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

Generated Narrative: StructureMap SenologieToObdsST

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToObdsST" = "SenologieToObdsST"\r\n\r\n// title: Senologie FHIR to oBDS Strahlentherapie (ST)\r\n// status: draft\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle 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/SenologieToObdsNebenwirkung"\r\n\r\n// Known limitation: Sub-groups (MapST, MapBestrahlung) use\r\n// `target tgt : BackboneElement` because FML has no syntax to declare the\r\n// Logical Model sub-path for BackboneElement slices passed from parent groups.\r\n// The IG Publisher produces SM_TARGET_PATH errors (~19). The element names are\r\n// correct per the oBDS Logical Model.\r\n// ============================================================================\r\n// Hauptgruppe: Bundle → oBDS ST (Strahlentherapie)\r\n// Ein Bundle enthaelt Strahlentherapie-Procedures (einzelne Bestrahlungsserien)\r\n// und ggf. Observations fuer Nebenwirkungen (CTCAE).\r\n// ============================================================================\r\ngroup SenologieToObdsST(source src : Bundle, target tgt : OBDSMeldung) {\r\n  // Strahlentherapie-Procedure extrahieren\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 proc -> tgt.st as st then MapST(proc, st) "CallMapST";\r\n    // Nebenwirkungen (moved from MapST)\r\n    entry.resource as proc2 ->  tgt.st as st2,  st2.nebenwirkungen as nw then MapNebenwirkungenST(src, nw) "CallMapNebenwirkungen";\r\n  } "EntryST";\r\n}\r\n\r\n// ============================================================================\r\n// MapST: Procedure → oBDS ST Basisdaten\r\n// Mapped Intention, Stellung zur OP und erzeugt Bestrahlungs-Eintraege\r\n// ============================================================================\r\ngroup MapST(source src : Procedure, target tgt : BackboneElement) {\r\n  // ST_ID: Procedure.id\r\n  src.id as id -> tgt.stID = id "SetStID";\r\n  // Meldeanlass: abgeleitet aus vorhandenem Enddatum\r\n  src where performedPeriod.end.exists() -> tgt.meldeanlass = 'behandlungsende' "MeldeanlassEnde";\r\n  src where performedPeriod.end.exists().not() -> tgt.meldeanlass = 'behandlungsbeginn' "MeldeanlassBeginn";\r\n  // Intention: aus MII Onko Strahlentherapie-Intention Extension\r\n  // MII Onko CodeSystem nutzt bereits oBDS-Codes (K, P, D, R, S, X)\r\n  src.extension as ext where url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention' then {\r\n    ext.value as val then {\r\n      val.coding as c then {\r\n        c.code as cd -> tgt.intention = cd "SetIntention";\r\n      } "ExtractIntentionCode";\r\n    } "ExtractIntentionCoding";\r\n  } "MapIntention";\r\n  // Stellung zur OP: aus Procedure.category (MII Onko StellungZurOp)\r\n  // MII Onko CodeSystem nutzt bereits oBDS-Codes (O, A, N, I, S)\r\n  src.category as cat then {\r\n    cat.coding as c where system = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop' then {\r\n      c.code as cd -> tgt.stellungOP = cd "SetStellungOP";\r\n    } "ExtractStellungCode";\r\n  } "MapStellungOP";\r\n  // Bestrahlung: jede Procedure bildet eine einzelne Bestrahlungsserie ab\r\n  // Im Senologie-Profil ist jede Procedure eine Bestrahlung\r\n  src -> tgt.bestrahlungen as best then MapBestrahlung(src, best) "CallMapBestrahlung";\r\n  // Ende-Grund: aus Procedure.outcome.coding\r\n  src.outcome as oc then {\r\n    oc.coding as c -> tgt.endeGrund = (c.code) "SetEndeGrundCode";\r\n  } "MapEndeGrund";\r\n// Nebenwirkungen bundle lookup moved to calling group.\r\n}\r\n\r\n// ============================================================================\r\n// MapBestrahlung: Procedure → oBDS Bestrahlung\r\n// Extrahiert Bestrahlungsdetails: Zeitraum, Applikationsart, Zielgebiet,\r\n// Dosis und Boost aus den MII Onko Extensions\r\n// ============================================================================\r\ngroup MapBestrahlung(source src : Procedure, target tgt : BackboneElement) {\r\n  // Beginn: aus performedPeriod.start\r\n  src.performed as perf then {\r\n    perf.start as s -> tgt.beginn = s "SetBestrahlungBeginn";\r\n  } "MapBestrahlungBeginn";\r\n  // Ende: aus performedPeriod.end\r\n  src.performed as perf then {\r\n    perf.end as e -> tgt.ende = e "SetBestrahlungEnde";\r\n  } "MapBestrahlungEnde";\r\n  // Applikationsart: aus Procedure.code oder MII Extension\r\n  // Perkutan vs. Kontakt (Brachytherapie)\r\n  // OPS 8-522 = Perkutane Hochvoltstrahlentherapie\r\n  // OPS 8-524 = Brachytherapie\r\n  src.code as code then {\r\n    code.coding as c where code.startsWith('8-522') -> tgt.applikationsart = 'P' "ApplikationsartPerkutan";\r\n    code.coding as c where code.startsWith('8-524') -> tgt.applikationsart = 'K' "ApplikationsartKontakt";\r\n  } "MapApplikationsart";\r\n  // Zielgebiet: aus Procedure.bodySite.coding\r\n  src.bodySite as bs then {\r\n    bs.coding as c then {\r\n      c.display as d -> tgt.zielgebiet = d "SetZielgebiet";\r\n    } "ExtractZielgebietCoding";\r\n  } "MapZielgebiet";\r\n  // Seite des Zielgebiets: aus bodySite-Extension Seitenlokalisation\r\n  // oder abgeleitet aus bodySite-SNOMED-Code (z.B. "Left breast")\r\n  src.bodySite as bs then {\r\n    bs.extension as ext where url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-seitenlokalisation' then {\r\n      ext.value as val then {\r\n        val.coding as c -> tgt.seiteZielgebiet = translate(c, 'https://www.senologie.org/fhir/ConceptMap/cm-sct-to-obds-seitenlokalisation', 'code') "TranslateSeiteZielgebiet";\r\n      } "ExtractSeiteCoding";\r\n    } "MapSeiteExtension";\r\n  } "MapSeiteZielgebiet";\r\n  // Gesamtdosis: aus MII Onko Gesamtdosis-Extension\r\n  src.extension as ext where url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-gesamtdosis' then {\r\n    ext.value as val then {\r\n      val.value as v -> tgt.gesamtdosis = v "SetGesamtdosis";\r\n      val.unit as u -> tgt.gesamtdosisEinheit = u "SetGesamtdosisEinheit";\r\n    } "ExtractGesamtdosisValue";\r\n  } "MapGesamtdosis";\r\n  // Einzeldosis: aus Senologie Einzeldosis-Extension\r\n  src.extension as ext where url = 'https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis' then {\r\n    ext.value as val then {\r\n      val.value as v -> tgt.einzeldosis = v "SetEinzeldosis";\r\n      val.unit as u -> tgt.einzeldosisEinheit = u "SetEinzeldosisEinheit";\r\n    } "ExtractEinzeldosisValue";\r\n  } "MapEinzeldosis";\r\n  // Boost: aus MII Onko Boost-Extension\r\n  // J=ja, N=nein, SIB=simultan integrierter Boost\r\n  src.extension as ext where url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-boost' then {\r\n    ext.value as val then {\r\n      val.coding as c -> tgt.boost = (c.code) "SetBoost";\r\n    } "ExtractBoostCoding";\r\n  } "MapBoost";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToObdsST", "version" : "0.9.0", "name" : "SenologieToObdsST", "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 to oBDS Strahlentherapie (ST)\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "source", "alias" : "Bundle" }, { "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/SenologieToObdsNebenwirkung"], "group" : [{ "name" : "SenologieToObdsST", "typeMode" : "none", "documentation" : "Known limitation: Sub-groups (MapST, MapBestrahlung) use\r\n`target tgt : BackboneElement` because FML has no syntax to declare the\r\nLogical Model sub-path for BackboneElement slices passed from parent groups.\r\nThe IG Publisher produces SM_TARGET_PATH errors (~19). The element names are\r\ncorrect per the oBDS Logical Model.\r\n============================================================================\r\nHauptgruppe: Bundle → oBDS ST (Strahlentherapie)\r\nEin Bundle enthaelt Strahlentherapie-Procedures (einzelne Bestrahlungsserien)\r\nund ggf. Observations fuer Nebenwirkungen (CTCAE).\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Bundle", "mode" : "source" }, { "name" : "tgt", "type" : "OBDSMeldung", "mode" : "target" }], "rule" : [{ "name" : "EntryST", "source" : [{ "context" : "src", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-strahlentherapie'))" }], "rule" : [{ "name" : "CallMapST", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "proc" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "st", "variable" : "st" }], "dependent" : [{ "name" : "MapST", "variable" : ["proc", "st"] }] }, { "name" : "CallMapNebenwirkungen", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "proc2" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "st", "variable" : "st2" }, { "context" : "st2", "contextType" : "variable", "element" : "nebenwirkungen", "variable" : "nw" }], "dependent" : [{ "name" : "MapNebenwirkungenST", "variable" : ["src", "nw"] }] }] }] }, { "name" : "MapST", "typeMode" : "none", "documentation" : "============================================================================\r\nMapST: Procedure → oBDS ST Basisdaten\r\nMapped Intention, Stellung zur OP und erzeugt Bestrahlungs-Eintraege\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Procedure", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "SetStID", "source" : [{ "context" : "src", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "stID", "transform" : "copy", "parameter" : [{ "valueId" : "id" }] }] }, { "name" : "MeldeanlassEnde", "source" : [{ "context" : "src", "condition" : "performedPeriod.end.exists()" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "meldeanlass", "transform" : "copy", "parameter" : [{ "valueString" : "behandlungsende" }] }] }, { "name" : "MeldeanlassBeginn", "source" : [{ "context" : "src", "condition" : "performedPeriod.end.exists().not()" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "meldeanlass", "transform" : "copy", "parameter" : [{ "valueString" : "behandlungsbeginn" }] }] }, { "name" : "MapIntention", "source" : [{ "context" : "src", "element" : "extension", "variable" : "ext", "condition" : "url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention'" }], "rule" : [{ "name" : "ExtractIntentionCoding", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "ExtractIntentionCode", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c" }], "rule" : [{ "name" : "SetIntention", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "intention", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }] }] }] }, { "name" : "MapStellungOP", "source" : [{ "context" : "src", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "ExtractStellungCode", "source" : [{ "context" : "cat", "element" : "coding", "variable" : "c", "condition" : "system = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-stellungzurop'" }], "rule" : [{ "name" : "SetStellungOP", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "stellungOP", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }] }] }, { "name" : "CallMapBestrahlung", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "bestrahlungen", "variable" : "best" }], "dependent" : [{ "name" : "MapBestrahlung", "variable" : ["src", "best"] }] }, { "name" : "MapEndeGrund", "source" : [{ "context" : "src", "element" : "outcome", "variable" : "oc" }], "rule" : [{ "name" : "SetEndeGrundCode", "source" : [{ "context" : "oc", "element" : "coding", "variable" : "c" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "endeGrund", "transform" : "evaluate", "parameter" : [{ "valueString" : "c.code" }] }] }] }] }, { "name" : "MapBestrahlung", "typeMode" : "none", "documentation" : "============================================================================\r\nMapBestrahlung: Procedure → oBDS Bestrahlung\r\nExtrahiert Bestrahlungsdetails: Zeitraum, Applikationsart, Zielgebiet,\r\nDosis und Boost aus den MII Onko Extensions\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Procedure", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "MapBestrahlungBeginn", "source" : [{ "context" : "src", "element" : "performed", "variable" : "perf" }], "rule" : [{ "name" : "SetBestrahlungBeginn", "source" : [{ "context" : "perf", "element" : "start", "variable" : "s" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "beginn", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }] }, { "name" : "MapBestrahlungEnde", "source" : [{ "context" : "src", "element" : "performed", "variable" : "perf" }], "rule" : [{ "name" : "SetBestrahlungEnde", "source" : [{ "context" : "perf", "element" : "end", "variable" : "e" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "ende", "transform" : "copy", "parameter" : [{ "valueId" : "e" }] }] }] }, { "name" : "MapApplikationsart", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "ApplikationsartPerkutan", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "code.startsWith('8-522')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "applikationsart", "transform" : "copy", "parameter" : [{ "valueString" : "P" }] }] }, { "name" : "ApplikationsartKontakt", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "code.startsWith('8-524')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "applikationsart", "transform" : "copy", "parameter" : [{ "valueString" : "K" }] }] }] }, { "name" : "MapZielgebiet", "source" : [{ "context" : "src", "element" : "bodySite", "variable" : "bs" }], "rule" : [{ "name" : "ExtractZielgebietCoding", "source" : [{ "context" : "bs", "element" : "coding", "variable" : "c" }], "rule" : [{ "name" : "SetZielgebiet", "source" : [{ "context" : "c", "element" : "display", "variable" : "d" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "zielgebiet", "transform" : "copy", "parameter" : [{ "valueId" : "d" }] }] }] }] }, { "name" : "MapSeiteZielgebiet", "source" : [{ "context" : "src", "element" : "bodySite", "variable" : "bs" }], "rule" : [{ "name" : "MapSeiteExtension", "source" : [{ "context" : "bs", "element" : "extension", "variable" : "ext", "condition" : "url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-seitenlokalisation'" }], "rule" : [{ "name" : "ExtractSeiteCoding", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "TranslateSeiteZielgebiet", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "seiteZielgebiet", "transform" : "translate", "parameter" : [{ "valueId" : "c" }, { "valueString" : "https://www.senologie.org/fhir/ConceptMap/cm-sct-to-obds-seitenlokalisation" }, { "valueString" : "code" }] }] }] }] }] }, { "name" : "MapGesamtdosis", "source" : [{ "context" : "src", "element" : "extension", "variable" : "ext", "condition" : "url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-gesamtdosis'" }], "rule" : [{ "name" : "ExtractGesamtdosisValue", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetGesamtdosis", "source" : [{ "context" : "val", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "gesamtdosis", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }, { "name" : "SetGesamtdosisEinheit", "source" : [{ "context" : "val", "element" : "unit", "variable" : "u" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "gesamtdosisEinheit", "transform" : "copy", "parameter" : [{ "valueId" : "u" }] }] }] }] }, { "name" : "MapEinzeldosis", "source" : [{ "context" : "src", "element" : "extension", "variable" : "ext", "condition" : "url = 'https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis'" }], "rule" : [{ "name" : "ExtractEinzeldosisValue", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetEinzeldosis", "source" : [{ "context" : "val", "element" : "value", "variable" : "v" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "einzeldosis", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }, { "name" : "SetEinzeldosisEinheit", "source" : [{ "context" : "val", "element" : "unit", "variable" : "u" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "einzeldosisEinheit", "transform" : "copy", "parameter" : [{ "valueId" : "u" }] }] }] }] }, { "name" : "MapBoost", "source" : [{ "context" : "src", "element" : "extension", "variable" : "ext", "condition" : "url = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-boost'" }], "rule" : [{ "name" : "ExtractBoostCoding", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetBoost", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "boost", "transform" : "evaluate", "parameter" : [{ "valueString" : "c.code" }] }] }] }] }] }] }