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

Generated Narrative: StructureMap SenologieToObdsModulMamma

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToObdsModulMamma" = "SenologieToObdsModulMamma"\r\n\r\n// title: Senologie Mamma-Observations to oBDS Modul_Mamma BackboneElement\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/Observation" alias Observation as source\r\nuses "http://hl7.org/fhir/StructureDefinition/ServiceRequest" alias ServiceRequest as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Specimen" alias Specimen as source\r\nuses "https://www.senologie.org/fhir/StructureDefinition/obds-meldung" alias OBDSMeldung as target\r\n\r\n// Known limitation: Sub-groups use `target tgt : BackboneElement` because FML\r\n// has no syntax to declare the Logical Model sub-path for BackboneElement\r\n// slices passed from parent groups. The IG Publisher produces SM_TARGET_PATH\r\n// / SM_SOURCE_PATH errors (~22). The element names are correct per the oBDS\r\n// Logical Model.\r\n// ============================================================================\r\n// Gemeinsame Modul-Mamma-Map: Extrahiert mammaspezifische Observations aus\r\n// dem Bundle und mappt auf das oBDS Modul_Mamma BackboneElement.\r\n// Wird von Diagnose, OP und Verlauf importiert.\r\n// MII Onko Mamma-Profile:\r\n// - mii-pr-onko-mamma-rezeptorstatus-estrogen (LOINC 85337-4)\r\n// - mii-pr-onko-mamma-rezeptorstatus-progesteron (LOINC 85339-0)\r\n// - mii-pr-onko-mamma-her2neu-status (LOINC 85319-2)\r\n// - mii-pr-onko-mamma-menopause-status (LOINC 63612-8)\r\n// SNOMED-CT Werte:\r\n// 10828004 = Positive (qualifier value) -> P\r\n// 260385009 = Negative (qualifier value) -> N\r\n// 261665006 = Unknown (qualifier value) -> U\r\n// Menopausenstatus:\r\n// 309606002 = Before menopause (finding) -> 1 (praemenopausal)\r\n// 309607006 = During menopause (finding) -> 2 (perimenopausal, nicht oBDS-konform, gemappt auf U)\r\n// 309608001 = After menopause (finding) -> 3 (postmenopausal)\r\n// ============================================================================\r\n// ============================================================================\r\n// MapModulMamma: Bundle -> oBDS Modul_Mamma\r\n// Extrahiert Hormonrezeptoren, HER2 und Menopausenstatus aus Observations\r\n// ============================================================================\r\ngroup MapModulMamma(source src : Bundle, target tgt : BackboneElement) {\r\n  // Oestrogenrezeptor (LOINC 85337-4 = Estrogen receptor Ag [Presence])\r\n  src.entry as erEntry where resource.is(Observation) and resource.code.coding.exists(code = '85337-4') then {\r\n    erEntry.resource as erObs then {\r\n      erObs.value as val then {\r\n        val.coding as c where code = '10828004' -> tgt.hormonrezeptorStatusOestrogen = 'P' "SetERPositiv";\r\n        val.coding as c where code = '260385009' -> tgt.hormonrezeptorStatusOestrogen = 'N' "SetERNegativ";\r\n        val.coding as c where code = '261665006' -> tgt.hormonrezeptorStatusOestrogen = 'U' "SetERUnbekannt";\r\n      } "MapERValue";\r\n    } "MapERObs";\r\n  } "EntryER";\r\n  // Progesteronrezeptor (LOINC 85339-0 = Progesterone receptor Ag [Presence])\r\n  src.entry as prEntry where resource.is(Observation) and resource.code.coding.exists(code = '85339-0') then {\r\n    prEntry.resource as prObs then {\r\n      prObs.value as val then {\r\n        val.coding as c where code = '10828004' -> tgt.hormonrezeptorStatusProgesteron = 'P' "SetPRPositiv";\r\n        val.coding as c where code = '260385009' -> tgt.hormonrezeptorStatusProgesteron = 'N' "SetPRNegativ";\r\n        val.coding as c where code = '261665006' -> tgt.hormonrezeptorStatusProgesteron = 'U' "SetPRUnbekannt";\r\n      } "MapPRValue";\r\n    } "MapPRObs";\r\n  } "EntryPR";\r\n  // HER2-Status (LOINC 85319-2 = HER2 [Presence] in Breast cancer specimen)\r\n  src.entry as herEntry where resource.is(Observation) and resource.code.coding.exists(code = '85319-2') then {\r\n    herEntry.resource as herObs then {\r\n      herObs.value as val then {\r\n        val.coding as c where code = '10828004' -> tgt.her2neuStatus = 'P' "SetHER2Positiv";\r\n        val.coding as c where code = '260385009' -> tgt.her2neuStatus = 'N' "SetHER2Negativ";\r\n        val.coding as c where code = '261665006' -> tgt.her2neuStatus = 'U' "SetHER2Unbekannt";\r\n      } "MapHER2Value";\r\n    } "MapHER2Obs";\r\n  } "EntryHER2";\r\n  // Menopausenstatus (LOINC 63612-8 = Menopause status)\r\n  // Nur in Diagnose und Verlauf relevant (nicht OP)\r\n  src.entry as menoEntry where resource.is(Observation) and resource.code.coding.exists(code = '63612-8') then {\r\n    menoEntry.resource as menoObs then {\r\n      menoObs.value as val then {\r\n        // Praemenopausal: SNOMED 309606002 -> oBDS 1\r\n        val.coding as c where code = '309606002' -> tgt.praetherapeutischerMenopausenstatus = '1' "SetMenoPrae";\r\n        // Postmenopausal: SNOMED 309608001 -> oBDS 3\r\n        val.coding as c where code = '309608001' -> tgt.praetherapeutischerMenopausenstatus = '3' "SetMenoPost";\r\n        // Perimenopausal: SNOMED 309607006 -> oBDS U (kein oBDS-Code fuer perimenopausal)\r\n        val.coding as c where code = '309607006' -> tgt.praetherapeutischerMenopausenstatus = 'U' "SetMenoPeri";\r\n        // Unbekannt: SNOMED 261665006 -> oBDS U\r\n        val.coding as c where code = '261665006' -> tgt.praetherapeutischerMenopausenstatus = 'U' "SetMenoUnbekannt";\r\n      } "MapMenoValue";\r\n    } "MapMenoObs";\r\n  } "EntryMenopause";\r\n  // Praeoperative Drahtmarkierung (aus Senologie_OP_Planung ServiceRequest.extension[preOpMarkierung])\r\n  // ValueCodeableConcept mit code M/S/T/N/U oder Freitext; wird nur fuer OP-Meldung verwendet.\r\n  src.entry as srEntry where resource.is(ServiceRequest) then {\r\n    srEntry.resource as sr then {\r\n      sr.extension as ext where url = 'https://www.senologie.org/fhir/StructureDefinition/ex-senologie-pre-op-markierung' then {\r\n        ext.value as val then {\r\n          val.coding as c where code = 'M' -> tgt.praeopDrahtmarkierung = 'M' "SetDrahtMammografie";\r\n          val.coding as c where code = 'S' -> tgt.praeopDrahtmarkierung = 'S' "SetDrahtSonografie";\r\n          val.coding as c where code = 'T' -> tgt.praeopDrahtmarkierung = 'T' "SetDrahtMRT";\r\n          val.coding as c where code = 'N' -> tgt.praeopDrahtmarkierung = 'N' "SetDrahtNein";\r\n        } "MapDrahtValue";\r\n      } "MapDrahtExt";\r\n    } "MapDrahtSR";\r\n  } "EntryDrahtmarkierung";\r\n  // Intraoperative Praeparatkontrolle (QI-3) — aus Specimen im Bundle\r\n  // Specimen.processing.procedure.coding mit oBDS-Kode (M/S/N/U)\r\n  src.entry as specEntry where resource.is(Specimen) then {\r\n    specEntry.resource as spec then {\r\n      spec.processing as proc then {\r\n        proc.procedure as p then {\r\n          p.coding as c where system = 'https://www.senologie.org/fhir/CodeSystem/cs-senologie-obds-intraop-praeparatkontrolle' -> tgt.intraopPraeparatkontrolle = (c.code) "SetIntraopKontrolle";\r\n        } "MapIntraopProc";\r\n      } "MapIntraopProcessing";\r\n    } "MapIntraopSpec";\r\n  } "EntryIntraopKontrolle";\r\n  // Tumorgroesse invasiv (LOINC 33728-7 = Size of tumor in Specimen; component/valueQuantity in mm)\r\n  src.entry as sizeEntry where resource.is(Observation) and resource.code.coding.exists(code = '33728-7') then {\r\n    sizeEntry.resource as sizeObs then {\r\n      sizeObs.value as val then {\r\n        val.value as v -> tgt.tumorgroesseInvasiv = v "SetTumorgroesseInvasiv";\r\n      } "MapSizeInvasiv";\r\n    } "MapSizeObs";\r\n  } "EntryTumorSize";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToObdsModulMamma", "version" : "0.9.0", "name" : "SenologieToObdsModulMamma", "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 Mamma-Observations to oBDS Modul_Mamma BackboneElement\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "source", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "source", "alias" : "Observation" }, { "url" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "mode" : "source", "alias" : "ServiceRequest" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Specimen", "mode" : "source", "alias" : "Specimen" }, { "url" : "https://www.senologie.org/fhir/StructureDefinition/obds-meldung", "mode" : "target", "alias" : "OBDSMeldung" }], "group" : [{ "name" : "MapModulMamma", "typeMode" : "none", "documentation" : "Known limitation: Sub-groups use `target tgt : BackboneElement` because FML\r\nhas no syntax to declare the Logical Model sub-path for BackboneElement\r\nslices passed from parent groups. The IG Publisher produces SM_TARGET_PATH\r\n/ SM_SOURCE_PATH errors (~22). The element names are correct per the oBDS\r\nLogical Model.\r\n============================================================================\r\nGemeinsame Modul-Mamma-Map: Extrahiert mammaspezifische Observations aus\r\ndem Bundle und mappt auf das oBDS Modul_Mamma BackboneElement.\r\nWird von Diagnose, OP und Verlauf importiert.\r\nMII Onko Mamma-Profile:\r\n- mii-pr-onko-mamma-rezeptorstatus-estrogen (LOINC 85337-4)\r\n- mii-pr-onko-mamma-rezeptorstatus-progesteron (LOINC 85339-0)\r\n- mii-pr-onko-mamma-her2neu-status (LOINC 85319-2)\r\n- mii-pr-onko-mamma-menopause-status (LOINC 63612-8)\r\nSNOMED-CT Werte:\r\n10828004 = Positive (qualifier value) -> P\r\n260385009 = Negative (qualifier value) -> N\r\n261665006 = Unknown (qualifier value) -> U\r\nMenopausenstatus:\r\n309606002 = Before menopause (finding) -> 1 (praemenopausal)\r\n309607006 = During menopause (finding) -> 2 (perimenopausal, nicht oBDS-konform, gemappt auf U)\r\n309608001 = After menopause (finding) -> 3 (postmenopausal)\r\n============================================================================\r\n============================================================================\r\nMapModulMamma: Bundle -> oBDS Modul_Mamma\r\nExtrahiert Hormonrezeptoren, HER2 und Menopausenstatus aus Observations\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Bundle", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "EntryER", "source" : [{ "context" : "src", "element" : "entry", "variable" : "erEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '85337-4')" }], "rule" : [{ "name" : "MapERObs", "source" : [{ "context" : "erEntry", "element" : "resource", "variable" : "erObs" }], "rule" : [{ "name" : "MapERValue", "source" : [{ "context" : "erObs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetERPositiv", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '10828004'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "hormonrezeptorStatusOestrogen", "transform" : "copy", "parameter" : [{ "valueString" : "P" }] }] }, { "name" : "SetERNegativ", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '260385009'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "hormonrezeptorStatusOestrogen", "transform" : "copy", "parameter" : [{ "valueString" : "N" }] }] }, { "name" : "SetERUnbekannt", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '261665006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "hormonrezeptorStatusOestrogen", "transform" : "copy", "parameter" : [{ "valueString" : "U" }] }] }] }] }] }, { "name" : "EntryPR", "source" : [{ "context" : "src", "element" : "entry", "variable" : "prEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '85339-0')" }], "rule" : [{ "name" : "MapPRObs", "source" : [{ "context" : "prEntry", "element" : "resource", "variable" : "prObs" }], "rule" : [{ "name" : "MapPRValue", "source" : [{ "context" : "prObs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetPRPositiv", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '10828004'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "hormonrezeptorStatusProgesteron", "transform" : "copy", "parameter" : [{ "valueString" : "P" }] }] }, { "name" : "SetPRNegativ", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '260385009'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "hormonrezeptorStatusProgesteron", "transform" : "copy", "parameter" : [{ "valueString" : "N" }] }] }, { "name" : "SetPRUnbekannt", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '261665006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "hormonrezeptorStatusProgesteron", "transform" : "copy", "parameter" : [{ "valueString" : "U" }] }] }] }] }] }, { "name" : "EntryHER2", "source" : [{ "context" : "src", "element" : "entry", "variable" : "herEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '85319-2')" }], "rule" : [{ "name" : "MapHER2Obs", "source" : [{ "context" : "herEntry", "element" : "resource", "variable" : "herObs" }], "rule" : [{ "name" : "MapHER2Value", "source" : [{ "context" : "herObs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetHER2Positiv", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '10828004'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "her2neuStatus", "transform" : "copy", "parameter" : [{ "valueString" : "P" }] }] }, { "name" : "SetHER2Negativ", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '260385009'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "her2neuStatus", "transform" : "copy", "parameter" : [{ "valueString" : "N" }] }] }, { "name" : "SetHER2Unbekannt", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '261665006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "her2neuStatus", "transform" : "copy", "parameter" : [{ "valueString" : "U" }] }] }] }] }] }, { "name" : "EntryMenopause", "source" : [{ "context" : "src", "element" : "entry", "variable" : "menoEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '63612-8')" }], "rule" : [{ "name" : "MapMenoObs", "source" : [{ "context" : "menoEntry", "element" : "resource", "variable" : "menoObs" }], "rule" : [{ "name" : "MapMenoValue", "source" : [{ "context" : "menoObs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetMenoPrae", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '309606002'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praetherapeutischerMenopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }, { "name" : "SetMenoPost", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '309608001'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praetherapeutischerMenopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "3" }] }] }, { "name" : "SetMenoPeri", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '309607006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praetherapeutischerMenopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "U" }] }] }, { "name" : "SetMenoUnbekannt", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = '261665006'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praetherapeutischerMenopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "U" }] }] }] }] }] }, { "name" : "EntryDrahtmarkierung", "source" : [{ "context" : "src", "element" : "entry", "variable" : "srEntry", "condition" : "resource.is(ServiceRequest)" }], "rule" : [{ "name" : "MapDrahtSR", "source" : [{ "context" : "srEntry", "element" : "resource", "variable" : "sr" }], "rule" : [{ "name" : "MapDrahtExt", "source" : [{ "context" : "sr", "element" : "extension", "variable" : "ext", "condition" : "url = 'https://www.senologie.org/fhir/StructureDefinition/ex-senologie-pre-op-markierung'" }], "rule" : [{ "name" : "MapDrahtValue", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetDrahtMammografie", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = 'M'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praeopDrahtmarkierung", "transform" : "copy", "parameter" : [{ "valueString" : "M" }] }] }, { "name" : "SetDrahtSonografie", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = 'S'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praeopDrahtmarkierung", "transform" : "copy", "parameter" : [{ "valueString" : "S" }] }] }, { "name" : "SetDrahtMRT", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = 'T'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praeopDrahtmarkierung", "transform" : "copy", "parameter" : [{ "valueString" : "T" }] }] }, { "name" : "SetDrahtNein", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c", "condition" : "code = 'N'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "praeopDrahtmarkierung", "transform" : "copy", "parameter" : [{ "valueString" : "N" }] }] }] }] }] }] }, { "name" : "EntryIntraopKontrolle", "source" : [{ "context" : "src", "element" : "entry", "variable" : "specEntry", "condition" : "resource.is(Specimen)" }], "rule" : [{ "name" : "MapIntraopSpec", "source" : [{ "context" : "specEntry", "element" : "resource", "variable" : "spec" }], "rule" : [{ "name" : "MapIntraopProcessing", "source" : [{ "context" : "spec", "element" : "processing", "variable" : "proc" }], "rule" : [{ "name" : "MapIntraopProc", "source" : [{ "context" : "proc", "element" : "procedure", "variable" : "p" }], "rule" : [{ "name" : "SetIntraopKontrolle", "source" : [{ "context" : "p", "element" : "coding", "variable" : "c", "condition" : "system = 'https://www.senologie.org/fhir/CodeSystem/cs-senologie-obds-intraop-praeparatkontrolle'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "intraopPraeparatkontrolle", "transform" : "evaluate", "parameter" : [{ "valueString" : "c.code" }] }] }] }] }] }] }, { "name" : "EntryTumorSize", "source" : [{ "context" : "src", "element" : "entry", "variable" : "sizeEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '33728-7')" }], "rule" : [{ "name" : "MapSizeObs", "source" : [{ "context" : "sizeEntry", "element" : "resource", "variable" : "sizeObs" }], "rule" : [{ "name" : "MapSizeInvasiv", "source" : [{ "context" : "sizeObs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetTumorgroesseInvasiv", "source" : [{ "context" : "val", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "tumorgroesseInvasiv", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }] }] }] }] }