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

Generated Narrative: StructureMap SenologieToIqtigBrust

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToIqtigBrust" = "SenologieToIqtigBrust"\r\n\r\n// title: Senologie Condition + Pathologie to IQTIG 18.1 Teildatensatz Brust\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/Condition" alias Condition as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as source\r\nuses "http://hl7.org/fhir/StructureDefinition/ServiceRequest" alias ServiceRequest as source\r\n\r\n// Import-only map: no target `uses` declaration — the calling map\r\n// (SenologieToIqtigMammachirurgie181) provides the correct BackboneElement\r\n// context (teildatensatzBrust). Omitting the root-level target type avoids\r\n// SM_TARGET_PATH false positives where the validator would resolve property\r\n// names against iqtig-mammachirurgie-181 root.\r\n// ============================================================================\r\n// Teildatensatz Brust (BRUST): Condition + Observations -> BRUST:*\r\n// Pro betroffener Brustseite wird ein Brust-Teildatensatz erzeugt. Die\r\n// Zuordnung zur Operation erfolgt ueber die laufende Nummer (LNRBRUST).\r\n// Quellen:\r\n// - Condition (Senologie_Diagnose_Maligne / _Benigne) -> Indikation, ICD,\r\n// Seitenlokalisation, Diagnosedatum\r\n// - Observation (BI-RADS, bildgebende Methode, Praeopbefund) -> Befund\r\n// - ServiceRequest (Senologie_OP_Planung) -> Drahtmarkierung, Neoadjuvanz\r\n// - Observation (cTNM, Tumorgroesse klinisch) -> Staging-Felder\r\n// ============================================================================\r\ngroup MapBrust(source src : Condition, target tgt : BackboneElement) {\r\n  // BRUST:LNRBRUST - Standardwert 1 (kann durch Slicing ueberschrieben werden)\r\n  src -> tgt.laufendeNummer = 1 "SetLnrBrust";\r\n  // BRUST:SEITE - Seitenlokalisation aus Condition.bodySite (SNOMED CT)\r\n  // 24028007=right, 7771000=left, 51440002=bilateral\r\n  src.bodySite as bs then {\r\n    bs.coding as c where system = 'http://snomed.info/sct' then {\r\n      c.code as cd where $this = '24028007' -> tgt.seitenlokalisation = 'R' "SetSeiteR";\r\n      c.code as cd where $this = '7771000' -> tgt.seitenlokalisation = 'L' "SetSeiteL";\r\n      c.code as cd where $this = '51440002' -> tgt.seitenlokalisation = 'B' "SetSeiteB";\r\n    } "MapSeiteSCT";\r\n  } "MapSeitenlokalisation";\r\n  // BRUST:INDIKATION - Indikation aus ICD-10-GM-Code\r\n  // C50.* = maligne (1), D05.* = DCIS (2), D24 = benigne (3), Z40.* = Risikoreduktion (4)\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm' then {\r\n      c.code as cd where $this.startsWith('C50') -> tgt.indikation = '1' "SetIndikMaligne";\r\n      c.code as cd where $this.startsWith('D05') -> tgt.indikation = '2' "SetIndikDCIS";\r\n      c.code as cd where $this.startsWith('D24') -> tgt.indikation = '3' "SetIndikBenigne";\r\n      c.code as cd where $this.startsWith('Z40') -> tgt.indikation = '4' "SetIndikRisiko";\r\n      c.code as cd where $this.startsWith('Z42') -> tgt.indikation = '5' "SetIndikRekon";\r\n    } "MapIndikationICD";\r\n  } "MapIndikation";\r\n  // BRUST:DIAGICD - ICD-10-GM-Kodierung der Diagnose\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm' -> tgt.diagnoseICD as icd then {\r\n      c.code as cd -> icd.code = cd "SetICDCode";\r\n      c.version as v -> icd.version = v "SetICDVersion";\r\n    } "MapICDCoding";\r\n  } "MapDiagnoseICD";\r\n  // BRUST:DIAGDATUM - Diagnosedatum aus Condition.onsetDateTime\r\n  src.onset as onset where $this.is(dateTime) -> tgt.diagnosedatum = onset "SetDiagnosedatum";\r\n  // BRUST:HISTPRAEOP - Default (nein)\r\n  src -> tgt.histologischeSicherungPraeop = '0' "SetHistPraeopDefault";\r\n  // BRUST:NEOADJ - Default (nein)\r\n  src -> tgt.neoadjuvanteTherapie = '0' "SetNeoadjDefault";\r\n  // BRUST:TKPRAEOP - Default (unbekannt)\r\n  src -> tgt.tumorkonferenzPraeop = '9' "SetTKPraeopDefault";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToIqtigBrust", "version" : "0.9.0", "name" : "SenologieToIqtigBrust", "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 Condition + Pathologie to IQTIG 18.1 Teildatensatz Brust\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "source", "alias" : "Bundle" }, { "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/ServiceRequest", "mode" : "source", "alias" : "ServiceRequest" }], "group" : [{ "name" : "MapBrust", "typeMode" : "none", "documentation" : "Import-only map: no target `uses` declaration — the calling map\r\n(SenologieToIqtigMammachirurgie181) provides the correct BackboneElement\r\ncontext (teildatensatzBrust). Omitting the root-level target type avoids\r\nSM_TARGET_PATH false positives where the validator would resolve property\r\nnames against iqtig-mammachirurgie-181 root.\r\n============================================================================\r\nTeildatensatz Brust (BRUST): Condition + Observations -> BRUST:*\r\nPro betroffener Brustseite wird ein Brust-Teildatensatz erzeugt. Die\r\nZuordnung zur Operation erfolgt ueber die laufende Nummer (LNRBRUST).\r\nQuellen:\r\n- Condition (Senologie_Diagnose_Maligne / _Benigne) -> Indikation, ICD,\r\nSeitenlokalisation, Diagnosedatum\r\n- Observation (BI-RADS, bildgebende Methode, Praeopbefund) -> Befund\r\n- ServiceRequest (Senologie_OP_Planung) -> Drahtmarkierung, Neoadjuvanz\r\n- Observation (cTNM, Tumorgroesse klinisch) -> Staging-Felder\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Condition", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "SetLnrBrust", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "laufendeNummer", "transform" : "copy", "parameter" : [{ "valueInteger" : 1 }] }] }, { "name" : "MapSeitenlokalisation", "source" : [{ "context" : "src", "element" : "bodySite", "variable" : "bs" }], "rule" : [{ "name" : "MapSeiteSCT", "source" : [{ "context" : "bs", "element" : "coding", "variable" : "c", "condition" : "system = 'http://snomed.info/sct'" }], "rule" : [{ "name" : "SetSeiteR", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '24028007'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seitenlokalisation", "transform" : "copy", "parameter" : [{ "valueString" : "R" }] }] }, { "name" : "SetSeiteL", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '7771000'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seitenlokalisation", "transform" : "copy", "parameter" : [{ "valueString" : "L" }] }] }, { "name" : "SetSeiteB", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '51440002'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seitenlokalisation", "transform" : "copy", "parameter" : [{ "valueString" : "B" }] }] }] }] }, { "name" : "MapIndikation", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapIndikationICD", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'" }], "rule" : [{ "name" : "SetIndikMaligne", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('C50')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "indikation", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }, { "name" : "SetIndikDCIS", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('D05')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "indikation", "transform" : "copy", "parameter" : [{ "valueString" : "2" }] }] }, { "name" : "SetIndikBenigne", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('D24')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "indikation", "transform" : "copy", "parameter" : [{ "valueString" : "3" }] }] }, { "name" : "SetIndikRisiko", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('Z40')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "indikation", "transform" : "copy", "parameter" : [{ "valueString" : "4" }] }] }, { "name" : "SetIndikRekon", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('Z42')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "indikation", "transform" : "copy", "parameter" : [{ "valueString" : "5" }] }] }] }] }, { "name" : "MapDiagnoseICD", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapICDCoding", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnoseICD", "variable" : "icd" }], "rule" : [{ "name" : "SetICDCode", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "icd", "contextType" : "variable", "element" : "code", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }, { "name" : "SetICDVersion", "source" : [{ "context" : "c", "element" : "version", "variable" : "v" }], "target" : [{ "context" : "icd", "contextType" : "variable", "element" : "version", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }] }, { "name" : "SetDiagnosedatum", "source" : [{ "context" : "src", "element" : "onset", "variable" : "onset", "condition" : "$this.is(dateTime)" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnosedatum", "transform" : "copy", "parameter" : [{ "valueId" : "onset" }] }] }, { "name" : "SetHistPraeopDefault", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "histologischeSicherungPraeop", "transform" : "copy", "parameter" : [{ "valueString" : "0" }] }] }, { "name" : "SetNeoadjDefault", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "neoadjuvanteTherapie", "transform" : "copy", "parameter" : [{ "valueString" : "0" }] }] }, { "name" : "SetTKPraeopDefault", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "tumorkonferenzPraeop", "transform" : "copy", "parameter" : [{ "valueString" : "9" }] }] }] }] }