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

Generated Narrative: StructureMap SenologieToObdsTumorkonferenz

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorkonferenz" = "SenologieToObdsTumorkonferenz"\r\n\r\n// title: Senologie FHIR to oBDS Tumorkonferenz\r\n// status: draft\r\n\r\nuses "http://hl7.org/fhir/StructureDefinition/CarePlan" alias CarePlan 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\n\r\n// Known limitation: Sub-groups (MapTumorkonferenz, MapTherapieempfehlung) use\r\n// `target tgt : BackboneElement` because FML has no syntax to declare the\r\n// Logical Model sub-path for BackboneElement slices. The IG Publisher produces\r\n// SM_TARGET_PATH errors (~12). Element names are correct per the oBDS LM.\r\n// ============================================================================\r\n// Hauptgruppe: CarePlan → oBDS Tumorkonferenz\r\n// Ein CarePlan (senologie-tumorboard-empfehlung) bildet eine Tumorkonferenz\r\n// mit Therapieempfehlungen ab. Die activity-Eintraege enthalten die\r\n// empfohlenen Therapiearten (OP, CH, ST, HO, IM, ZS, etc.)\r\n// ============================================================================\r\ngroup SenologieToObdsTumorkonferenz(source src : CarePlan, target tgt : OBDSMeldung) {\r\n  src -> tgt.tumorkonferenz as tk then MapTumorkonferenz(src, tk) "CallMapTumorkonferenz";\r\n}\r\n\r\n// ============================================================================\r\n// MapTumorkonferenz: CarePlan → oBDS Tumorkonferenz Basisdaten\r\n// Mapped ID, Meldeanlass, Datum und Typ der Konferenz\r\n// ============================================================================\r\ngroup MapTumorkonferenz(source src : CarePlan, target tgt : BackboneElement) {\r\n  // Tumorkonferenz_ID: CarePlan.id\r\n  src.id as id -> tgt.tumorkonferenzID = id "SetTumorkonferenzID";\r\n  // Meldeanlass: abgeleitet aus CarePlan.status und Kontext\r\n  // active = laufende Planung -> diagnose oder behandlungsbeginn\r\n  // completed = abgeschlossen -> behandlungsende\r\n  // Bei Tumorkonferenzen typischerweise: diagnose, behandlungsbeginn,\r\n  // behandlungsende oder statusaenderung\r\n  src.status as s where $this = 'active' -> tgt.meldeanlass = 'behandlungsbeginn' "MeldeanlassBeginn";\r\n  src.status as s where $this = 'completed' -> tgt.meldeanlass = 'behandlungsende' "MeldeanlassEnde";\r\n  // Datum: aus CarePlan.period.start (Datum des Tumorboards)\r\n  src.period as p then {\r\n    p.start as s -> tgt.datum = s "SetDatum";\r\n  } "MapDatum";\r\n  // Typ der Tumorkonferenz: praetherapeutisch, postoperativ, posttherapeutisch\r\n  // Abgeleitet aus CarePlan.category oder einer Extension\r\n  // category.coding mit Tumorkonferenz-Typ\r\n  src.category as cat then {\r\n    cat.coding as c then {\r\n      c.code as code -> tgt.typ = code "SetTyp";\r\n    } "ExtractTypCoding";\r\n  } "MapTyp";\r\n  // Fallback: Typ aus CarePlan.title ableiten\r\n  src.title as t where $this.lower().contains('praeth') or $this.lower().contains('präth') -> tgt.typ = 'praeth' "TypPraeth";\r\n  src.title as t where $this.lower().contains('postop') -> tgt.typ = 'postop' "TypPostop";\r\n  src.title as t where $this.lower().contains('postth') -> tgt.typ = 'postth' "TypPostth";\r\n  // Therapieempfehlung: aus CarePlan.activity Eintraegen\r\n  // Jede activity repraesentiert eine empfohlene Therapieart\r\n  src where activity.exists() -> tgt.therapieempfehlung as te then MapTherapieempfehlung(src, te) "CallMapTherapieempfehlung";\r\n}\r\n\r\n// ============================================================================\r\n// MapTherapieempfehlung: CarePlan.activity → oBDS Therapieempfehlung\r\n// Iteriert ueber alle activity-Eintraege und extrahiert Therapietypen.\r\n// Die activity-Slices im Senologie-Profil bilden die verschiedenen\r\n// Therapiearten ab (operativeTherapy, chemotherapy, radiotherapy, etc.)\r\n// ============================================================================\r\ngroup MapTherapieempfehlung(source src : CarePlan, target tgt : BackboneElement) {\r\n  // Operative Therapie -> OP\r\n  src.activity as act where (detail.kind = 'ServiceRequest') and detail.code.exists() then {\r\n    act.detail as det where kind = 'ServiceRequest' then {\r\n      det.code as code where coding.exists() then {\r\n        code.coding as c -> tgt.typTherapieempfehlung = (c.code) "SetTypOpServiceRequest";\r\n      } "ExtractOpCode";\r\n    } "ExtractServiceRequestDetail";\r\n  } "MapServiceRequestActivities";\r\n  // Medikamentoese Therapien: Chemotherapie, Hormontherapie, Immuntherapie, etc.\r\n  src.activity as act where (detail.kind = 'MedicationRequest') and detail.code.exists() then {\r\n    act.detail as det where kind = 'MedicationRequest' then {\r\n      det.code as code where coding.exists() then {\r\n        code.coding as c -> tgt.typTherapieempfehlung = (c.code) "SetTypMedicationRequest";\r\n      } "ExtractMedCode";\r\n    } "ExtractMedicationRequestDetail";\r\n  } "MapMedicationRequestActivities";\r\n  // Fallback: Therapietypen direkt aus activity.detail.code.coding.code extrahieren\r\n  // wenn die Codierung direkt oBDS-Therapietypen enthaelt (CH, ST, HO, IM, ZS, etc.)\r\n  src.activity as act where detail.exists() then {\r\n    act.detail as det then {\r\n      det.code as code then {\r\n        code.coding as c where system = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ' -> tgt.typTherapieempfehlung = (c.code) "SetTypFromOnkoCS";\r\n      } "ExtractOnkoTypCoding";\r\n    } "ExtractOnkoDetail";\r\n  } "MapOnkoTypActivities";\r\n  // Abweichung vom Patientenwunsch: aus CarePlan.note oder Extension\r\n  // In der Senologie-Dokumentation als Notiz oder spezifische Extension erfasst\r\n  src.note as n where text.lower().contains('patientenwunsch') and text.lower().contains('abweichung') then {\r\n    n -> tgt.abweichungPatientenwunsch = 'J' "SetAbweichungJa";\r\n  } "MapAbweichungPatientenwunsch";\r\n  // Abweichung: aus Extension falls vorhanden\r\n  src.extension as ext where url.contains('abweichung-patientenwunsch') then {\r\n    ext.value as val then {\r\n      val -> tgt.abweichungPatientenwunsch = cast(val, 'string') "SetAbweichungFromExt";\r\n    } "ExtractAbweichungValue";\r\n  } "MapAbweichungExtension";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorkonferenz", "version" : "0.9.0", "name" : "SenologieToObdsTumorkonferenz", "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 Tumorkonferenz\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/CarePlan", "mode" : "source", "alias" : "CarePlan" }, { "url" : "https://www.senologie.org/fhir/StructureDefinition/obds-meldung", "mode" : "target", "alias" : "OBDSMeldung" }], "import" : ["https://www.senologie.org/fhir/StructureMap/SenologieToObdsTumorzuordnung"], "group" : [{ "name" : "SenologieToObdsTumorkonferenz", "typeMode" : "none", "documentation" : "Known limitation: Sub-groups (MapTumorkonferenz, MapTherapieempfehlung) use\r\n`target tgt : BackboneElement` because FML has no syntax to declare the\r\nLogical Model sub-path for BackboneElement slices. The IG Publisher produces\r\nSM_TARGET_PATH errors (~12). Element names are correct per the oBDS LM.\r\n============================================================================\r\nHauptgruppe: CarePlan → oBDS Tumorkonferenz\r\nEin CarePlan (senologie-tumorboard-empfehlung) bildet eine Tumorkonferenz\r\nmit Therapieempfehlungen ab. Die activity-Eintraege enthalten die\r\nempfohlenen Therapiearten (OP, CH, ST, HO, IM, ZS, etc.)\r\n============================================================================", "input" : [{ "name" : "src", "type" : "CarePlan", "mode" : "source" }, { "name" : "tgt", "type" : "OBDSMeldung", "mode" : "target" }], "rule" : [{ "name" : "CallMapTumorkonferenz", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "tumorkonferenz", "variable" : "tk" }], "dependent" : [{ "name" : "MapTumorkonferenz", "variable" : ["src", "tk"] }] }] }, { "name" : "MapTumorkonferenz", "typeMode" : "none", "documentation" : "============================================================================\r\nMapTumorkonferenz: CarePlan → oBDS Tumorkonferenz Basisdaten\r\nMapped ID, Meldeanlass, Datum und Typ der Konferenz\r\n============================================================================", "input" : [{ "name" : "src", "type" : "CarePlan", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "SetTumorkonferenzID", "source" : [{ "context" : "src", "element" : "id", "variable" : "id" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "tumorkonferenzID", "transform" : "copy", "parameter" : [{ "valueId" : "id" }] }] }, { "name" : "MeldeanlassBeginn", "source" : [{ "context" : "src", "element" : "status", "variable" : "s", "condition" : "$this = 'active'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "meldeanlass", "transform" : "copy", "parameter" : [{ "valueString" : "behandlungsbeginn" }] }] }, { "name" : "MeldeanlassEnde", "source" : [{ "context" : "src", "element" : "status", "variable" : "s", "condition" : "$this = 'completed'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "meldeanlass", "transform" : "copy", "parameter" : [{ "valueString" : "behandlungsende" }] }] }, { "name" : "MapDatum", "source" : [{ "context" : "src", "element" : "period", "variable" : "p" }], "rule" : [{ "name" : "SetDatum", "source" : [{ "context" : "p", "element" : "start", "variable" : "s" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "datum", "transform" : "copy", "parameter" : [{ "valueId" : "s" }] }] }] }, { "name" : "MapTyp", "source" : [{ "context" : "src", "element" : "category", "variable" : "cat" }], "rule" : [{ "name" : "ExtractTypCoding", "source" : [{ "context" : "cat", "element" : "coding", "variable" : "c" }], "rule" : [{ "name" : "SetTyp", "source" : [{ "context" : "c", "element" : "code", "variable" : "code" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "typ", "transform" : "copy", "parameter" : [{ "valueId" : "code" }] }] }] }] }, { "name" : "TypPraeth", "source" : [{ "context" : "src", "element" : "title", "variable" : "t", "condition" : "$this.lower().contains('praeth') or $this.lower().contains('präth')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "typ", "transform" : "copy", "parameter" : [{ "valueString" : "praeth" }] }] }, { "name" : "TypPostop", "source" : [{ "context" : "src", "element" : "title", "variable" : "t", "condition" : "$this.lower().contains('postop')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "typ", "transform" : "copy", "parameter" : [{ "valueString" : "postop" }] }] }, { "name" : "TypPostth", "source" : [{ "context" : "src", "element" : "title", "variable" : "t", "condition" : "$this.lower().contains('postth')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "typ", "transform" : "copy", "parameter" : [{ "valueString" : "postth" }] }] }, { "name" : "CallMapTherapieempfehlung", "source" : [{ "context" : "src", "condition" : "activity.exists()" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "therapieempfehlung", "variable" : "te" }], "dependent" : [{ "name" : "MapTherapieempfehlung", "variable" : ["src", "te"] }] }] }, { "name" : "MapTherapieempfehlung", "typeMode" : "none", "documentation" : "============================================================================\r\nMapTherapieempfehlung: CarePlan.activity → oBDS Therapieempfehlung\r\nIteriert ueber alle activity-Eintraege und extrahiert Therapietypen.\r\nDie activity-Slices im Senologie-Profil bilden die verschiedenen\r\nTherapiearten ab (operativeTherapy, chemotherapy, radiotherapy, etc.)\r\n============================================================================", "input" : [{ "name" : "src", "type" : "CarePlan", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "MapServiceRequestActivities", "source" : [{ "context" : "src", "element" : "activity", "variable" : "act", "condition" : "(detail.kind = 'ServiceRequest') and detail.code.exists()" }], "rule" : [{ "name" : "ExtractServiceRequestDetail", "source" : [{ "context" : "act", "element" : "detail", "variable" : "det", "condition" : "kind = 'ServiceRequest'" }], "rule" : [{ "name" : "ExtractOpCode", "source" : [{ "context" : "det", "element" : "code", "variable" : "code", "condition" : "coding.exists()" }], "rule" : [{ "name" : "SetTypOpServiceRequest", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "typTherapieempfehlung", "transform" : "evaluate", "parameter" : [{ "valueString" : "c.code" }] }] }] }] }] }, { "name" : "MapMedicationRequestActivities", "source" : [{ "context" : "src", "element" : "activity", "variable" : "act", "condition" : "(detail.kind = 'MedicationRequest') and detail.code.exists()" }], "rule" : [{ "name" : "ExtractMedicationRequestDetail", "source" : [{ "context" : "act", "element" : "detail", "variable" : "det", "condition" : "kind = 'MedicationRequest'" }], "rule" : [{ "name" : "ExtractMedCode", "source" : [{ "context" : "det", "element" : "code", "variable" : "code", "condition" : "coding.exists()" }], "rule" : [{ "name" : "SetTypMedicationRequest", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "typTherapieempfehlung", "transform" : "evaluate", "parameter" : [{ "valueString" : "c.code" }] }] }] }] }] }, { "name" : "MapOnkoTypActivities", "source" : [{ "context" : "src", "element" : "activity", "variable" : "act", "condition" : "detail.exists()" }], "rule" : [{ "name" : "ExtractOnkoDetail", "source" : [{ "context" : "act", "element" : "detail", "variable" : "det" }], "rule" : [{ "name" : "ExtractOnkoTypCoding", "source" : [{ "context" : "det", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "SetTypFromOnkoCS", "source" : [{ "context" : "code", "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" : "typTherapieempfehlung", "transform" : "evaluate", "parameter" : [{ "valueString" : "c.code" }] }] }] }] }] }, { "name" : "MapAbweichungPatientenwunsch", "source" : [{ "context" : "src", "element" : "note", "variable" : "n", "condition" : "text.lower().contains('patientenwunsch') and text.lower().contains('abweichung')" }], "rule" : [{ "name" : "SetAbweichungJa", "source" : [{ "context" : "n" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "abweichungPatientenwunsch", "transform" : "copy", "parameter" : [{ "valueString" : "J" }] }] }] }, { "name" : "MapAbweichungExtension", "source" : [{ "context" : "src", "element" : "extension", "variable" : "ext", "condition" : "url.contains('abweichung-patientenwunsch')" }], "rule" : [{ "name" : "ExtractAbweichungValue", "source" : [{ "context" : "ext", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "SetAbweichungFromExt", "source" : [{ "context" : "val" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "abweichungPatientenwunsch", "transform" : "cast", "parameter" : [{ "valueId" : "val" }, { "valueString" : "string" }] }] }] }] }] }] }