Beispiel Erkrankungsmeldevorgang CJKD

<Bundle xmlns="http://hl7.org/fhir">
    <id value="3ced56e5-42b8-35ff-8cdf-c70097a71b91" />
    <meta>
        <lastUpdated value="2023-04-15T09:50:00.000+01:00" />
        <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
    </meta>
    <identifier>
        <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
        <value value="68a7f55f-d462-347f-bdd5-bf9321d282d3" />
    </identifier>
    <type value="document" />
    <timestamp value="2023-04-15T09:50:00.000+01:00" />
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Composition/a3c974ef-cb87-32c0-95e9-a792f5c9c611" />
        <resource>
            <Composition>
                <id value="a3c974ef-cb87-32c0-95e9-a792f5c9c611" />
                <meta>
                    <lastUpdated value="2023-04-15T09:50:00.000+01:00" />
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseCJKD" />
                </meta>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
                    <value value="a661e86e-91f3-4850-8f8b-58de5c2154e7" />
                </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 gem&#228;&#223; &#167;6 Absatz 1, 2" />
                    </coding>
                </category>
                <subject>
                    <reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
                </subject>
                <date value="2023-04-15T02:00:00+02:00" />
                <author>
                    <reference value="PractitionerRole/8fa89b2b-9fa7-3856-a62c-1bdcc191fcea" />
                </author>
                <title value="Meldung gem&#228;&#223; &#167;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/a21c0305-fd26-33fd-bba8-2f41cbcda999" />
                    </entry>
                </section>
                <section>
                    <title value="Meldetatbestands&#252;bergreifende klinische und epidemiologische Angaben" />
                    <code>
                        <coding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" />
                            <code value="generalClinAndEpiInformation" />
                            <display value="Meldetatbestands&#252;bergreifende klinische und epidemiologische Angaben" />
                        </coding>
                    </code>
                    <entry>
                        <reference value="QuestionnaireResponse/b120c1c4-18be-357c-bfd8-332d31de2bf2" />
                    </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/5f7b17e2-801f-30a9-92ae-8f71f75713b6" />
                    </entry>
                </section>
            </Composition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/9821ef1b-6989-3723-9fba-7a9231daa650" />
        <resource>
            <Organization>
                <id value="9821ef1b-6989-3723-9fba-7a9231daa650" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
                </meta>
                <name value="Sankt Gertrauden Krankenhaus (ganz anderer Standort)" />
                <address>
                    <line value="Harztr. 11" />
                    <city value="Berlin" />
                    <postalCode value="12623" />
                    <country value="DE" />
                </address>
                <contact>
                    <name>
                        <use value="official" />
                        <family value="Sch&#252;ler" />
                        <given value="Andreas" />
                    </name>
                </contact>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
        <resource>
            <Patient>
                <id value="9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="Drechseler" />
                    <given value="Brigit" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="030 123456789" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="bb@hfksjfhdaksljdfhsakl.de" />
                </telecom>
                <gender value="other" />
                <birthDate value="1998-01-31" />
                <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/9821ef1b-6989-3723-9fba-7a9231daa650" />
                        </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="Bertolt-Brecht-Platz 1" />
                    <city value="Berlin" />
                    <postalCode value="10117" />
                    <country value="DE" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Condition/a21c0305-fd26-33fd-bba8-2f41cbcda999" />
        <resource>
            <Condition>
                <id value="a21c0305-fd26-33fd-bba8-2f41cbcda999" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseCJKD" />
                </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="cjkd" />
                        <display value="Creutzfeldt-Jakob-Krankheit" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
                </subject>
                <onsetDateTime value="2023-01-20" />
                <recordedDate value="2023-04-15" />
                <note>
                    <text value="-" />
                </note>
            </Condition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/e62c8a22-b936-4a64-9d71-75d3a3a0d549" />
        <resource>
            <Organization>
                <id value="e62c8a22-b936-4a64-9d71-75d3a3a0d549" />
                <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="Sankt Gertrauden Krankenhaus" />
                <telecom>
                    <system value="phone" />
                    <value value="0309876543210" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Dingsweg 321" />
                    <city value="Berlin" />
                    <postalCode value="13055" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/8fa89b2b-9fa7-3856-a62c-1bdcc191fcea" />
        <resource>
            <PractitionerRole>
                <id value="8fa89b2b-9fa7-3856-a62c-1bdcc191fcea" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
                </meta>
                <organization>
                    <reference value="Organization/e62c8a22-b936-4a64-9d71-75d3a3a0d549" />
                </organization>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/9d433b8c-f62f-487a-b375-57970b93e5ce" />
        <resource>
            <Organization>
                <id value="9d433b8c-f62f-487a-b375-57970b93e5ce" />
                <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="Sankt Gertrauden Krankenhaus - Krankenhauslabor" />
                <telecom>
                    <system value="phone" />
                    <value value="0309876543211" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Dingsweg 321" />
                    <city value="Berlin" />
                    <postalCode value="13055" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Encounter/58437da7-6e4a-3e48-9121-7836b6226030" />
        <resource>
            <Encounter>
                <id value="58437da7-6e4a-3e48-9121-7836b6226030" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
                </meta>
                <status value="finished" />
                <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="0152" />
                        <display value="Schwerpunkt Infektionskrankheiten" />
                    </coding>
                </serviceType>
                <subject>
                    <reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
                </subject>
                <period>
                    <start value="2022-12-13" />
                    <end value="2023-01-11" />
                </period>
                <serviceProvider>
                    <reference value="Organization/9821ef1b-6989-3723-9fba-7a9231daa650" />
                </serviceProvider>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/b120c1c4-18be-357c-bfd8-332d31de2bf2" />
        <resource>
            <QuestionnaireResponse>
                <id value="b120c1c4-18be-357c-bfd8-332d31de2bf2" />
                <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/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
                </subject>
                <item>
                    <linkId value="isDead" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="deathDate" />
                            <answer>
                                <valueDate value="2023-04-06" />
                            </answer>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="militaryAffiliation" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/militaryAffiliation" />
                            <code value="noReferenceToBundeswehr" />
                            <display value="Kein Bezug zur BW" />
                        </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/9d433b8c-f62f-487a-b375-57970b93e5ce" />
                                </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/58437da7-6e4a-3e48-9121-7836b6226030" />
                                    </valueReference>
                                </answer>
                            </item>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="infectProtectFacility" />
                    <answer>
                        <valueCoding>
                            <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
                            <code value="NASK" />
                            <display value="not asked" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="placeExposure" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="placeExposureGroup" />
                            <item>
                                <linkId value="placeExposureBegin" />
                                <answer>
                                    <valueDate value="2022-12-01" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureEnd" />
                                <answer>
                                    <valueDate value="2023-02-01" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureRegion" />
                                <answer>
                                    <valueCoding>
                                        <system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
                                        <code value="21000116" />
                                        <display value="Tschechische Republik" />
                                    </valueCoding>
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureHint" />
                                <answer>
                                    <valueString value="Behandlung/Hospitalisierung fand im Ausland statt." />
                                </answer>
                            </item>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="organDonation" />
                    <answer>
                        <valueCoding>
                            <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
                            <code value="NASK" />
                            <display value="not asked" />
                        </valueCoding>
                    </answer>
                </item>
            </QuestionnaireResponse>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/5f7b17e2-801f-30a9-92ae-8f71f75713b6" />
        <resource>
            <QuestionnaireResponse>
                <id value="5f7b17e2-801f-30a9-92ae-8f71f75713b6" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCJKD" />
                </meta>
                <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCJKD" />
                <status value="completed" />
                <subject>
                    <reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
                </subject>
                <item>
                    <linkId value="form" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="304603007" />
                            <display value="Creutzfeldt-Jakob-Krankheit, variante Form (vCJK)" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="biopsy" />
                    <answer>
                        <valueCoding>
                            <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
                            <code value="NASK" />
                            <display value="not asked" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="autopsy" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="diagnosis" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="715662009" />
                            <display value="iatrogene CJK" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="infectionPathKind" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="409496000+704319004=410942007" />
                            <display value="Kontakt mit potentiell kontaminierten intrazerebralle Substanzen (z.B. Behandlung mit Hypophysenhormonen)" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="neuropath" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </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>