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

Generated Narrative: StructureMap SenologieToIqtigOperation

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToIqtigOperation" = "SenologieToIqtigOperation"\r\n\r\n// title: Senologie Procedure + Specimen to IQTIG 18.1 Teildatensatz Operation\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/Procedure" alias Procedure as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Specimen" alias Specimen as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition 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 (teildatensatzOperation). 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 Operation (O): Procedure + Specimen + Observations -> O:*\r\n// Pro Eingriff wird ein Operations-Teildatensatz erzeugt. Quellen:\r\n// - Procedure (Senologie_BrustOP / Senologie_Operation) -> OP-Datum, OPS,\r\n// Seitenlokalisation, Operationsart\r\n// - Specimen (Senologie_Pathologie_Praeparat) -> Schnellschnitt,\r\n// Praeparatkontrolle, Praeparat-spezifische Daten\r\n// - Observation (Pathologie-Befund) -> Histologie, Grading, pTNM, R-Status\r\n// - Observation (Rezeptorstatus: ER/PR/HER2) -> QI-relevante Felder\r\n// ============================================================================\r\ngroup MapOperation(source src : Procedure, target tgt : BackboneElement) {\r\n  // O:LNROP - Laufende Nummer der Operation (Default 1; ueber Slicing iterierbar)\r\n  src -> tgt.laufendeNummer = 1 "SetLnrOp";\r\n  // O:LNRBRUST - Zuordnung zum Brust-Teildatensatz (Default 1)\r\n  src -> tgt.bezugLnrBrust = 1 "SetLnrBrustRef";\r\n  // O:OPDATUM - aus Procedure.performedDateTime\r\n  src.performed as perf where $this.is(dateTime) -> tgt.operationsdatum = perf "SetOpDatum";\r\n  src.performed as perf where $this.is(Period) then {\r\n    perf.start as s -> tgt.operationsdatum = s "SetOpDatumPeriod";\r\n  } "MapOpDatumPeriod";\r\n  // O:SEITE - Seitenlokalisation aus Procedure.bodySite (SNOMED CT)\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' "SetOpSeiteR";\r\n      c.code as cd where $this = '7771000' -> tgt.seitenlokalisation = 'L' "SetOpSeiteL";\r\n      c.code as cd where $this = '51440002' -> tgt.seitenlokalisation = 'B' "SetOpSeiteB";\r\n    } "MapOpSeiteSCT";\r\n  } "MapOpSeitenlokalisation";\r\n  // O:OPSCHLUESSEL - OPS-Kodes aus Procedure.code\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/ops' -> tgt.prozeduren as opsItem then {\r\n      c.code as cd -> opsItem.code = cd "SetOpsCode";\r\n      c.version as v -> opsItem.version = v "SetOpsVersion";\r\n    } "MapOpsCoding";\r\n  } "MapProzeduren";\r\n  // O:OPART - Operationsart aus Procedure.category oder Senologie-Operation-Art VS\r\n  // BET (5-870) -> 1, Mastektomie einfach (5-871) -> 2, Mastektomie SSM (5-872) -> 3,\r\n  // Mastektomie NSM (5-883) -> 4, Revision -> 5, Wiederaufbau (5-885) -> 6\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/ops' then {\r\n      c.code as cd where $this.startsWith('5-870') -> tgt.operationsart = '1' "SetOpArtBET";\r\n      c.code as cd where $this.startsWith('5-871') -> tgt.operationsart = '2' "SetOpArtMastEinfach";\r\n      c.code as cd where $this.startsWith('5-872') -> tgt.operationsart = '3' "SetOpArtMastSSM";\r\n      c.code as cd where $this.startsWith('5-883') -> tgt.operationsart = '4' "SetOpArtMastNSM";\r\n      c.code as cd where $this.startsWith('5-885') -> tgt.operationsart = '6' "SetOpArtRekon";\r\n    } "MapOpArtOPS";\r\n  } "MapOpArtFromOPS";\r\n  // Direkter Map aus Senologie-Operation-Art CodeSystem (falls vorhanden)\r\n  src.category as cat then {\r\n    cat.coding as c where system = 'https://www.senologie.org/fhir/CodeSystem/cs-senologie-brustop-art' then {\r\n      c.code as cd -> tgt.operationsart = cd "SetOpArtDirect";\r\n    } "MapOpArtCoding";\r\n  } "MapOpArtCategory";\r\n  // Bundle lookups for O:DIGNITAET, O:SCHNELLSCHNITT, O:PRAEPKONTROLLE,\r\n  // O:HISTMORPH, O:GRADING, O:TGROESSEINV, O:TGROESSEDCIS, O:MULTIFOK,\r\n  // O:PT/PN/PM, O:UICCPATHO have been moved to the calling orchestrator\r\n  // (SenologieToIqtigMammachirurgie181.map) to avoid multiple source parameters.\r\n  // --- Residualstatus R0/R1/R2 aus Procedure.outcome ---\r\n  // O:RSTATUSLOK / O:RSTATUSGES - aus Procedure.outcome (SNOMED CT)\r\n  // 122538001=R0, 122539009=R1, 122540006=R2, 122541005=RX\r\n  src.outcome as out then {\r\n    out.coding as c where system = 'http://snomed.info/sct' then {\r\n      c.code as cd where $this = '122538001' -> tgt.residualstatusLokal = 'R0' "SetRStatusLokR0";\r\n      c.code as cd where $this = '122538001' -> tgt.residualstatusGesamt = 'R0' "SetRStatusGesR0";\r\n      c.code as cd where $this = '122539009' -> tgt.residualstatusLokal = 'R1' "SetRStatusLokR1";\r\n      c.code as cd where $this = '122539009' -> tgt.residualstatusGesamt = 'R1' "SetRStatusGesR1";\r\n      c.code as cd where $this = '122540006' -> tgt.residualstatusLokal = 'R2' "SetRStatusLokR2";\r\n      c.code as cd where $this = '122540006' -> tgt.residualstatusGesamt = 'R2' "SetRStatusGesR2";\r\n      c.code as cd where $this = '122541005' -> tgt.residualstatusLokal = 'RX' "SetRStatusLokRX";\r\n      c.code as cd where $this = '122541005' -> tgt.residualstatusGesamt = 'RX' "SetRStatusGesRX";\r\n    } "MapOutcomeCoding";\r\n  } "MapResidualstatus";\r\n  // --- Lymphknoten aus Pathologie-Observations ---\r\n  // O:SENTINEL - Sentinel-Biopsie durchgefuehrt (OPS 5-401.1*)\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/ops' then {\r\n      c.code as cd where $this.startsWith('5-401.1') -> tgt.sentinelDurchgefuehrt = '1' "SetSentinelJa";\r\n    } "MapSentinelOPS";\r\n  } "MapSentinel";\r\n  // O:AXDISSEKTION - Axilladissektion (OPS 5-402)\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/ops' then {\r\n      c.code as cd where $this.startsWith('5-402') -> tgt.axillaDissektion = '1' "SetAxDissJa";\r\n    } "MapAxDissOPS";\r\n  } "MapAxillaDissektion";\r\n// LK counts, Rezeptorstatus, and Komplikationen bundle lookups\r\n// have been moved to the calling orchestrator.\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToIqtigOperation", "version" : "0.9.0", "name" : "SenologieToIqtigOperation", "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 Procedure + Specimen to IQTIG 18.1 Teildatensatz Operation\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "source", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Procedure", "mode" : "source", "alias" : "Procedure" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Specimen", "mode" : "source", "alias" : "Specimen" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "source", "alias" : "Observation" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Condition", "mode" : "source", "alias" : "Condition" }], "group" : [{ "name" : "MapOperation", "typeMode" : "none", "documentation" : "Import-only map: no target `uses` declaration — the calling map\r\n(SenologieToIqtigMammachirurgie181) provides the correct BackboneElement\r\ncontext (teildatensatzOperation). 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 Operation (O): Procedure + Specimen + Observations -> O:*\r\nPro Eingriff wird ein Operations-Teildatensatz erzeugt. Quellen:\r\n- Procedure (Senologie_BrustOP / Senologie_Operation) -> OP-Datum, OPS,\r\nSeitenlokalisation, Operationsart\r\n- Specimen (Senologie_Pathologie_Praeparat) -> Schnellschnitt,\r\nPraeparatkontrolle, Praeparat-spezifische Daten\r\n- Observation (Pathologie-Befund) -> Histologie, Grading, pTNM, R-Status\r\n- Observation (Rezeptorstatus: ER/PR/HER2) -> QI-relevante Felder\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Procedure", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "SetLnrOp", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "laufendeNummer", "transform" : "copy", "parameter" : [{ "valueInteger" : 1 }] }] }, { "name" : "SetLnrBrustRef", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "bezugLnrBrust", "transform" : "copy", "parameter" : [{ "valueInteger" : 1 }] }] }, { "name" : "SetOpDatum", "source" : [{ "context" : "src", "element" : "performed", "variable" : "perf", "condition" : "$this.is(dateTime)" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsdatum", "transform" : "copy", "parameter" : [{ "valueId" : "perf" }] }] }, { "name" : "MapOpDatumPeriod", "source" : [{ "context" : "src", "element" : "performed", "variable" : "perf", "condition" : "$this.is(Period)" }], "rule" : [{ "name" : "SetOpDatumPeriod", "source" : [{ "context" : "perf", "element" : "start", "variable" : "s" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsdatum", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }] }, { "name" : "MapOpSeitenlokalisation", "source" : [{ "context" : "src", "element" : "bodySite", "variable" : "bs" }], "rule" : [{ "name" : "MapOpSeiteSCT", "source" : [{ "context" : "bs", "element" : "coding", "variable" : "c", "condition" : "system = 'http://snomed.info/sct'" }], "rule" : [{ "name" : "SetOpSeiteR", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '24028007'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seitenlokalisation", "transform" : "copy", "parameter" : [{ "valueString" : "R" }] }] }, { "name" : "SetOpSeiteL", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '7771000'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seitenlokalisation", "transform" : "copy", "parameter" : [{ "valueString" : "L" }] }] }, { "name" : "SetOpSeiteB", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '51440002'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seitenlokalisation", "transform" : "copy", "parameter" : [{ "valueString" : "B" }] }] }] }] }, { "name" : "MapProzeduren", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapOpsCoding", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/ops'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "prozeduren", "variable" : "opsItem" }], "rule" : [{ "name" : "SetOpsCode", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "opsItem", "contextType" : "variable", "element" : "code", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }, { "name" : "SetOpsVersion", "source" : [{ "context" : "c", "element" : "version", "variable" : "v" }], "target" : [{ "context" : "opsItem", "contextType" : "variable", "element" : "version", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }] }, { "name" : "MapOpArtFromOPS", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapOpArtOPS", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/ops'" }], "rule" : [{ "name" : "SetOpArtBET", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-870')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsart", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }, { "name" : "SetOpArtMastEinfach", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-871')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsart", "transform" : "copy", "parameter" : [{ "valueString" : "2" }] }] }, { "name" : "SetOpArtMastSSM", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-872')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsart", "transform" : "copy", "parameter" : [{ "valueString" : "3" }] }] }, { "name" : "SetOpArtMastNSM", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-883')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsart", "transform" : "copy", "parameter" : [{ "valueString" : "4" }] }] }, { "name" : "SetOpArtRekon", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-885')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsart", "transform" : "copy", "parameter" : [{ "valueString" : "6" }] }] }] }] }, { "name" : "MapOpArtCategory", "source" : [{ "context" : "src", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "MapOpArtCoding", "source" : [{ "context" : "cat", "element" : "coding", "variable" : "c", "condition" : "system = 'https://www.senologie.org/fhir/CodeSystem/cs-senologie-brustop-art'" }], "rule" : [{ "name" : "SetOpArtDirect", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "operationsart", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }] }] }, { "name" : "MapResidualstatus", "source" : [{ "context" : "src", "element" : "outcome", "variable" : "out" }], "rule" : [{ "name" : "MapOutcomeCoding", "source" : [{ "context" : "out", "element" : "coding", "variable" : "c", "condition" : "system = 'http://snomed.info/sct'" }], "rule" : [{ "name" : "SetRStatusLokR0", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122538001'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusLokal", "transform" : "copy", "parameter" : [{ "valueString" : "R0" }] }] }, { "name" : "SetRStatusGesR0", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122538001'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusGesamt", "transform" : "copy", "parameter" : [{ "valueString" : "R0" }] }] }, { "name" : "SetRStatusLokR1", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122539009'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusLokal", "transform" : "copy", "parameter" : [{ "valueString" : "R1" }] }] }, { "name" : "SetRStatusGesR1", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122539009'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusGesamt", "transform" : "copy", "parameter" : [{ "valueString" : "R1" }] }] }, { "name" : "SetRStatusLokR2", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122540006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusLokal", "transform" : "copy", "parameter" : [{ "valueString" : "R2" }] }] }, { "name" : "SetRStatusGesR2", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122540006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusGesamt", "transform" : "copy", "parameter" : [{ "valueString" : "R2" }] }] }, { "name" : "SetRStatusLokRX", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122541005'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusLokal", "transform" : "copy", "parameter" : [{ "valueString" : "RX" }] }] }, { "name" : "SetRStatusGesRX", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '122541005'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "residualstatusGesamt", "transform" : "copy", "parameter" : [{ "valueString" : "RX" }] }] }] }] }, { "name" : "MapSentinel", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapSentinelOPS", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/ops'" }], "rule" : [{ "name" : "SetSentinelJa", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-401.1')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "sentinelDurchgefuehrt", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }] }] }, { "name" : "MapAxillaDissektion", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapAxDissOPS", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/ops'" }], "rule" : [{ "name" : "SetAxDissJa", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('5-402')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "axillaDissektion", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }] }] }] }] }