Beispiel Erkrankungsmeldevorgang MSVD
<Bundle xmlns="http://hl7.org/fhir"> <id value="9b873109-c345-3e51-901e-0539ffbd7644" /> <meta> <lastUpdated value="2023-01-26T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" /> <value value="0aec7d80-721b-3008-afde-fdc3fe3668fc" /> </identifier> <type value="document" /> <timestamp value="2023-01-26T09:50:00.000+01:00" /> <entry> <fullUrl value="https://demis.rki.de/fhir/Composition/4733f7d5-5d31-3c1d-91b9-deadb2d6403c" /> <resource> <Composition> <id value="4733f7d5-5d31-3c1d-91b9-deadb2d6403c" /> <meta> <lastUpdated value="2023-01-26T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseMSVD" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="44126558-9da5-11ed-a8fc-0242ac120002" /> </identifier> <status value="final" /> <type> <coding> <system value="http://loinc.org" /> <code value="34782-3" /> <display value="Infectious disease Note" /> </coding> </type> <category> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/notificationType" /> <code value="6.1_2" /> <display value="Meldung gemäß §6 Absatz 1, 2" /> </coding> </category> <subject> <reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> </subject> <date value="2023-01-26T01:00:00+01:00" /> <author> <reference value="PractitionerRole/879e1f6c-e7c2-3ff6-8c6f-17159736624b" /> </author> <title value="Meldung gemäß §6 Absatz 1, 2 IfSG" /> <section> <title value="Diagnose" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" /> <code value="diagnosis" /> <display value="Diagnose" /> </coding> </code> <entry> <reference value="Condition/28655d7c-730c-3bed-b3df-a1ac66f2d12e" /> </entry> </section> <section> <title value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" /> <code value="generalClinAndEpiInformation" /> <display value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" /> </coding> </code> <entry> <reference value="QuestionnaireResponse/e543171f-b479-38d4-bffa-409cb0fdb68d" /> </entry> </section> <section> <title value="Meldetatbestandsspezifische klinische und epidemiologische Angaben" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" /> <code value="specificClinAndEpiInformation" /> <display value="Meldetatbestandsspezifische klinische und epidemiologische Angaben" /> </coding> </code> <entry> <reference value="QuestionnaireResponse/1b598a63-0a0b-333c-97fc-4221753ce6b4" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/2077f603-7e5f-307f-8168-9bf3c9165d7d" /> <resource> <Organization> <id value="2077f603-7e5f-307f-8168-9bf3c9165d7d" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" /> </meta> <name value="Kinderstation des Westens" /> <address> <line value="Jung-Straße 90" /> <city value="Berlin" /> <postalCode value="12472" /> <country value="DE" /> </address> <contact> <name> <use value="official" /> <family value="Herz" /> <given value="Sophia" /> </name> </contact> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> <resource> <Patient> <id value="31bbeda4-f814-3898-b386-de581e237bf8" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" /> </meta> <name> <use value="official" /> <family value="Zimmer" /> <given value="Hänschen" /> </name> <gender value="male" /> <birthDate value="2021-06-15" /> <address> <extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse"> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/addressUse" /> <code value="current" /> </valueCoding> </extension> <extension url="https://demis.rki.de/fhir/StructureDefinition/FacilityAddressNotifiedPerson"> <valueReference> <reference value="Organization/2077f603-7e5f-307f-8168-9bf3c9165d7d" /> </valueReference> </extension> </address> <address> <extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse"> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/addressUse" /> <code value="primary" /> </valueCoding> </extension> <line value="Kleiner Weg 44" /> <city value="Berlin" /> <postalCode value="12748" /> <country value="DE" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Condition/28655d7c-730c-3bed-b3df-a1ac66f2d12e" /> <resource> <Condition> <id value="28655d7c-730c-3bed-b3df-a1ac66f2d12e" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseMSVD" /> </meta> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status" /> <code value="confirmed" /> </coding> </verificationStatus> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/notificationDiseaseCategory" /> <code value="msvd" /> <display value="Masern" /> </coding> </code> <subject> <reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> </subject> <onsetDateTime value="2023-01-20" /> <recordedDate value="2023-01-26" /> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="386661006" /> <display value="Fieber" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="64611009" /> <display value="wässriger Schnupfen (Katarrh)" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="247471006:363698007=181469002" /> <display value="Hautausschlag, generalisiert, makulopapulös" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="193894004" /> <display value="Rötung der Bindehaut" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="233604007" /> <display value="Lungenentzündung (Pneumonie)" /> </coding> </code> </evidence> <note> <text value="-" /> </note> </Condition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Immunization/a0618b8c-b019-3c5d-ae03-840ac5140c42" /> <resource> <Immunization> <id value="a0618b8c-b019-3c5d-ae03-840ac5140c42" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationMSVD" /> </meta> <status value="completed" /> <vaccineCode> <coding> <system value="http://snomed.info/sct" /> <code value="2241000221103" /> <display value="Masern, Mumps, Röteln- Lebendvirusimpfstoff (Priorix,M-M-RVAXPRO)" /> </coding> </vaccineCode> <patient> <reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> </patient> <occurrenceDateTime value="2022-04-20" /> <note> <text value="-" /> </note> </Immunization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/a9cdd090-9da4-11ed-a8fc-0242ac120002" /> <resource> <Organization> <id value="a9cdd090-9da4-11ed-a8fc-0242ac120002" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" /> </meta> <identifier> <system value="http://fhir.de/sid/arge-ik/iknr" /> </identifier> <type> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" /> <code value="hospital" /> </coding> </type> <name value="Kinderstation des Westens – Meldestandort" /> <telecom> <system value="phone" /> <value value="0309876543210" /> <use value="work" /> </telecom> <address> <line value="Jung-Straße 90" /> <city value="Berlin" /> <postalCode value="12472" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/879e1f6c-e7c2-3ff6-8c6f-17159736624b" /> <resource> <PractitionerRole> <id value="879e1f6c-e7c2-3ff6-8c6f-17159736624b" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" /> </meta> <organization> <reference value="Organization/a9cdd090-9da4-11ed-a8fc-0242ac120002" /> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/a1241d6e-9da4-11ed-a8fc-0242ac120002" /> <resource> <Organization> <id value="a1241d6e-9da4-11ed-a8fc-0242ac120002" /> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </meta> <type> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" /> <code value="hospitalLab" /> </coding> </type> <name value="Westseitenlabor" /> <telecom> <system value="phone" /> <value value="098725684" /> <use value="work" /> </telecom> <address> <line value="Jung-Straße 92" /> <city value="Berlin" /> <postalCode value="12472" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Encounter/ffb09c69-de71-3233-ba3d-f4e977fc7550" /> <resource> <Encounter> <id value="ffb09c69-de71-3233-ba3d-f4e977fc7550" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" /> </meta> <status value="in-progress" /> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="IMP" /> <display value="inpatient encounter" /> </class> <serviceType> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/hospitalizationServiceType" /> <code value="1000" /> <display value="Pädiatrie" /> </coding> </serviceType> <subject> <reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> </subject> <period> <start value="2023-01-26" /> </period> <serviceProvider> <reference value="Organization/2077f603-7e5f-307f-8168-9bf3c9165d7d" /> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/e543171f-b479-38d4-bffa-409cb0fdb68d" /> <resource> <QuestionnaireResponse> <id value="e543171f-b479-38d4-bffa-409cb0fdb68d" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCommon" /> </meta> <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon" /> <status value="completed" /> <subject> <reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> </subject> <item> <linkId value="isDead" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="militaryAffiliation" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="ASKU" /> <display value="asked but unknown" /> </valueCoding> </answer> </item> <item> <linkId value="labSpecimenTaken" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="labSpecimenLab" /> <answer> <valueReference> <reference value="Organization/a1241d6e-9da4-11ed-a8fc-0242ac120002" /> </valueReference> </answer> </item> </answer> </item> <item> <linkId value="hospitalized" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="hospitalizedGroup" /> <item> <linkId value="hospitalizedEncounter" /> <answer> <valueReference> <reference value="Encounter/ffb09c69-de71-3233-ba3d-f4e977fc7550" /> </valueReference> </answer> </item> </item> </answer> </item> <item> <linkId value="infectProtectFacility" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="ASKU" /> <display value="asked but unknown" /> </valueCoding> </answer> </item> <item> <linkId value="placeExposure" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="organDonation" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="additionalInformation" /> <answer> <valueString value="-" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/1b598a63-0a0b-333c-97fc-4221753ce6b4" /> <resource> <QuestionnaireResponse> <id value="1b598a63-0a0b-333c-97fc-4221753ce6b4" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationMSVD" /> </meta> <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsMSVD" /> <status value="completed" /> <subject> <reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" /> </subject> <item> <linkId value="immunization" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="immunizationRef" /> <answer> <valueReference> <reference value="Immunization/a0618b8c-b019-3c5d-ae03-840ac5140c42" /> </valueReference> </answer> </item> </answer> </item> <item> <linkId value="onsetOfExanthem" /> <answer> <valueDate value="2023-01-27" /> </answer> </item> <item> <linkId value="pregnancy" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="outbreak" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> </Bundle>