{ "resourceType" : "StructureMap", "id" : "SenologieToIRegMeldung", "text" : { "status" : "generated", "div" : "

Generated Narrative: StructureMap SenologieToIRegMeldung

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToIRegMeldung" = "SenologieToIRegMeldung"\r\n\r\n// title: Senologie FHIR Bundle to IRegG Brustimplantat-Meldung (Orchestrator)\r\n// status: draft\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Patient" alias Patient as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Encounter" alias Encounter as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Procedure" alias Procedure as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Device" alias Device as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Organization" alias Organization as source\r\nuses "https://www.senologie.org/fhir/StructureDefinition/ireg-brustimplantat-meldung" alias IRegMeldung as target\r\n\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToIRegPatient"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToIRegOperation"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToIRegEntlassung"\r\n\r\n// Known limitation: Sub-groups (MapMeldungskopf, MapFall) use\r\n// `target tgt : BackboneElement` because FML has no syntax to declare the\r\n// specific Logical Model sub-path when a parent group passes a BackboneElement\r\n// slice. The IG Publisher resolves target paths against BackboneElement,\r\n// producing ~20 SM_TARGET_PATH / SM_SOURCE_PATH errors. The element names are\r\n// correct and match the IRegG Brustimplantat Logical Model. These errors are\r\n// cosmetic.\r\n// ============================================================================\r\n// Master Orchestrator: Bundle -> IRegG Brustimplantat-Meldung\r\n// Empfaengt ein FHIR Bundle mit Senologie-Ressourcen (Patient, Procedure,\r\n// Device, Encounter, Condition, Observations) und erzeugt eine vollstaendige\r\n// IRegG-Meldung fuer Brustimplantate.\r\n// Im Gegensatz zur oBDS-Transformation (mehrere Meldungen pro Bundle)\r\n// erzeugt die IRegG-Meldung eine einzelne GEMeldung pro Behandlungsfall.\r\n// ============================================================================\r\ngroup SenologieToIRegMeldung(source src : Bundle, target tgt : IRegMeldung) {\r\n  // --- Meldungskopf (MEL_*) ---\r\n  src -> tgt.meldung as mel then MapMeldungskopf(src, mel) "CallMapMeldungskopf";\r\n  // --- Fall (FAL_*) ---\r\n  src.entry as entry where resource.is(Encounter) then {\r\n    entry.resource as encounter -> tgt.fall as fall then MapFall(encounter, fall) "CallMapFall";\r\n    // Bundle lookups moved from MapFall\r\n    // Ausloeser: OPS-Kodes\r\n    src.entry as auslEntry where resource.is(Procedure) then {\r\n      auslEntry.resource as procedure then {\r\n        procedure.code as code then {\r\n          code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/ops' -> fall.ausloeser as ausl then {\r\n            c.code as cd -> ausl.prozedurenSchluessel = cd "SetAusloeserOPS";\r\n          } "MapAusloeserCoding";\r\n        } "MapAusloeserCode";\r\n      } "AusloeserProcContext";\r\n    } "EntryAusloeser";\r\n    // Patientenaufnahme\r\n    src.entry as patEntry where resource.is(Patient) then {\r\n      patEntry.resource as patient -> fall.patientenaufnahme as pat then MapPatientenaufnahme(patient, pat) "CallMapPatientenaufnahme";\r\n      // PAT_Groesse (moved from MapPatientenaufnahme)\r\n      src.entry as ghEntry where resource.is(Observation) and resource.code.coding.exists(code = '8302-2') then {\r\n        ghEntry.resource as obs then {\r\n          obs.value as val then {\r\n            val.value as v -> pat.groesse = truncate(v) "SetGroesse";\r\n          } "MapGroesseValue";\r\n        } "GroesseObsContext";\r\n      } "EntryGroesse";\r\n      // PAT_Gewicht (moved from MapPatientenaufnahme)\r\n      src.entry as gwEntry where resource.is(Observation) and resource.code.coding.exists(code = '29463-7') then {\r\n        gwEntry.resource as obs then {\r\n          obs.value as val then {\r\n            val.value as v -> pat.gewicht = truncate(v) "SetGewicht";\r\n          } "MapGewichtValue";\r\n        } "GewichtObsContext";\r\n      } "EntryGewicht";\r\n    } "EntryPatient";\r\n    // Operationen\r\n    src.entry as opEntry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-operation') or $this.contains('senologie-brustop')) then {\r\n      opEntry.resource as procedure -> fall.operation as op then MapOperation(procedure, op) "CallMapOperation";\r\n      // Artikelidentifikation via focalDevice\r\n      opEntry.resource as procedure then {\r\n        procedure.focalDevice as fd then {\r\n          fd.manipulated as ref then {\r\n            src.entry as devEntry where resource.is(Device) and (fullUrl = (%ref.reference)) then {\r\n              devEntry.resource as device -> op.artikelidentifikation as art then MapArtikelidentifikation(device, art) "CallMapArtikel";\r\n            } "ResolveDeviceRef";\r\n          } "MapDeviceRef";\r\n        } "MapFocalDevice";\r\n        procedure where focalDevice.exists().not() then {\r\n          src.entry as devEntry where resource.is(Device) and resource.meta.profile.exists($this.contains('senologie-implantat')) then {\r\n            devEntry.resource as device -> op.artikelidentifikation as art then MapArtikelidentifikation(device, art) "CallMapArtikelFallback";\r\n          } "EntryDeviceFallback";\r\n        } "FallbackDevice";\r\n      } "DeviceLookupContext";\r\n      // Zubehoer\r\n      src.entry as zubEntry where resource.is(Device) and resource.meta.profile.exists($this.contains('ireg-zubehoer') or $this.contains('senologie-zubehoer')) then {\r\n        zubEntry.resource as device -> op.zubehoer as zub then MapZubehoer(device, zub) "CallMapZubehoer";\r\n      } "EntryZubehoer";\r\n    } "EntryOperation";\r\n    // Entlassung\r\n    encounter -> fall.entlassung as entl then MapEntlassung(encounter, entl) "CallMapEntlassung";\r\n    // DBI Entlassungsdiagnosen\r\n    src.entry as dbiEntry where resource.is(Condition) then {\r\n      dbiEntry.resource as condition then {\r\n        condition.code as code then {\r\n          code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm' -> fall.entlassung as entl then {\r\n            c -> entl.diagnoseBrustimplantat as dbi then {\r\n              c.code as cd -> dbi.icdSchluessel = cd "SetDbiIcdCode";\r\n              condition.bodySite as bs then {\r\n                bs.coding as bsc where system = 'http://snomed.info/sct' then {\r\n                  bsc.code as bscd where $this = '24028007' -> dbi.icdSchluessel = append(cd, ':R') "AppendSeiteRechts";\r\n                  bsc.code as bscd where $this = '7771000' -> dbi.icdSchluessel = append(cd, ':L') "AppendSeiteLinks";\r\n                  bsc.code as bscd where $this = '51440002' -> dbi.icdSchluessel = append(cd, ':B') "AppendSeiteBeidseits";\r\n                } "MapDbiSeiteSCT";\r\n              } "MapDbiSeite";\r\n            } "MapDbiIcd";\r\n          } "WrapDbiEntl";\r\n        } "MapDbiCode";\r\n      } "DbiConditionContext";\r\n    } "EntryDbiCondition";\r\n  } "EntryEncounter";\r\n}\r\n\r\n// ============================================================================\r\n// Meldungskopf: Bundle -> meldung (MEL_*)\r\n// Einrichtungskennung, Softwareinfo aus Organization und Bundle-Metadaten\r\n// ============================================================================\r\ngroup MapMeldungskopf(source src : Bundle, target tgt : BackboneElement) {\r\n  // MEL_IrdIdGesundheitseinrichtung: aus Organization im Bundle\r\n  src.entry as entry where resource.is(Organization) then {\r\n    entry.resource as org then {\r\n      org.identifier as id where system = 'http://fhir.de/sid/ird/ge-kennung' then {\r\n        id.value as v -> tgt.idEinrichtung = v "SetIdEinrichtung";\r\n      } "FilterIrdId";\r\n      // MEL_Bsnr: Betriebsstaettennummer\r\n      org.identifier as id where system = 'https://fhir.de/sid/arge-ik/iknr' then {\r\n        id.value as v -> tgt.bsnr = v "SetBsnr";\r\n      } "FilterBsnr";\r\n    } "OrgContext";\r\n  } "EntryOrganization";\r\n  // MEL_IrdSpezVersion: feste Version der IRegD-Spezifikation\r\n  src -> tgt.irdSpezVersion = '4.1.1' "SetSpezVersion";\r\n  // MEL_SwName, MEL_SwHersteller, MEL_SwVersion: aus Bundle.meta.tag oder fest\r\n  src -> tgt.swName = 'Senologie-KDS FHIR IG' "SetSwName";\r\n  src -> tgt.swHersteller = 'BIH at Charite' "SetSwHersteller";\r\n  src -> tgt.swVersion = '0.1.0' "SetSwVersion";\r\n}\r\n\r\n// ============================================================================\r\n// Fall: Encounter -> fall (FAL_*)\r\n// Aufnahmedatum, Art des Aufenthalts, Transfernummer\r\n// ============================================================================\r\ngroup MapFall(source src : Encounter, target tgt : BackboneElement) {\r\n  // FAL_Aufnahmedatum: aus Encounter.period.start\r\n  src.period as period then {\r\n    period.start as s -> tgt.aufnahmedatum = s "SetAufnahmedatum";\r\n  } "MapAufnahmedatum";\r\n  // FAL_ArtAufenthaltSchluessel: aus Encounter.class\r\n  // vollstationaer = 1, teilstationaer = 2, ambulant = 3\r\n  src.class as cls then {\r\n    cls.code as cd where $this = 'IMP' -> tgt.artAufenthaltSchluessel = '1' "SetAufenthaltStationaer";\r\n    cls.code as cd where $this = 'SS' -> tgt.artAufenthaltSchluessel = '2' "SetAufenthaltTeilstationaer";\r\n    cls.code as cd where $this = 'AMB' -> tgt.artAufenthaltSchluessel = '3' "SetAufenthaltAmbulant";\r\n  } "MapArtAufenthalt";\r\n  // FAL_Transfernummer: aus Encounter.identifier mit Pseudonymisierungssystem\r\n  src.identifier as id where system = 'http://fhir.de/sid/ird/transfernummer' then {\r\n    id.value as v -> tgt.transfernummer = v "SetTransfernummer";\r\n  } "MapTransfernummer";\r\n  // FAL_DatumZeitSatzErstellung: aktuelle Zeit\r\n  src -> tgt.datumZeitSatzErstellung = evaluate(src, now()) "SetSatzErstellung";\r\n  // FAL_Versionsnummer\r\n  src.meta as meta then {\r\n    meta.versionId as v -> tgt.versionsnummer = v "SetVersionsnummer";\r\n  } "MapVersionsnummer";\r\n  // Ausloeser, Patientenaufnahme, Operationen, Entlassung, DBI\r\n  // bundle lookups moved to calling group.\r\n  // Entlassung from Encounter itself (no bundle needed)\r\n  src -> tgt.entlassung as entl then MapEntlassung(src, entl) "CallMapEntlassung";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToIRegMeldung", "version" : "0.9.0", "name" : "SenologieToIRegMeldung", "status" : "draft", "date" : "2026-05-04T16:55:55+00:00", "publisher" : "Berlin Institute of Health at Charité (BIH)", "contact" : [{ "name" : "Berlin Institute of Health at Charité (BIH)", "telecom" : [{ "system" : "url", "value" : "https://www.bihealth.org" }] }], "description" : "title: Senologie FHIR Bundle to IRegG Brustimplantat-Meldung (Orchestrator)\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "source", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Patient", "mode" : "source", "alias" : "Patient" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Encounter", "mode" : "source", "alias" : "Encounter" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Procedure", "mode" : "source", "alias" : "Procedure" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Device", "mode" : "source", "alias" : "Device" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Condition", "mode" : "source", "alias" : "Condition" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "source", "alias" : "Observation" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Organization", "mode" : "source", "alias" : "Organization" }, { "url" : "https://www.senologie.org/fhir/StructureDefinition/ireg-brustimplantat-meldung", "mode" : "target", "alias" : "IRegMeldung" }], "import" : ["https://www.senologie.org/fhir/StructureMap/SenologieToIRegPatient", "https://www.senologie.org/fhir/StructureMap/SenologieToIRegOperation", "https://www.senologie.org/fhir/StructureMap/SenologieToIRegEntlassung"], "group" : [{ "name" : "SenologieToIRegMeldung", "typeMode" : "none", "documentation" : "Known limitation: Sub-groups (MapMeldungskopf, MapFall) use\r\n`target tgt : BackboneElement` because FML has no syntax to declare the\r\nspecific Logical Model sub-path when a parent group passes a BackboneElement\r\nslice. The IG Publisher resolves target paths against BackboneElement,\r\nproducing ~20 SM_TARGET_PATH / SM_SOURCE_PATH errors. The element names are\r\ncorrect and match the IRegG Brustimplantat Logical Model. These errors are\r\ncosmetic.\r\n============================================================================\r\nMaster Orchestrator: Bundle -> IRegG Brustimplantat-Meldung\r\nEmpfaengt ein FHIR Bundle mit Senologie-Ressourcen (Patient, Procedure,\r\nDevice, Encounter, Condition, Observations) und erzeugt eine vollstaendige\r\nIRegG-Meldung fuer Brustimplantate.\r\nIm Gegensatz zur oBDS-Transformation (mehrere Meldungen pro Bundle)\r\nerzeugt die IRegG-Meldung eine einzelne GEMeldung pro Behandlungsfall.\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Bundle", "mode" : "source" }, { "name" : "tgt", "type" : "IRegMeldung", "mode" : "target" }], "rule" : [{ "name" : "CallMapMeldungskopf", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "meldung", "variable" : "mel" }], "dependent" : [{ "name" : "MapMeldungskopf", "variable" : ["src", "mel"] }] }, { "name" : "EntryEncounter", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Encounter)" }], "rule" : [{ "name" : "CallMapFall", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "encounter" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "fall", "variable" : "fall" }], "dependent" : [{ "name" : "MapFall", "variable" : ["encounter", "fall"] }] }, { "name" : "EntryAusloeser", "source" : [{ "context" : "src", "element" : "entry", "variable" : "auslEntry", "condition" : "resource.is(Procedure)" }], "rule" : [{ "name" : "AusloeserProcContext", "source" : [{ "context" : "auslEntry", "element" : "resource", "variable" : "procedure" }], "rule" : [{ "name" : "MapAusloeserCode", "source" : [{ "context" : "procedure", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapAusloeserCoding", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/ops'" }], "target" : [{ "context" : "fall", "contextType" : "variable", "element" : "ausloeser", "variable" : "ausl" }], "rule" : [{ "name" : "SetAusloeserOPS", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "ausl", "contextType" : "variable", "element" : "prozedurenSchluessel", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }] }] }] }] }, { "name" : "EntryPatient", "source" : [{ "context" : "src", "element" : "entry", "variable" : "patEntry", "condition" : "resource.is(Patient)" }], "rule" : [{ "name" : "CallMapPatientenaufnahme", "source" : [{ "context" : "patEntry", "element" : "resource", "variable" : "patient" }], "target" : [{ "context" : "fall", "contextType" : "variable", "element" : "patientenaufnahme", "variable" : "pat" }], "dependent" : [{ "name" : "MapPatientenaufnahme", "variable" : ["patient", "pat"] }] }, { "name" : "EntryGroesse", "source" : [{ "context" : "src", "element" : "entry", "variable" : "ghEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '8302-2')" }], "rule" : [{ "name" : "GroesseObsContext", "source" : [{ "context" : "ghEntry", "element" : "resource", "variable" : "obs" }], "rule" : [{ "name" : "MapGroesseValue", "source" : [{ "context" : "obs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetGroesse", "source" : [{ "context" : "val", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "pat", "contextType" : "variable", "element" : "groesse", "transform" : "truncate", "parameter" : [{ "valueId" : "v" }] }] }] }] }] }, { "name" : "EntryGewicht", "source" : [{ "context" : "src", "element" : "entry", "variable" : "gwEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '29463-7')" }], "rule" : [{ "name" : "GewichtObsContext", "source" : [{ "context" : "gwEntry", "element" : "resource", "variable" : "obs" }], "rule" : [{ "name" : "MapGewichtValue", "source" : [{ "context" : "obs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetGewicht", "source" : [{ "context" : "val", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "pat", "contextType" : "variable", "element" : "gewicht", "transform" : "truncate", "parameter" : [{ "valueId" : "v" }] }] }] }] }] }] }, { "name" : "EntryOperation", "source" : [{ "context" : "src", "element" : "entry", "variable" : "opEntry", "condition" : "resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-operation') or $this.contains('senologie-brustop'))" }], "rule" : [{ "name" : "CallMapOperation", "source" : [{ "context" : "opEntry", "element" : "resource", "variable" : "procedure" }], "target" : [{ "context" : "fall", "contextType" : "variable", "element" : "operation", "variable" : "op" }], "dependent" : [{ "name" : "MapOperation", "variable" : ["procedure", "op"] }] }, { "name" : "DeviceLookupContext", "source" : [{ "context" : "opEntry", "element" : "resource", "variable" : "procedure" }], "rule" : [{ "name" : "MapFocalDevice", "source" : [{ "context" : "procedure", "element" : "focalDevice", "variable" : "fd" }], "rule" : [{ "name" : "MapDeviceRef", "source" : [{ "context" : "fd", "element" : "manipulated", "variable" : "ref" }], "rule" : [{ "name" : "ResolveDeviceRef", "source" : [{ "context" : "src", "element" : "entry", "variable" : "devEntry", "condition" : "resource.is(Device) and (fullUrl = (%ref.reference))" }], "rule" : [{ "name" : "CallMapArtikel", "source" : [{ "context" : "devEntry", "element" : "resource", "variable" : "device" }], "target" : [{ "context" : "op", "contextType" : "variable", "element" : "artikelidentifikation", "variable" : "art" }], "dependent" : [{ "name" : "MapArtikelidentifikation", "variable" : ["device", "art"] }] }] }] }] }, { "name" : "FallbackDevice", "source" : [{ "context" : "procedure", "condition" : "focalDevice.exists().not()" }], "rule" : [{ "name" : "EntryDeviceFallback", "source" : [{ "context" : "src", "element" : "entry", "variable" : "devEntry", "condition" : "resource.is(Device) and resource.meta.profile.exists($this.contains('senologie-implantat'))" }], "rule" : [{ "name" : "CallMapArtikelFallback", "source" : [{ "context" : "devEntry", "element" : "resource", "variable" : "device" }], "target" : [{ "context" : "op", "contextType" : "variable", "element" : "artikelidentifikation", "variable" : "art" }], "dependent" : [{ "name" : "MapArtikelidentifikation", "variable" : ["device", "art"] }] }] }] }] }, { "name" : "EntryZubehoer", "source" : [{ "context" : "src", "element" : "entry", "variable" : "zubEntry", "condition" : "resource.is(Device) and resource.meta.profile.exists($this.contains('ireg-zubehoer') or $this.contains('senologie-zubehoer'))" }], "rule" : [{ "name" : "CallMapZubehoer", "source" : [{ "context" : "zubEntry", "element" : "resource", "variable" : "device" }], "target" : [{ "context" : "op", "contextType" : "variable", "element" : "zubehoer", "variable" : "zub" }], "dependent" : [{ "name" : "MapZubehoer", "variable" : ["device", "zub"] }] }] }] }, { "name" : "CallMapEntlassung", "source" : [{ "context" : "encounter" }], "target" : [{ "context" : "fall", "contextType" : "variable", "element" : "entlassung", "variable" : "entl" }], "dependent" : [{ "name" : "MapEntlassung", "variable" : ["encounter", "entl"] }] }, { "name" : "EntryDbiCondition", "source" : [{ "context" : "src", "element" : "entry", "variable" : "dbiEntry", "condition" : "resource.is(Condition)" }], "rule" : [{ "name" : "DbiConditionContext", "source" : [{ "context" : "dbiEntry", "element" : "resource", "variable" : "condition" }], "rule" : [{ "name" : "MapDbiCode", "source" : [{ "context" : "condition", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "WrapDbiEntl", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'" 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