39f9088";
  } "75d5dd53";
}

group CccobservationCccb21s2de05(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de05";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE05' "code-Cccb21s2de05";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE05') and answer.exists() then {
    item.answer first as a then {
      a.value as val ->  tgt.value = val,  tgt.status = 'final' "afa0ccc0";
    } "d40466ff";
  } "0d215e07";
}

group CccobservationCccb21s2de06(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de06";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE06' "code-Cccb21s2de06";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE06') and answer.exists() then {
    item.answer first as a then {
      a.value as val ->  tgt.value = val,  tgt.status = 'final' "afa0ccc0";
    } "d40466ff";
  } "3a4a4375";
}

group CccobservationCccb21s2de08(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de08";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE08' "code-Cccb21s2de08";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE08') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb21s2de08";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb21s2de08";
    } "bdab9370";
  } "ac3004d0";
}

group CccobservationCccb21s2de09Cccb21s2de11t(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-CccobservationCccb21s2de09Cccb21s2de11t";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE09&Ccc.B21S2.DE11' "code-CccobservationCccb21s2de09Cccb21s2de11t";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src ->  tgt.status = 'final',  tgt.value = true "e9d639e1";
}

group CccobservationCccb21s2de09Cccb21s2de11f(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-CccobservationCccb21s2de09Cccb21s2de11f";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE09&Ccc.B21S2.DE11' "code-CccobservationCccb21s2de09Cccb21s2de11f";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src ->  tgt.status = 'cancelled',  tgt.value = false "f21d6e36";
}

group CccobservationCccb21s2de09Cccb21s2de10t(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-CccobservationCccb21s2de09Cccb21s2de10t";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE09&Ccc.B21S2.DE10' "code-CccobservationCccb21s2de09Cccb21s2de10t";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src ->  tgt.status = 'final',  tgt.value = true "e9d639e1";
}

group CccobservationCccb21s2de09Cccb21s2de10f(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-CccobservationCccb21s2de09Cccb21s2de10f";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE09&Ccc.B21S2.DE10' "code-CccobservationCccb21s2de09Cccb21s2de10f";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src ->  tgt.status = 'cancelled',  tgt.value = false "f21d6e36";
}

group CccobservationCccb21s2de12(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de12";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE12' "code-Cccb21s2de12";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE12') and answer.exists() then {
    item.answer first as a then {
      a.value as val ->  tgt.value = val,  tgt.status = 'final' "afa0ccc0";
    } "d40466ff";
  } "fe73483f";
}

group CccobservationCccb21s2de13(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de13";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE13' "code-Cccb21s2de13";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE13') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb21s2de13";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb21s2de13";
    } "bdab9370";
  } "a1265fc3";
}

group CccobservationCccb21s2de15(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de15";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE15' "code-Cccb21s2de15";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE15') and answer.exists() then {
    item.answer first as a then {
      a.value as val ->  tgt.value = val,  tgt.status = 'final' "afa0ccc0";
    } "d40466ff";
  } "1b63fd85";
}

group CccobservationCccb21s2de16(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de16";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE16' "code-Cccb21s2de16";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE16') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb21s2de16";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb21s2de16";
    } "bdab9370";
  } "e00da6e9";
}

group CccobservationCccb21s2de18(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de18";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE18' "code-Cccb21s2de18";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE18') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "af7f6c69";
}

group CccobservationCccb21s2de21(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de21";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE21' "code-Cccb21s2de21";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE21') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "b4ca78b5";
}

group CccobservationCccb21s2de24(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de24";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE24' "code-Cccb21s2de24";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE24') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "b08f8fe7";
}

group CccobservationCccb21s2de27(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de27";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE27' "code-Cccb21s2de27";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE27') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'none' -> tgt.swrapin_entry_createtatus = 'cancelled' "d0a13fda";
        val where val.code != 'none' ->  tgt.value = create('CodeableConcept') as cc,  cc.coding = val,  tgt.status = 'final' "a1050460";
      } "310f4b1f";
    } "6af9bfcc";
  } "49d85a6e";
}

group CccobservationCccb21s2de30(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de30";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE30' "code-Cccb21s2de30";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE30') and answer.exists() then {
    item.answer first as a then {
      a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb21s2de30";
      a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb21s2de30";
    } "bdab9370";
  } "fe4c0b1a";
}

group CccobservationCccb21s2de31(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb21s2de31";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B21S2.DE31' "code-Cccb21s2de31";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as item where (linkId = 'Ccc.B21S2.DE31') and answer.exists() then {
    item.answer first as a then {
      a.value as val then {
        val where val.code = 'true' ->  tgt.status = 'final',  tgt.value = true "8a65aaa5";
      } "26c2c8c7";
    } "721205d5";
  } "789ed550";
}

group CccobservationCccb22de01(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb22de01";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B22.DE01' "code-Cccb22de01";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as item where (linkId = 'Ccc.B22.DE01') and answer.exists() then {
      item.answer first as a then {
        a.value as val ->  tgt.value = val,  tgt.status = 'final' "afa0ccc0";
      } "d40466ff";
    } "e1cd1fa1";
  } "ad8e4fa6";
}

group CccobservationCccb22de02(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb22de02";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B22.DE02' "code-Cccb22de02";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as item where (linkId = 'Ccc.B22.DE02') and answer.exists() then {
      item.answer first as a then {
        a.value as val then {
          val where val.code = 'true' ->  tgt.status = 'final',  tgt.value = true "8a65aaa5";
        } "26c2c8c7";
      } "721205d5";
    } "38b3c27b";
  } "5b046e45";
}

group CccobservationCccb22de04(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb22de04";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B22.DE04' "code-Cccb22de04";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as itm2 where linkId = 'second' then {
      itm2.item first as item where (linkId = 'Ccc.B22.DE04') and answer.exists() then {
        item.answer first as a then {
          a.value as val ->  tgt.value = val,  tgt.status = 'final' "afa0ccc0";
        } "d40466ff";
      } "f66ca63f";
    } "1b837896";
  } "6b3a0b06";
}

group CccobservationCccb22de05(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb22de05";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B22.DE05' "code-Cccb22de05";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as itm2 where linkId = 'second' then {
      itm2.item first as item where (linkId = 'Ccc.B22.DE05') and answer.exists() then {
        item.answer first as a then {
          a.value as val then {
            val where val.code = 'true' ->  tgt.status = 'final',  tgt.value = true "8a65aaa5";
          } "26c2c8c7";
        } "721205d5";
      } "48a81a4f";
    } "9322cbb7";
  } "ed73ec89";
}

group CccobservationCccb22de07(source src, target tgt) {
  src ->  tgt.identifier = create('Identifier') as CodeID,  CodeID.system = 'http://hl7.org/fhir/namingsystem-identifier-type',  CodeID.use = 'official',  CodeID.value = 'uuid',  CodeID.id = uuid() "id-Cccb22de07";
  src.encounter as encounter -> tgt.encounter = encounter "35bc6b82";
  src.subject as subject ->  tgt.subject = subject,  tgt.meta = create('Meta') as newMeta,  newMeta.profile = 'https://smart.who.int/ccc/StructureDefinition/Cccobservation',  tgt.code = create('CodeableConcept') as concept,  concept.coding = create('Coding') as coding,  coding.system = 'https://smart.who.int/ccc/CodeSystem/Ccc-custom-codes',  coding.code = 'Ccc.B22.DE07' "code-Cccb22de07";
  src.item as itemtimestamp where linkId = 'timestamp' then {
    itemtimestamp.answer first as atimestamp then {
      atimestamp.value as val -> tgt.issued = val "5af77f2c";
    } "7f22f29f";
  } "aae7a11d";
  src.subject as subject -> tgt.subject = subject "patient";
  src.item first as itm1 where linkId = 'Ccc.B22.RespiratoryRate' then {
    itm1.item first as item where (linkId = 'Ccc.B22.DE07') and answer.exists() then {
      item.answer first as a then {
        a where a.value = true ->  tgt.status = 'final',  tgt.value = true "final-Cccb22de07";
        a where a.value = false ->  tgt.status = 'cancelled',  tgt.value = false "notfound-Cccb22de07";
      } "bdab9370";
    } "b5e73929";
  } "306838ed";
}


```



## Resource Content

```json
{
  "resourceType" : "StructureMap",
  "id" : "Ccc.b18-21.signs.2m.m",
  "url" : "https://smart.who.int/ccc/StructureMap/Ccc.b18-21.signs.2m.m",
  "version" : "0.1.0",
  "name" : "Ccc.b18-21.signs.2m.m",
  "status" : "active",
  "date" : "2026-04-07T13:42:05+00:00",
  "publisher" : "World Health Organization (WHO)",
  "contact" : [{
    "name" : "World Health Organization (WHO)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.who.int"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.who.int"
    }]
  }],
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}

```
