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

Generated Narrative: StructureMap SenologieToObdsSYST

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToObdsSYST" = "SenologieToObdsSYST"\r\n\r\n// title: Senologie FHIR to oBDS Systemische Therapie (SYST)\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 (MapSYST, MapSubstanz) 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 (~16). The element names are\r\n// correct per the oBDS Logical Model.\r\n// ============================================================================\r\n// Hauptgruppe: Bundle → oBDS SYST\r\n// Ein Bundle enthaelt eine Systemtherapie-Procedure (uebergeordnet)\r\n// und zugehoerige MedicationStatements (einzelne Substanzgaben).\r\n// ============================================================================\r\ngroup SenologieToObdsSYST(source src : Bundle, target tgt : OBDSMeldung) {\r\n  // Systemtherapie-Procedure extrahieren\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 proc -> tgt.syst as syst then MapSYST(proc, syst) "CallMapSYST";\r\n    // Substanzen: MedicationStatements (moved from MapSYST)\r\n    src.entry as medEntry where resource.is(MedicationStatement) then {\r\n      medEntry.resource as medStmt -> syst.substanzen as subst then MapSubstanz(medStmt, subst) "CallMapSubstanz";\r\n    } "EntrySubstanzen";\r\n    // Nebenwirkungen (moved from MapSYST)\r\n    proc -> syst.nebenwirkungen as nw then MapNebenwirkungenSYST(src, nw) "CallMapNebenwirkungen";\r\n  } "EntrySYST";\r\n}\r\n\r\n// ============================================================================\r\n// MapSYST: Procedure → oBDS SYST Basisdaten\r\n// Mapped Intention, Stellung zur OP, Therapieart, Protokoll, Zeitraum\r\n// ============================================================================\r\ngroup MapSYST(source src : Procedure, target tgt : BackboneElement) {\r\n  // SYST_ID: Procedure.id\r\n  src.id as id -> tgt.systID = id "SetSystID";\r\n  // Meldeanlass: abgeleitet aus Procedure.status\r\n  // completed + performedPeriod.end vorhanden -> behandlungsende\r\n  // completed + nur performedPeriod.start -> behandlungsbeginn\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 Extension mii-ex-onko-systemische-therapie-intention\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-systemische-therapie-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  // Therapieart: aus Procedure.category (MII Onko Therapietyp-CodeSystem)\r\n  // Mappt CH, HO, IM, ZS etc.\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-typ' -> tgt.therapieart = translate(c, 'https://www.senologie.org/fhir/ConceptMap/cm-sct-to-obds-therapieart', 'code') "TranslateTherapieart";\r\n  } "MapTherapieart";\r\n  // Protokoll: aus Procedure.usedCode.text (Protokollbezeichnung, z.B. "EC-T")\r\n  src.usedCode as uc then {\r\n    uc.text as t -> tgt.protokoll = t "SetProtokoll";\r\n  } "MapProtokoll";\r\n  // Beginn: aus Procedure.performedPeriod.start\r\n  src.performed as perf then {\r\n    perf.start as s -> tgt.beginn = s "SetBeginn";\r\n  } "MapBeginn";\r\n  // Ende: aus Procedure.performedPeriod.end\r\n  src.performed as perf then {\r\n    perf.end as e -> tgt.ende = e "SetEnde";\r\n  } "MapEnde";\r\n  // Ende-Grund: aus Procedure.outcome.coding (MII Onko Ende-Grund CodeSystem)\r\n  // Falls keine strukturierte Codierung vorhanden, Freitext als Fallback\r\n  src.outcome as oc then {\r\n    oc.coding as c -> tgt.endeGrund = (c.code) "SetEndeGrundCode";\r\n  } "MapEndeGrund";\r\n// Substanzen and Nebenwirkungen bundle lookups moved to calling group.\r\n}\r\n\r\n// ============================================================================\r\n// MapSubstanz: MedicationStatement → oBDS Substanz\r\n// Extrahiert Substanzbezeichnung und ATC-Code aus der Medikation\r\n// ============================================================================\r\ngroup MapSubstanz(source src : MedicationStatement, target tgt : BackboneElement) {\r\n  // Bezeichnung: aus medicationCodeableConcept.text oder coding.display\r\n  src.medication as med then {\r\n    med.text as t -> tgt.bezeichnung = t "SetSubstanzBezeichnung";\r\n  } "MapSubstanzBezeichnung";\r\n  // ATC-Code: aus medicationCodeableConcept.coding mit ATC-System\r\n  src.medication as med then {\r\n    med.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/atc' then {\r\n      c.code as code -> tgt.atcCode = code "SetAtcCode";\r\n      c.version as v -> tgt.atcVersion = v "SetAtcVersion";\r\n    } "ExtractAtcCoding";\r\n  } "MapAtcCode";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToObdsSYST", "version" : "0.9.0", "name" : "SenologieToObdsSYST", "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 Systemische Therapie (SYST)\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" : "SenologieToObdsSYST", "typeMode" : "none", "documentation" : "Known limitation: Sub-groups (MapSYST, MapSubstanz) 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 (~16). The element names are\r\ncorrect per the oBDS Logical Model.\r\n============================================================================\r\nHauptgruppe: Bundle → oBDS SYST\r\nEin Bundle enthaelt eine Systemtherapie-Procedure (uebergeordnet)\r\nund zugehoerige MedicationStatements (einzelne Substanzgaben).\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Bundle", "mode" : "source" }, { "name" : "tgt", "type" : "OBDSMeldung", "mode" : "target" }], "rule" : [{ "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" : "CallMapSYST", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "proc" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "syst", "variable" : "syst" }], "dependent" : [{ "name" : "MapSYST", "variable" : ["proc", "syst"] }] }, { "name" : "EntrySubstanzen", "source" : [{ "context" : "src", "element" : "entry", "variable" : "medEntry", "condition" : "resource.is(MedicationStatement)" }], "rule" : [{ "name" : "CallMapSubstanz", "source" : [{ "context" : "medEntry", "element" : "resource", "variable" : "medStmt" }], "target" : [{ "context" : "syst", "contextType" : "variable", "element" : "substanzen", "variable" : "subst" }], "dependent" : [{ "name" : "MapSubstanz", "variable" : ["medStmt", "subst"] }] }] }, { "name" : "CallMapNebenwirkungen", "source" : [{ "context" : "proc" }], "target" : [{ "context" : "syst", "contextType" : "variable", "element" : "nebenwirkungen", "variable" : "nw" }], "dependent" : [{ "name" : "MapNebenwirkungenSYST", "variable" : ["src", "nw"] }] }] }] }, { "name" : "MapSYST", "typeMode" : "none", "documentation" : "============================================================================\r\nMapSYST: Procedure → oBDS SYST Basisdaten\r\nMapped Intention, Stellung zur OP, Therapieart, Protokoll, Zeitraum\r\n============================================================================", "input" : [{ "name" : "src", "type" : "Procedure", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "SetSystID", "source" : [{ "context" : "src", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "systID", "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-systemische-therapie-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" : "MapTherapieart", "source" : [{ "context" : "src", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "TranslateTherapieart", "source" : [{ "context" : "cat", "element" : "coding", "variable" : "c", "condition" : "system = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "therapieart", "transform" : "translate", "parameter" : [{ "valueId" : "c" }, { "valueString" : "https://www.senologie.org/fhir/ConceptMap/cm-sct-to-obds-therapieart" }, { "valueString" : "code" }] }] }] }, { "name" : "MapProtokoll", "source" : [{ "context" : "src", "element" : "usedCode", "variable" : "uc" }], "rule" : [{ "name" : "SetProtokoll", "source" : [{ "context" : "uc", "element" : "text", "variable" : "t" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "protokoll", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }] }] }, { "name" : "MapBeginn", "source" : [{ "context" : "src", "element" : "performed", "variable" : "perf" }], "rule" : [{ "name" : "SetBeginn", "source" : [{ "context" : "perf", "element" : "start", "variable" : "s" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "beginn", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }] }, { "name" : "MapEnde", "source" : [{ "context" : "src", "element" : "performed", "variable" : "perf" }], "rule" : [{ "name" : "SetEnde", "source" : [{ "context" : "perf", "element" : "end", "variable" : "e" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "ende", "transform" : "copy", "parameter" : [{ "valueId" : "e" }] }] }] }, { "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" : "MapSubstanz", "typeMode" : "none", "documentation" : "============================================================================\r\nMapSubstanz: MedicationStatement → oBDS Substanz\r\nExtrahiert Substanzbezeichnung und ATC-Code aus der Medikation\r\n============================================================================", "input" : [{ "name" : "src", "type" : "MedicationStatement", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "MapSubstanzBezeichnung", "source" : [{ "context" : "src", "element" : "medication", "variable" : "med" }], "rule" : [{ "name" : "SetSubstanzBezeichnung", "source" : [{ "context" : "med", "element" : "text", "variable" : "t" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "bezeichnung", "transform" : "copy", "parameter" : [{ "valueId" : "t" }] }] }] }, { "name" : "MapAtcCode", "source" : [{ "context" : "src", "element" : "medication", "variable" : "med" }], "rule" : [{ "name" : "ExtractAtcCoding", "source" : [{ "context" : "med", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/atc'" }], "rule" : [{ "name" : "SetAtcCode", "source" : [{ "context" : "c", "element" : "code", "variable" : "code" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "atcCode", "transform" : "copy", "parameter" : [{ "valueId" : "code" }] }] }, { "name" : "SetAtcVersion", "source" : [{ "context" : "c", "element" : "version", "variable" : "v" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "atcVersion", "transform" : "copy", "parameter" : [{ "valueId" : "v" }] }] }] }] }] }] }