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

Generated Narrative: StructureMap SenologieToOncoBoxBrustPrimaerfall

\r\nmap "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustPrimaerfall" = "SenologieToOncoBoxBrustPrimaerfall"\r\n\r\n// title: Senologie Condition + Patient + Encounter to OncoBox Brust Primaerfall\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/Patient" alias Patient as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Encounter" alias Encounter as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Condition" alias Condition as source\r\nuses "http://hl7.org/fhir/StructureDefinition/Observation" alias Observation 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/ResearchSubject" alias ResearchSubject as source\r\n\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustOperation"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustTherapie"\r\nimports "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustVerlauf"\r\n\r\n// Import-only map: no target `uses` declaration — the calling map\r\n// (SenologieToOncoBoxBrust) provides the correct BackboneElement context\r\n// (primaerfall). Omitting the root-level target type avoids SM_TARGET_PATH\r\n// false positives where the validator would resolve property names against\r\n// oncobox-brust-meldung root.\r\n// ============================================================================\r\n// Primaerfall: Condition (Brust-Diagnose) + Patient + Encounter -> Primaerfall\r\n// Pro Primaerfall (Condition mit ICD-10 aus dem Mamma-Spektrum) werden\r\n// Patientendaten, Fall-Daten, Diagnose-Block und Therapie-Subblocks befuellt.\r\n// ============================================================================\r\ngroup MapPrimaerfall(source bundle : Bundle, target tgt : BackboneElement) {\r\n  // --- Condition (Brust-Diagnose) aus dem Bundle extrahieren ---\r\n  bundle.entry as condEntry where resource.is(Condition) and resource.code.coding.exists((system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm') and (code.startsWith('C50') or code.startsWith('D05') or code.startsWith('D24') or code.startsWith('Z40') or code.startsWith('Z42'))) then {\r\n    condEntry.resource as src then {\r\n      // --- Fall-ID aus Condition.id ---\r\n      src.id as cid -> tgt.fallId = cid "SetFallId";\r\n      // --- Primaerfallart aus ICD-10 ableiten ---\r\n      src.code as code then {\r\n        code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm' then {\r\n          c.code as cd where $this.startsWith('C50') -> tgt.primaerfallart = '1' "SetPfArtInvasiv";\r\n          c.code as cd where $this.startsWith('D05') -> tgt.primaerfallart = '2' "SetPfArtDCIS";\r\n          c.code as cd where $this.startsWith('Z40') -> tgt.primaerfallart = '7' "SetPfArtRisiko";\r\n          c.code as cd where $this.startsWith('Z42') -> tgt.primaerfallart = '8' "SetPfArtRekon";\r\n          c.code as cd where $this.startsWith('D24') -> tgt.primaerfallart = '9' "SetPfArtBenigne";\r\n        } "MapPrimaerfallartICD";\r\n      } "MapPrimaerfallart";\r\n      // --- Diagnose-Block ---\r\n      src -> tgt.diagnose as diag then MapDiagnose(src, diag) "CallMapDiagnose";\r\n    } "ConditionCtx";\r\n  } "EntryCondition";\r\n  // --- Patientendaten ---\r\n  bundle.entry as entry where resource.is(Patient) then {\r\n    entry.resource as patient -> tgt.patient as pat then MapPatient(patient, pat) "CallMapPatient";\r\n    entry.resource as patient then {\r\n      patient.id as pid -> tgt.patientPseudonym = pid "SetPatientPseudonym";\r\n    } "PseudCtx";\r\n    // Menopausenstatus aus Observation (moved from MapPatient)\r\n    bundle.entry as menoEntry where resource.is(Observation) and resource.code.coding.exists(code = '86805-9') then {\r\n      menoEntry.resource as obs then {\r\n        obs.value as val then {\r\n          val.coding as c then {\r\n            c.code as cd where $this = '289903006' -> pat.menopausenstatus = '1' "SetMenoPrae";\r\n            c.code as cd where $this = '289904000' -> pat.menopausenstatus = '2' "SetMenoPeri";\r\n            c.code as cd where $this = '76977008' -> pat.menopausenstatus = '3' "SetMenoPost";\r\n          } "MapMenoCoding";\r\n        } "MapMenoVal";\r\n      } "MapMenoObs";\r\n    } "EntryMeno";\r\n  } "EntryPatient";\r\n  // --- Fall aus Encounter ---\r\n  bundle.entry as entry where resource.is(Encounter) then {\r\n    entry.resource as encounter -> tgt.fall as fall then MapFall(encounter, fall) "CallMapFall";\r\n  } "EntryEncounter";\r\n  // --- Diagnose bundle lookups (moved from MapDiagnose) ---\r\n  // Histologische Sicherung praeoperativ\r\n  bundle.entry as specEntry where resource.is(Specimen) and resource.meta.profile.exists($this.contains('senologie-pathologie-praeparat')) then {\r\n    specEntry.resource as specimen then {\r\n      specimen.type as t then {\r\n        t.coding as c where code = '122737001' -> tgt.diagnose as diag then {\r\n          c -> diag.histologischeSicherungPraeop = '1' "SetHistPraeopStanz";\r\n        } "WrapHistPraeopStanz";\r\n        t.coding as c where code = '399014008' -> tgt.diagnose as diag then {\r\n          c -> diag.histologischeSicherungPraeop = '2' "SetHistPraeopVakuum";\r\n        } "WrapHistPraeopVakuum";\r\n        t.coding as c where code = '119342007' -> tgt.diagnose as diag then {\r\n          c -> diag.histologischeSicherungPraeop = '3' "SetHistPraeopFNA";\r\n        } "WrapHistPraeopFNA";\r\n        t.coding as c where code = '119380005' -> tgt.diagnose as diag then {\r\n          c -> diag.histologischeSicherungPraeop = '4' "SetHistPraeopOffen";\r\n        } "WrapHistPraeopOffen";\r\n      } "MapHistPraeopType";\r\n    } "MapHistPraeopSpec";\r\n  } "EntryHistPraeop";\r\n  // Bildgebung\r\n  bundle.entry as bgEntry where resource.is(Observation) and resource.meta.profile.exists($this.contains('senologie-bildgebung')) then {\r\n    bgEntry.resource as obs -> tgt.diagnose as diag then {\r\n      obs -> diag.bildgebung as bg then MapBildgebung(obs, bg) "CallMapBgInner";\r\n    } "WrapBgDiag";\r\n  } "EntryBg";\r\n  // cTNM, pTNM, Histologie, Grading, Lymphknoten, Rezeptorstatus\r\n  // (bundle lookups target diagnose sub-elements via tgt.diagnose)\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21905-5') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.cTNM as ctnm then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ctnm.cT = cd "SetCT";\r\n        } "MapCTCoding";\r\n      } "MapCTVal";\r\n    } "MapCT";\r\n  } "EntryCT";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21906-3') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.cTNM as ctnm then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ctnm.cN = cd "SetCN";\r\n        } "MapCNCoding";\r\n      } "MapCNVal";\r\n    } "MapCN";\r\n  } "EntryCN";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21907-1') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.cTNM as ctnm then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ctnm.cM = cd "SetCM";\r\n        } "MapCMCoding";\r\n      } "MapCMVal";\r\n    } "MapCM";\r\n  } "EntryCM";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '44648-0') and resource.meta.profile.exists($this.contains('senologie-bildgebung') or $this.contains('senologie-tumorgroesse')).not() then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.cTNM as ctnm then {\r\n      obs.value as val then {\r\n        val.value as v -> ctnm.tumorgroesseKlinisch = truncate(v) "SetTGKlin";\r\n      } "MapTGKlinVal";\r\n    } "MapTGKlin";\r\n  } "EntryTGKlin";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21899-0') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.pTNM as ptnm then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ptnm.pT = cd "SetPT";\r\n        } "MapPTCoding";\r\n      } "MapPTVal";\r\n    } "MapPT";\r\n  } "EntryPT";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21900-6') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.pTNM as ptnm then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ptnm.pN = cd "SetPN";\r\n        } "MapPNCoding";\r\n      } "MapPNVal";\r\n    } "MapPN";\r\n  } "EntryPN";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21901-4') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.pTNM as ptnm then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ptnm.pM = cd "SetPM";\r\n        } "MapPMCoding";\r\n      } "MapPMVal";\r\n    } "MapPM";\r\n  } "EntryPM";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '33728-7') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.pTNM as ptnm then {\r\n      obs.value as val then {\r\n        val.value as v -> ptnm.tumorgroesseInvasiv = truncate(v) "SetTGInv";\r\n      } "MapTGInvVal";\r\n    } "MapTGInv";\r\n  } "EntryTGInv";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21908-9') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.cTNM as ctnm then {\r\n      obs.method as method then {\r\n        method.coding as c then {\r\n          c.code as cd -> ctnm.tnmVersion = cd "SetCTNMVersion";\r\n        } "ExtractCTNMVersionCode";\r\n      } "MapCTNMVersion";\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ctnm.uiccStadium = cd "SetCUICC";\r\n        } "ExtractCUICC";\r\n      } "MapCUICC";\r\n    } "MapCTNMDetail";\r\n  } "EntryCTNMDetail";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21902-2') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.pTNM as ptnm then {\r\n      obs.method as method then {\r\n        method.coding as c then {\r\n          c.code as cd -> ptnm.tnmVersion = cd "SetPTNMVersion";\r\n        } "ExtractPTNMVersionCode";\r\n      } "MapPTNMVersion";\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> ptnm.uiccStadium = cd "SetPUICC";\r\n        } "ExtractPUICC";\r\n      } "MapPUICC";\r\n      obs.component as comp where code.coding.exists(code = '59479-6') then {\r\n        comp.value as val then {\r\n          val.coding as c then {\r\n            c.code as cd -> ptnm.ySymbol = cd "SetYSymbol";\r\n          } "ExtractYCode";\r\n        } "MapYValue";\r\n      } "MapYSymbol";\r\n      obs.component as comp where code.coding.exists(code = '33739-4') then {\r\n        comp.value as val then {\r\n          val.coding as c then {\r\n            c.code as cd -> ptnm.l = cd "SetLKat";\r\n          } "ExtractLCode";\r\n        } "MapLValue";\r\n      } "MapLKat";\r\n      obs.component as comp where code.coding.exists(code = '33740-2') then {\r\n        comp.value as val then {\r\n          val.coding as c then {\r\n            c.code as cd -> ptnm.v = cd "SetVKat";\r\n          } "ExtractVCode";\r\n        } "MapVValue";\r\n      } "MapVKat";\r\n      obs.component as comp where code.coding.exists(code = '92837-4') then {\r\n        comp.value as val then {\r\n          val.coding as c then {\r\n            c.code as cd -> ptnm.pn = cd "SetPnKat";\r\n          } "ExtractPnCode";\r\n        } "MapPnValue";\r\n      } "MapPnKat";\r\n    } "MapPTNMDetail";\r\n  } "EntryPTNMDetail";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '59847-4') then {\r\n    entry.resource as obs -> tgt.diagnose as diag then {\r\n      obs.value as val then {\r\n        val.coding as c where system = 'urn:oid:2.16.840.1.113883.6.43.1' -> diag.diagnoseICDO as icdo then {\r\n          c.code as cd -> icdo.code = cd "SetHistCode";\r\n          c.version as v -> icdo.version = v "SetHistVersion";\r\n        } "MapHistICDO";\r\n      } "MapHistValue";\r\n    } "MapHistObs";\r\n  } "EntryHistologie";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '33732-9') then {\r\n    entry.resource as obs -> tgt.diagnose as diag then {\r\n      obs.value as val then {\r\n        val.coding as c then {\r\n          c.code as cd -> diag.grading = cd "SetGrading";\r\n        } "MapGrading";\r\n      } "MapGradingVal";\r\n    } "MapGradingObs";\r\n  } "EntryGrading";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21894-1') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.lymphknoten as lk then {\r\n      obs.value as val then {\r\n        val.value as v -> lk.untersucht = truncate(v) "SetLKUnt";\r\n      } "MapLKUntVal";\r\n    } "MapLKUnt";\r\n  } "EntryLKUnt";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '21893-3') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.lymphknoten as lk then {\r\n      obs.value as val then {\r\n        val.value as v -> lk.befallen = truncate(v) "SetLKBef";\r\n      } "MapLKBefVal";\r\n    } "MapLKBef";\r\n  } "EntryLKBef";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '92832-5') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.lymphknoten as lk then {\r\n      obs.value as val then {\r\n        val.value as v -> lk.sentinelUntersucht = truncate(v) "SetSLKUnt";\r\n      } "MapSLKUntVal";\r\n    } "MapSLKUnt";\r\n  } "EntrySLKUnt";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '92833-3') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.lymphknoten as lk then {\r\n      obs.value as val then {\r\n        val.value as v -> lk.sentinelBefallen = truncate(v) "SetSLKBef";\r\n      } "MapSLKBefVal";\r\n    } "MapSLKBef";\r\n  } "EntrySLKBef";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '85337-4') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.rezeptorstatus as rez then {\r\n      obs.value as val then {\r\n        val.coding as c where code = '10828004' -> rez.erStatus = 'P' "SetERPositiv";\r\n        val.coding as c where code = '260385009' -> rez.erStatus = 'N' "SetERNegativ";\r\n        val.coding as c where code = '261665006' -> rez.erStatus = 'U' "SetERUnbekannt";\r\n      } "MapER";\r\n    } "MapERObs";\r\n  } "EntryER";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '85339-0') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.rezeptorstatus as rez then {\r\n      obs.value as val then {\r\n        val.coding as c where code = '10828004' -> rez.prStatus = 'P' "SetPRPositiv";\r\n        val.coding as c where code = '260385009' -> rez.prStatus = 'N' "SetPRNegativ";\r\n        val.coding as c where code = '261665006' -> rez.prStatus = 'U' "SetPRUnbekannt";\r\n      } "MapPR";\r\n    } "MapPRObs";\r\n  } "EntryPR";\r\n  bundle.entry as entry where resource.is(Observation) and resource.code.coding.exists(code = '85319-2') then {\r\n    entry.resource as obs ->  tgt.diagnose as diag,  diag.rezeptorstatus as rez then {\r\n      obs.value as val then {\r\n        val.coding as c where code = '10828004' -> rez.her2Status = 'P' "SetHER2Positiv";\r\n        val.coding as c where code = '260385009' -> rez.her2Status = 'N' "SetHER2Negativ";\r\n        val.coding as c where code = '261665006' -> rez.her2Status = 'U' "SetHER2Unbekannt";\r\n      } "MapHER2";\r\n    } "MapHER2Obs";\r\n  } "EntryHER2";\r\n  // --- Operationen ---\r\n  bundle.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-brustop') or $this.contains('senologie-operation')) then {\r\n    entry.resource as procedure -> tgt.operation as op then MapOperation(procedure, op) "CallMapOperation";\r\n    // Op: Drahtmarkierung aus ServiceRequest\r\n    bundle.entry as srEntry where resource.is(ServiceRequest) then {\r\n      srEntry.resource as sr then {\r\n        sr.extension as ext where url = 'https://www.senologie.org/fhir/StructureDefinition/ex-senologie-pre-op-markierung' then {\r\n          ext.value as val then {\r\n            val.coding as c where code = 'N' -> op.drahtmarkierung = '0' "SetDrahtKeine";\r\n            val.coding as c where code = 'S' -> op.drahtmarkierung = '1' "SetDrahtSono";\r\n            val.coding as c where code = 'M' -> op.drahtmarkierung = '2' "SetDrahtMammo";\r\n            val.coding as c where code = 'T' -> op.drahtmarkierung = '3' "SetDrahtMRT";\r\n          } "MapDrahtVal";\r\n        } "MapDrahtExt";\r\n      } "MapDrahtSR";\r\n    } "EntryDrahtSR";\r\n    // Op: Schnellschnitt / Praeparatkontrolle aus Specimen\r\n    bundle.entry as specEntry where resource.is(Specimen) and resource.meta.profile.exists($this.contains('senologie-pathologie-praeparat')) then {\r\n      specEntry.resource as specimen then {\r\n        specimen.processing as proc where procedure.coding.exists(code = '123038009') -> op.intraopSchnellschnitt = '1' "SetSSJa";\r\n        specimen.processing as proc then {\r\n          proc.procedure as p then {\r\n            p.coding as c where system = 'http://snomed.info/sct' then {\r\n              c.code as cd where $this = '71651007' -> op.intraopPraeparatkontrolle = '1' "SetPKMammo";\r\n              c.code as cd where $this = '16310003' -> op.intraopPraeparatkontrolle = '2' "SetPKSono";\r\n            } "MapPKCoding";\r\n          } "MapPKProcedure";\r\n        } "MapPKProcessing";\r\n      } "SpecCtx";\r\n    } "EntrySpecimen";\r\n    // Op: Komplikationen aus Observations\r\n    bundle.entry as kompEntry where resource.is(Observation) and resource.meta.profile.exists($this.contains('senologie-operative-komplikation')) then {\r\n      kompEntry.resource as obs -> op.komplikationen as komp then {\r\n        obs.component as comp where code.coding.exists(code = '116224001') then {\r\n          comp.value as val then {\r\n            val.coding as c then {\r\n              c.code as cd -> komp.kuerzel = cd "SetKompKuerzel";\r\n            } "MapKompKuerzelCoding";\r\n          } "MapKompKuerzelVal";\r\n        } "MapKompKuerzelComp";\r\n        obs.value as val then {\r\n          val.coding as c where system = 'http://snomed.info/sct' then {\r\n            c.code as cd -> komp.clavienDindo = cd "SetKompClavien";\r\n          } "MapKompClavienCoding";\r\n        } "MapKompClavien";\r\n      } "MapKompObs";\r\n    } "EntryKomp";\r\n  } "EntryOperation";\r\n  // --- Systemtherapie ---\r\n  bundle.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-systemtherapie-procedure')) then {\r\n    entry.resource as procedure -> tgt.systemtherapie as syst then MapSystemtherapie(procedure, syst) "CallMapSystemtherapie";\r\n  } "EntrySystemtherapie";\r\n  // --- Endokrine Therapie (Systemtherapie mit therapieart=HO) ---\r\n  bundle.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-systemtherapie-procedure')) then {\r\n    entry.resource as procedure where code.coding.exists((system = 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ') and (code = 'HO')) then {\r\n      procedure -> tgt.endokrineTherapie as endo then MapEndokrineTherapie(procedure, endo) "CallMapEndoTherapie";\r\n    } "CheckHO";\r\n  } "EntryEndoTherapie";\r\n  // --- Strahlentherapie ---\r\n  bundle.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-strahlentherapie')) then {\r\n    entry.resource as procedure -> tgt.strahlentherapie as rt then MapStrahlentherapie(procedure, rt) "CallMapStrahlentherapie";\r\n  } "EntryRT";\r\n  // --- Tumorkonferenz aus CarePlan ---\r\n  bundle.entry as entry where resource.is(CarePlan) and resource.meta.profile.exists($this.contains('senologie-tumorboard')) then {\r\n    entry.resource as cp -> tgt.tumorkonferenz as tk then MapTumorkonferenz(cp, tk) "CallMapTK";\r\n  } "EntryTK";\r\n  // --- Psychoonkologie aus Procedure (senologie-psychoonkologie) ---\r\n  bundle.entry as entry where resource.is(Procedure) and resource.meta.profile.exists($this.contains('senologie-psychoonkologie')) then {\r\n    entry.resource as proc -> tgt.psychoonkologie as psych then MapPsychoonkologie(proc, psych) "CallMapPsych";\r\n  } "EntryPsychoonko";\r\n  // --- Studienteilnahme aus ResearchSubject ---\r\n  bundle.entry as entry where resource.is(ResearchSubject) then {\r\n    entry.resource as rs -> tgt.studienteilnahme as stud then MapStudienteilnahme(rs, stud) "CallMapStud";\r\n  } "EntryResearchSubject";\r\n  // --- Verlauf (inkl. OncoBox 2.0 FM-Felder J03-J05) ---\r\n  bundle -> tgt then MapVerlaufFromBundle(bundle, tgt) "CallMapVerlauf";\r\n}\r\n\r\n// ============================================================================\r\n// Patient -> Patient-Block (Geburtsdatum, Geschlecht, PLZ, Menopausenstatus)\r\n// ============================================================================\r\ngroup MapPatient(source src : Patient, target tgt : BackboneElement) {\r\n  src.birthDate as bd -> tgt.geburtsdatum = bd "SetPatGebdat";\r\n  src.gender as g where $this = 'female' -> tgt.geschlecht = 'W' "SetPatGeschlW";\r\n  src.gender as g where $this = 'male' -> tgt.geschlecht = 'M' "SetPatGeschlM";\r\n  src.gender as g where $this = 'other' -> tgt.geschlecht = 'D' "SetPatGeschlD";\r\n  src.gender as g where $this = 'unknown' -> tgt.geschlecht = 'U' "SetPatGeschlU";\r\n  src.address as addr then {\r\n    addr.postalCode as plz -> tgt.postleitzahl = plz "SetPatPLZ";\r\n  } "MapPatPLZ";\r\n}\r\n\r\n// ============================================================================\r\n// Fall -> Fall-Block (Typ, Aufnahme/Entlassung)\r\n// ============================================================================\r\ngroup MapFall(source src : Encounter, target tgt : BackboneElement) {\r\n  src.class as cls then {\r\n    cls.code as cd where $this = 'IMP' -> tgt.fallTyp = '1' "SetFallTypStat";\r\n    cls.code as cd where $this = 'AMB' -> tgt.fallTyp = '2' "SetFallTypAmb";\r\n    cls.code as cd where $this = 'SS' -> tgt.fallTyp = '3' "SetFallTypTeilstat";\r\n  } "MapFallTyp";\r\n  src.period as period then {\r\n    period.start as s -> tgt.aufnahmedatum = s "SetFallAufn";\r\n    period.end as e -> tgt.entlassungsdatum = e "SetFallEntl";\r\n  } "MapFallPeriod";\r\n}\r\n\r\n// ============================================================================\r\n// Diagnose -> Diagnose-Block\r\n// ============================================================================\r\ngroup MapDiagnose(source src : Condition, target tgt : BackboneElement) {\r\n  // Diagnose_Datum aus Condition.onsetDateTime\r\n  src.onset as on where $this.is(dateTime) -> tgt.diagnosedatum = on "SetDiagDatum";\r\n  // ICD-10-GM\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm' -> tgt.diagnoseICD as icd then {\r\n      c.code as cd -> icd.code = cd "SetDiagICDCode";\r\n      c.version as v -> icd.version = v "SetDiagICDVersion";\r\n    } "MapDiagICDCoding";\r\n  } "MapDiagICD";\r\n  // Dignitaet aus ICD-10-GM-Prefix\r\n  src.code as code then {\r\n    code.coding as c where system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm' then {\r\n      c.code as cd where $this.startsWith('C50') -> tgt.dignitaet = '1' "SetDignMaligne";\r\n      c.code as cd where $this.startsWith('D05') -> tgt.dignitaet = '2' "SetDignInSitu";\r\n      c.code as cd where $this.startsWith('D24') -> tgt.dignitaet = '4' "SetDignBenigne";\r\n    } "MapDignICD";\r\n  } "MapDignitaet";\r\n  // Seitenlokalisation\r\n  src.bodySite as bs then {\r\n    bs.coding as c where system = 'http://snomed.info/sct' then {\r\n      c.code as cd where $this = '24028007' -> tgt.seitenlokalisation = 'R' "SetDiagSeiteR";\r\n      c.code as cd where $this = '7771000' -> tgt.seitenlokalisation = 'L' "SetDiagSeiteL";\r\n      c.code as cd where $this = '51440002' -> tgt.seitenlokalisation = 'B' "SetDiagSeiteB";\r\n    } "MapDiagSeiteSCT";\r\n  } "MapDiagSeite";\r\n  // Histologische Sicherung praeoperativ -- default only\r\n  src -> tgt.histologischeSicherungPraeop = '0' "SetHistPraeopDefault";\r\n}\r\n\r\n// ============================================================================\r\n// Bildgebung -> Bildgebung-Block\r\n// ============================================================================\r\ngroup MapBildgebung(source src : Observation, target tgt : BackboneElement) {\r\n  src.effective as eff where $this.is(dateTime) -> tgt.datum = eff "SetBgDatum";\r\n  // Methode aus Observation.method (SNOMED)\r\n  src.method as m then {\r\n    m.coding as c where system = 'http://snomed.info/sct' then {\r\n      c.code as cd where $this = '71651007' -> tgt.methode = '1' "SetBgMammo";\r\n      c.code as cd where $this = '16310003' -> tgt.methode = '2' "SetBgSono";\r\n      c.code as cd where $this = '113091000' -> tgt.methode = '3' "SetBgMRT";\r\n      c.code as cd where $this = '241489003' -> tgt.methode = '4' "SetBgTomo";\r\n    } "MapBgMethodeCoding";\r\n  } "MapBgMethode";\r\n  // BI-RADS (falls value CodeableConcept)\r\n  src.value as val then {\r\n    val.coding as c then {\r\n      c.code as cd -> tgt.birads = cd "SetBgBirads";\r\n    } "MapBgBiradsCoding";\r\n  } "MapBgBirads";\r\n}\r\n\r\n// ============================================================================\r\n// Tumorkonferenz -> Tumorkonferenz-Block\r\n// ============================================================================\r\ngroup MapTumorkonferenz(source src : CarePlan, target tgt : BackboneElement) {\r\n  src -> tgt.lnr = 1 "SetTKLnr";\r\n  // Datum aus CarePlan.period.start\r\n  src.period as period then {\r\n    period.start as s -> tgt.datum = s "SetTKDatum";\r\n  } "MapTKPeriod";\r\n  // Typ aus CarePlan.category\r\n  src.category as cat then {\r\n    cat.coding as c then {\r\n      c.code as cd where $this = 'praetherapeutisch' -> tgt.typ = '1' "SetTKTypPrae";\r\n      c.code as cd where $this = 'postoperativ' -> tgt.typ = '2' "SetTKTypPost";\r\n      c.code as cd where $this = 'rezidiv' -> tgt.typ = '3' "SetTKTypRez";\r\n    } "MapTKTypCoding";\r\n  } "MapTKTyp";\r\n}\r\n\r\n// ============================================================================\r\n// Psychoonkologie -> Psychoonkologie-Block (KB-9)\r\n// Procedure.status = completed -> erfolgt = '1', Procedure.performedDateTime -> datum\r\n// Procedure.status = not-done  -> erfolgt = '0'\r\n// ============================================================================\r\ngroup MapPsychoonkologie(source src : Procedure, target tgt : BackboneElement) {\r\n  // Psych_Erfolgt: completed=ja, not-done=nein\r\n  src.status as s where $this = 'completed' -> tgt.erfolgt = '1' "SetPsychJa";\r\n  src.status as s where $this = 'not-done' -> tgt.erfolgt = '0' "SetPsychNein";\r\n  // Psych_Datum aus performedDateTime\r\n  src.performed as perf where $this.is(dateTime) -> tgt.datum = perf "SetPsychDatum";\r\n}\r\n\r\n// ============================================================================\r\n// Studienteilnahme -> Studien-Block\r\n// ============================================================================\r\ngroup MapStudienteilnahme(source src : ResearchSubject, target tgt : BackboneElement) {\r\n  src -> tgt.teilgenommen = '1' "SetStudJa";\r\n}\r\n\r\n
" }, "url" : "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustPrimaerfall", "version" : "0.9.0", "name" : "SenologieToOncoBoxBrustPrimaerfall", "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 Condition + Patient + Encounter to OncoBox Brust Primaerfall\r\nstatus: draft", "structure" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/Bundle", "mode" : "source", "alias" : "Bundle" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Patient", "mode" : "source", "alias" : "Patient" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Encounter", "mode" : "source", "alias" : "Encounter" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Condition", "mode" : "source", "alias" : "Condition" }, { "url" : "http://hl7.org/fhir/StructureDefinition/Observation", "mode" : "source", "alias" : "Observation" }, { "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/ResearchSubject", "mode" : "source", "alias" : "ResearchSubject" }], "import" : ["https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustOperation", "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustTherapie", "https://www.senologie.org/fhir/StructureMap/SenologieToOncoBoxBrustVerlauf"], "group" : [{ "name" : "MapPrimaerfall", "typeMode" : "none", "documentation" : "Import-only map: no target `uses` declaration — the calling map\r\n(SenologieToOncoBoxBrust) provides the correct BackboneElement context\r\n(primaerfall). Omitting the root-level target type avoids SM_TARGET_PATH\r\nfalse positives where the validator would resolve property names against\r\noncobox-brust-meldung root.\r\n============================================================================\r\nPrimaerfall: Condition (Brust-Diagnose) + Patient + Encounter -> Primaerfall\r\nPro Primaerfall (Condition mit ICD-10 aus dem Mamma-Spektrum) werden\r\nPatientendaten, Fall-Daten, Diagnose-Block und Therapie-Subblocks befuellt.\r\n============================================================================", "input" : [{ "name" : "bundle", "type" : "Bundle", "mode" : "source" }, { "name" : "tgt", "type" : "BackboneElement", "mode" : "target" }], "rule" : [{ "name" : "EntryCondition", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "condEntry", "condition" : "resource.is(Condition) and resource.code.coding.exists((system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm') and (code.startsWith('C50') or code.startsWith('D05') or code.startsWith('D24') or code.startsWith('Z40') or code.startsWith('Z42')))" }], "rule" : [{ "name" : "ConditionCtx", "source" : [{ "context" : "condEntry", "element" : "resource", "variable" : "src" }], "rule" : [{ "name" : "SetFallId", "source" : [{ "context" : "src", "element" : "id", "variable" : "cid" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "fallId", "transform" : "copy", "parameter" : [{ "valueId" : "cid" }] }] }, { "name" : "MapPrimaerfallart", "source" : [{ "context" : "src", "element" : "code", "variable" : "code" }], "rule" : [{ "name" : "MapPrimaerfallartICD", "source" : [{ "context" : "code", "element" : "coding", "variable" : "c", "condition" : "system = 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'" }], "rule" : [{ "name" : "SetPfArtInvasiv", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('C50')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "primaerfallart", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }, { "name" : "SetPfArtDCIS", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('D05')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "primaerfallart", "transform" : "copy", "parameter" : [{ "valueString" : "2" }] }] }, { "name" : "SetPfArtRisiko", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('Z40')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "primaerfallart", "transform" : "copy", "parameter" : [{ "valueString" : "7" }] }] }, { "name" : "SetPfArtRekon", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('Z42')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "primaerfallart", "transform" : "copy", "parameter" : [{ "valueString" : "8" }] }] }, { "name" : "SetPfArtBenigne", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this.startsWith('D24')" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "primaerfallart", "transform" : "copy", "parameter" : [{ "valueString" : "9" }] }] }] }] }, { "name" : "CallMapDiagnose", "source" : [{ "context" : "src" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }], "dependent" : [{ "name" : "MapDiagnose", "variable" : ["src", "diag"] }] }] }] }, { "name" : "EntryPatient", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Patient)" }], "rule" : [{ "name" : "CallMapPatient", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "patient" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "patient", "variable" : "pat" }], "dependent" : [{ "name" : "MapPatient", "variable" : ["patient", "pat"] }] }, { "name" : "PseudCtx", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "patient" }], "rule" : [{ "name" : "SetPatientPseudonym", "source" : [{ "context" : "patient", "element" : "id", "variable" : "pid" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "patientPseudonym", "transform" : "copy", "parameter" : [{ "valueId" : "pid" }] }] }] }, { "name" : "EntryMeno", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "menoEntry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '86805-9')" }], "rule" : [{ "name" : "MapMenoObs", "source" : [{ "context" : "menoEntry", "element" : "resource", "variable" : "obs" }], "rule" : [{ "name" : "MapMenoVal", "source" : [{ "context" : "obs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "MapMenoCoding", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c" }], "rule" : [{ "name" : "SetMenoPrae", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '289903006'" }], "target" : [{ "context" : "pat", "contextType" : "variable", "element" : "menopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }, { "name" : "SetMenoPeri", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '289904000'" }], "target" : [{ "context" : "pat", "contextType" : "variable", "element" : "menopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "2" }] }] }, { "name" : "SetMenoPost", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd", "condition" : "$this = '76977008'" }], "target" : [{ "context" : "pat", "contextType" : "variable", "element" : "menopausenstatus", "transform" : "copy", "parameter" : [{ "valueString" : "3" }] }] }] }] }] }] }] }, { "name" : "EntryEncounter", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Encounter)" }], "rule" : [{ "name" : "CallMapFall", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "encounter" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "fall", "variable" : "fall" }], "dependent" : [{ "name" : "MapFall", "variable" : ["encounter", "fall"] }] }] }, { "name" : "EntryHistPraeop", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "specEntry", "condition" : "resource.is(Specimen) and resource.meta.profile.exists($this.contains('senologie-pathologie-praeparat'))" }], "rule" : [{ "name" : "MapHistPraeopSpec", "source" : [{ "context" : "specEntry", "element" : "resource", "variable" : "specimen" }], "rule" : [{ "name" : "MapHistPraeopType", "source" : [{ "context" : "specimen", "element" : "type", "variable" : "t" }], "rule" : [{ "name" : "WrapHistPraeopStanz", "source" : [{ "context" : "t", "element" : "coding", "variable" : "c", "condition" : "code = '122737001'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }], "rule" : [{ "name" : "SetHistPraeopStanz", "source" : [{ "context" : "c" }], "target" : [{ "context" : "diag", "contextType" : "variable", "element" : "histologischeSicherungPraeop", "transform" : "copy", "parameter" : [{ "valueString" : "1" }] }] }] }, { "name" : "WrapHistPraeopVakuum", "source" : [{ "context" : "t", "element" : "coding", "variable" : "c", "condition" : "code = '399014008'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }], "rule" : [{ "name" : "SetHistPraeopVakuum", "source" : [{ "context" : "c" }], "target" : [{ "context" : "diag", "contextType" : "variable", "element" : "histologischeSicherungPraeop", "transform" : "copy", "parameter" : [{ "valueString" : "2" }] }] }] }, { "name" : "WrapHistPraeopFNA", "source" : [{ "context" : "t", "element" : "coding", "variable" : "c", "condition" : "code = '119342007'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }], "rule" : [{ "name" : "SetHistPraeopFNA", "source" : [{ "context" : "c" }], "target" : [{ "context" : "diag", "contextType" : "variable", "element" : "histologischeSicherungPraeop", "transform" : "copy", "parameter" : [{ "valueString" : "3" }] }] }] }, { "name" : "WrapHistPraeopOffen", "source" : [{ "context" : "t", "element" : "coding", "variable" : "c", "condition" : "code = '119380005'" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }], "rule" : [{ "name" : "SetHistPraeopOffen", "source" : [{ "context" : "c" }], "target" : [{ "context" : "diag", "contextType" : "variable", "element" : "histologischeSicherungPraeop", "transform" : "copy", "parameter" : [{ "valueString" : "4" }] }] }] }] }] }] }, { "name" : "EntryBg", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "bgEntry", "condition" : "resource.is(Observation) and resource.meta.profile.exists($this.contains('senologie-bildgebung'))" }], "rule" : [{ "name" : "WrapBgDiag", "source" : [{ "context" : "bgEntry", "element" : "resource", "variable" : "obs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }], "rule" : [{ "name" : "CallMapBgInner", "source" : [{ "context" : "obs" }], "target" : [{ "context" : "diag", "contextType" : "variable", "element" : "bildgebung", "variable" : "bg" }], "dependent" : [{ "name" : "MapBildgebung", "variable" : ["obs", "bg"] }] }] }] }, { "name" : "EntryCT", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '21905-5')" }], "rule" : [{ "name" : "MapCT", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "obs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", "variable" : "diag" }, { "context" : "diag", "contextType" : "variable", "element" : "cTNM", "variable" : "ctnm" }], "rule" : [{ "name" : "MapCTVal", "source" : [{ "context" : "obs", "element" : "value", "variable" : "val" }], "rule" : [{ "name" : "MapCTCoding", "source" : [{ "context" : "val", "element" : "coding", "variable" : "c" }], "rule" : [{ "name" : "SetCT", "source" : [{ "context" : "c", "element" : "code", "variable" : "cd" }], "target" : [{ "context" : "ctnm", "contextType" : "variable", "element" : "cT", "transform" : "copy", "parameter" : [{ "valueId" : "cd" }] }] }] }] }] }] }, { "name" : "EntryCN", "source" : [{ "context" : "bundle", "element" : "entry", "variable" : "entry", "condition" : "resource.is(Observation) and resource.code.coding.exists(code = '21906-3')" }], "rule" : [{ "name" : "MapCN", "source" : [{ "context" : "entry", "element" : "resource", "variable" : "obs" }], "target" : [{ "context" : "tgt", "contextType" : "variable", "element" : "diagnose", 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