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

Generated Narrative: StructureMap SenologieToObdsMeldung

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToObdsMeldung" = "SenologieToObdsMeldung"\r\n\r\n// title: Senologie FHIR Bundle to oBDS Meldung (Master 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/Condition" alias Condition as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Procedure" alias Procedure as source\r\nuses "http://hl7.org/fhir/StructureDefinition/CarePlan" alias CarePlan as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Patient" alias Patient as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation as source\r\nuses "https://www.senologie.org/fhir/StructureDefinition/obds-meldung" alias OBDSMeldung as target\r\n\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorzuordnung"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsDiagnose"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsOP"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsSYST"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsST"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorkonferenz"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsVerlauf"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTod"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTNM"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsHistologie"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsModulMamma"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsFernmetastasen"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsResidualstatus"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsNebenwirkung"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToObdsLeistungszustand"\r\n\r\n// ============================================================================\r\n// Master Orchestrator: Bundle -> oBDS Meldung\r\n// Empfaengt ein FHIR Bundle mit allen Ressourcen eines Patienten und\r\n// dispatcht an die jeweiligen Teil-Maps basierend auf Ressourcentyp und Profil.\r\n// Jede Ressource erzeugt eine separate oBDS-Meldung:\r\n// - Condition (Erstdiagnose)         -> Diagnosemeldung\r\n// - Condition (Rezidiv)              -> Verlaufsmeldung\r\n// - Procedure (Operation)            -> OP-Meldung\r\n// - Procedure (Systemtherapie)       -> SYST-Meldung\r\n// - Procedure (Strahlentherapie)     -> ST-Meldung\r\n// - CarePlan (Tumorboard)            -> Tumorkonferenzmeldung\r\n// - Patient (verstorben)             -> Todesmeldung\r\n// ============================================================================\r\ngroup SenologieToObdsMeldung(source src : Bundle, target tgt : OBDSMeldung) {\r\n  // --- Meldungs-Metadaten ---\r\n  src -> tgt then SetMeldungMetadata(src, tgt) "CallSetMeldungMetadata";\r\n  // --- Diagnose: Condition mit Senologie-Diagnose-Profil, NICHT Rezidiv ---\r\n  // clinicalStatus != recurrence und Profil senologie-diagnose\r\n  src.entry as entry where resource.is(Condition) and resource.meta.profile.exists($this.contains('senologie-diagnose')) and resource.clinicalStatus.coding.exists(code = 'recurrence').not() then {\r\n    entry.resource as condition then {\r\n      // Tumorzuordnung\r\n      condition -> tgt.tumorzuordnung as tz then MapTumorzuordnung(condition, tz) "DiagnoseTZ";\r\n      // Diagnose-Basisfelder\r\n      condition -> tgt.diagnose as dx then MapDiagnose(condition, dx) "DiagnoseDX";\r\n    } "DiagnoseConditionContext";\r\n    // Bundle-Lookups fuer Diagnose (Histologie, TNM, ECOG, ModulMamma, Klassifikationen)\r\n    src.entry as histEntry where resource.is(Observation) and resource.code.coding.exists(code = '59847-4') then {\r\n      histEntry.resource as histObs ->  tgt.diagnose as dx,  dx.histologie as histo then MapHistologie(histObs, histo) "DiagCallHisto";\r\n    } "DiagEntryHisto";\r\n    src.entry as tnmEntry where resource.is(Observation) and resource.code.coding.exists(code = '21908-9') then {\r\n      tnmEntry.resource as tnmObs ->  tgt.diagnose as dx,  dx.cTNM as ctnm then MapTNM(tnmObs, ctnm) "DiagCallCTNM";\r\n    } "DiagEntryCTNM";\r\n    entry.resource as cond2 -> tgt.diagnose as dx then MapLeistungszustandFromBundle(src, dx) "DiagCallECOG";\r\n    entry.resource as cond3 ->  tgt.diagnose as dx,  dx.modulMamma as mamma then MapModulMamma(src, mamma) "DiagCallModulMamma";\r\n    src.entry as raEntry where resource.is(RiskAssessment) then {\r\n      raEntry.resource as ra ->  tgt.diagnose as dx,  dx.weitereKlassifikationen as wk then MapWeitereKlassifikation(ra, wk) "DiagCallWK";\r\n    } "DiagEntryWK";\r\n  } "EntryDiagnose";\r\n  // --- Verlauf: Condition mit clinicalStatus = recurrence (Rezidiv) ---\r\n  src.entry as entry where resource.is(Condition) and resource.clinicalStatus.coding.exists(code = 'recurrence') then {\r\n    entry.resource as condition then {\r\n      // Tumorzuordnung\r\n      condition -> tgt.tumorzuordnung as tz then MapTumorzuordnung(condition, tz) "VerlaufTZ";\r\n      // Verlauf: delegiert an SenologieToObdsVerlauf.MapVerlauf\r\n      condition -> tgt.verlauf as verl then MapVerlauf(condition, verl) "VerlaufMap";\r\n    } "VerlaufConditionContext";\r\n  } "EntryVerlauf";\r\n  // --- OP: Procedure mit Senologie-Operation-Profil ---\r\n  src.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-operation') or $this.contains('senologie-brustop')) then {\r\n    entry.resource as procedure then {\r\n      procedure -> tgt.op as op then MapOP(procedure, op) "OPMap";\r\n    } "OPProcedureContext";\r\n    // Bundle-Lookups fuer OP (Histologie, pTNM, ModulMamma)\r\n    src.entry as histEntry where resource.is(Observation) and resource.code.coding.exists(code = '59847-4') then {\r\n      histEntry.resource as histObs ->  tgt.op as op,  op.histologie as histo then MapHistologie(histObs, histo) "OPCallHisto";\r\n    } "OPEntryHisto";\r\n    src.entry as tnmEntry where resource.is(Observation) and resource.code.coding.exists(code = '21902-2') then {\r\n      tnmEntry.resource as tnmObs ->  tgt.op as op,  op.tnm as ptnm then MapTNM(tnmObs, ptnm) "OPCallPTNM";\r\n    } "OPEntryPTNM";\r\n    entry.resource as proc2 ->  tgt.op as op,  op.modulMamma as mamma then MapModulMamma(src, mamma) "OPCallModulMamma";\r\n  } "EntryOP";\r\n  // --- Systemische Therapie: Procedure mit Systemtherapie-Profil ---\r\n  src.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-systemtherapie-procedure')) then {\r\n    entry.resource as procedure then {\r\n      // SYST: delegiert an SenologieToObdsSYST.MapSYST\r\n      procedure -> tgt.syst as syst then MapSYST(procedure, syst) "SYSTMap";\r\n    } "SYSTProcedureContext";\r\n  } "EntrySYST";\r\n  // --- Strahlentherapie: Procedure mit Strahlentherapie-Profil ---\r\n  src.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-strahlentherapie')) then {\r\n    entry.resource as procedure then {\r\n      // ST: delegiert an SenologieToObdsST.MapST\r\n      procedure -> tgt.st as st then MapST(procedure, st) "STMap";\r\n    } "STProcedureContext";\r\n  } "EntryST";\r\n  // --- Tumorkonferenz: CarePlan mit Tumorboard-Empfehlung-Profil ---\r\n  src.entry as entry where resource.is(CarePlan) and resource.meta.profile.exists($this.contains('senologie-tumorboard-empfehlung')) then {\r\n    entry.resource as careplan then {\r\n      // Tumorkonferenz: delegiert an SenologieToObdsTumorkonferenz.MapTumorkonferenz\r\n      careplan -> tgt.tumorkonferenz as tk then MapTumorkonferenz(careplan, tk) "TumorkonferenzMap";\r\n    } "TumorkonferenzCarePlanContext";\r\n  } "EntryTumorkonferenz";\r\n  // --- Tod: Patient mit deceasedDateTime ---\r\n  src.entry as entry where resource.is(Patient) and resource.deceased.exists() then {\r\n    entry.resource as patient then {\r\n      // Tod: delegiert an SenologieToObdsTod.MapTod\r\n      patient -> tgt.tod as tod then MapTod(patient, tod) "TodMap";\r\n    } "TodPatientContext";\r\n  } "EntryTod";\r\n}\r\n\r\n// ============================================================================\r\n// SetMeldungMetadata: Meldungs-Metadaten erzeugen\r\n// meldungID, melderID, meldebegruendung, eigeneLeistung\r\n// ============================================================================\r\ngroup SetMeldungMetadata(source src : Bundle, target tgt : OBDSMeldung) {\r\n  // Meldung_ID: aus Bundle.identifier oder generierte UUID\r\n  src.identifier as id then {\r\n    id.value as v -> tgt.meldungID = v "SetMeldungIDFromIdentifier";\r\n  } "MapMeldungID";\r\n  // Fallback: generierte UUID als Meldung_ID\r\n  src where identifier.exists().not() -> tgt.meldungID = uuid() "SetMeldungIDGenerated";\r\n  // Melder_ID: aus Bundle.meta.source oder fest konfigurierter Wert\r\n  src.meta as meta then {\r\n    meta.source as s -> tgt.melderID = s "SetMelderIDFromSource";\r\n  } "MapMelderID";\r\n  // Meldebegruendung: I (eigene Leistung) als Standard\r\n  // Wird ggf. durch die Teil-Maps ueberschrieben basierend auf Meldungstyp\r\n  src -> tgt.meldebegruendung = 'I' "SetMeldebegruendung";\r\n  // Eigene Leistung: J als Standard (Behandlungseinrichtung meldet eigene Daten)\r\n  src -> tgt.eigeneLeistung = 'J' "SetEigeneLeistung";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToObdsMeldung", "version" : "0.9.0", "name" : "SenologieToObdsMeldung", "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 oBDS Meldung (Master Orchestrator)\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/Procedure", "mode" : "source", "alias" : "Procedure" }, { "url" : "http://hl7.org/fhir/StructureDefinition/CarePlan", "mode" : "source", "alias" : "CarePlan" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Patient", "mode" : "source", "alias" : "Patient" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "source", "alias" : "Observation" }, { "url" : "https://www.senologie.org/fhir/StructureDefinition/obds-meldung", "mode" : "target", "alias" : "OBDSMeldung" }], "import" : ["https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorzuordnung", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsDiagnose", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsOP", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsSYST", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsST", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorkonferenz", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsVerlauf", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTod", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTNM", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsHistologie", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsModulMamma", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsFernmetastasen", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsResidualstatus", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsNebenwirkung", "https://www.senologie.org/fhir/StructureMap/SenologieToObdsLeistungszustand"], "group" : [{ "name" : "SenologieToObdsMeldung", "typeMode" : "none", "documentation" : "============================================================================\r\nMaster Orchestrator: Bundle -> oBDS Meldung\r\nEmpfaengt ein FHIR Bundle mit allen Ressourcen eines Patienten und\r\ndispatcht an die jeweiligen Teil-Maps basierend auf Ressourcentyp und Profil.\r\nJede Ressource erzeugt eine separate oBDS-Meldung:\r\n- Condition (Erstdiagnose) -> Diagnosemeldung\r\n- Condition (Rezidiv) -> Verlaufsmeldung\r\n- Procedure (Operation) -> OP-Meldung\r\n- Procedure (Systemtherapie) -> SYST-Meldung\r\n- Procedure (Strahlentherapie) -> ST-Meldung\r\n- CarePlan (Tumorboard) -> Tumorkonferenzmeldung\r\n- Patient (verstorben) -> Todesmeldung\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Bundle", "mode" : "source" }, { "name" : "tgt", "type" : "OBDSMeldung", "mode" : "target" }], "rule" : [{ "name" : "CallSetMeldungMetadata", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable" }], "dependent" : [{ "name" : "SetMeldungMetadata", "variable" : ["src", "tgt"] }] }, { "name" : "EntryDiagnose", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Condition) and resource.meta.profile.exists($this.contains('senologie-diagnose')) and resource.clinicalStatus.coding.exists(code = 'recurrence').not()" }], "rule" : [{ "name" : "DiagnoseConditionContext", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "condition" }], "rule" : [{ "name" : "DiagnoseTZ", "source" : [{ "context" : "condition" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "tumorzuordnung", "variable" : "tz" }], "dependent" : [{ "name" : "MapTumorzuordnung", "variable" : ["condition", "tz"] }] }, { "name" : "DiagnoseDX", "source" : [{ "context" : "condition" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "dx" }], "dependent" : [{ "name" : "MapDiagnose", "variable" : ["condition", "dx"] }] }] }, { "name" : "DiagEntryHisto", "source" : [{ "context" : "src", "element" : "entry", "variable" : "histEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '59847-4')" }], "rule" : [{ "name" : "DiagCallHisto", "source" : [{ "context" : "histEntry", "element" : "resource", "variable" : "histObs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "dx" }, { "context" : "dx", "contextType" : "variable", "element" : "histologie", "variable" : "histo" }], "dependent" : [{ "name" : "MapHistologie", "variable" : ["histObs", "histo"] }] }] }, { "name" : "DiagEntryCTNM", "source" : [{ "context" : "src", "element" : "entry", "variable" : "tnmEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '21908-9')" }], "rule" : [{ "name" : "DiagCallCTNM", "source" : [{ "context" : "tnmEntry", "element" : "resource", "variable" : "tnmObs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "dx" }, { "context" : "dx", "contextType" : "variable", "element" : "cTNM", "variable" : "ctnm" }], "dependent" : [{ "name" : "MapTNM", "variable" : ["tnmObs", "ctnm"] }] }] }, { "name" : "DiagCallECOG", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "cond2" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "dx" }], "dependent" : [{ "name" : "MapLeistungszustandFromBundle", "variable" : ["src", "dx"] }] }, { "name" : "DiagCallModulMamma", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "cond3" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "dx" }, { "context" : "dx", "contextType" : "variable", "element" : "modulMamma", "variable" : "mamma" }], "dependent" : [{ "name" : "MapModulMamma", "variable" : ["src", "mamma"] }] }, { "name" : "DiagEntryWK", "source" : [{ "context" : "src", "element" : "entry", "variable" : "raEntry", "condition" : "resource.is(RiskAssessment)" }], "rule" : [{ "name" : "DiagCallWK", "source" : [{ "context" : "raEntry", "element" : "resource", "variable" : "ra" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "dx" }, { "context" : "dx", "contextType" : "variable", "element" : "weitereKlassifikationen", "variable" : "wk" }], "dependent" : [{ "name" : "MapWeitereKlassifikation", "variable" : ["ra", "wk"] }] }] }] }, { "name" : "EntryVerlauf", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Condition) and resource.clinicalStatus.coding.exists(code = 'recurrence')" }], "rule" : [{ "name" : "VerlaufConditionContext", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "condition" }], "rule" : [{ "name" : "VerlaufTZ", "source" : [{ "context" : "condition" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "tumorzuordnung", "variable" : "tz" }], "dependent" : [{ "name" : "MapTumorzuordnung", "variable" : ["condition", "tz"] }] }, { "name" : "VerlaufMap", "source" : [{ "context" : "condition" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "verlauf", "variable" : "verl" }], "dependent" : [{ "name" : "MapVerlauf", "variable" : ["condition", "verl"] }] }] }] }, { "name" : "EntryOP", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-operation') or $this.contains('senologie-brustop'))" }], "rule" : [{ "name" : "OPProcedureContext", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "procedure" }], "rule" : [{ "name" : "OPMap", "source" : [{ "context" : "procedure" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "op", "variable" : "op" }], "dependent" : [{ "name" : "MapOP", "variable" : ["procedure", "op"] }] }] }, { "name" : "OPEntryHisto", "source" : [{ "context" : "src", "element" : "entry", "variable" : "histEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '59847-4')" }], "rule" : [{ "name" : "OPCallHisto", "source" : [{ "context" : "histEntry", "element" : "resource", "variable" : "histObs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "op", "variable" : "op" }, { "context" : "op", "contextType" : "variable", "element" : "histologie", "variable" : "histo" }], "dependent" : [{ "name" : "MapHistologie", "variable" : ["histObs", "histo"] }] }] }, { "name" : "OPEntryPTNM", "source" : [{ "context" : "src", "element" : "entry", "variable" : "tnmEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '21902-2')" }], "rule" : [{ "name" : "OPCallPTNM", "source" : [{ "context" : "tnmEntry", "element" : "resource", "variable" : "tnmObs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "op", "variable" : "op" }, { "context" : "op", "contextType" : "variable", "element" : "tnm", "variable" : "ptnm" }], "dependent" : [{ "name" : "MapTNM", "variable" : ["tnmObs", "ptnm"] }] }] }, { "name" : "OPCallModulMamma", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "proc2" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "op", "variable" : "op" }, { "context" : "op", "contextType" : "variable", "element" : "modulMamma", "variable" : "mamma" }], "dependent" : [{ "name" : "MapModulMamma", "variable" : ["src", "mamma"] }] }] }, { "name" : "EntrySYST", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-systemtherapie-procedure'))" }], "rule" : [{ "name" : "SYSTProcedureContext", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "procedure" }], "rule" : [{ "name" : "SYSTMap", "source" : [{ "context" : "procedure" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "syst", "variable" : "syst" }], "dependent" : [{ "name" : "MapSYST", "variable" : ["procedure", "syst"] }] }] }] }, { "name" : "EntryST", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", 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