Beispiel Erkrankungsmeldevorgang CVDD
<Bundle xmlns="http://hl7.org/fhir"> <id value="f60964df-8076-3c16-9931-310d7753ee33" /> <meta> <lastUpdated value="2023-04-11T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" /> <value value="7de813a8-99ba-3711-ac0e-eafe78e43f25" /> </identifier> <type value="document" /> <timestamp value="2023-04-11T09:50:00.000+01:00" /> <entry> <fullUrl value="https://demis.rki.de/fhir/Composition/f67ded59-9d3c-31f2-88cc-3123c161a929" /> <resource> <Composition> <id value="f67ded59-9d3c-31f2-88cc-3123c161a929" /> <meta> <lastUpdated value="2023-04-11T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseCVDD" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="2e855b98-9622-4f2d-bad1-b872da24b654" /> </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/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </subject> <date value="2023-04-11T02:00:00+02:00" /> <author> <reference value="PractitionerRole/ebd6a747-2354-3cc6-a930-f0b7ca4b2ea3" /> </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/930ae7a1-d1b7-358d-b89c-de349f607047" /> </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/e7a0e197-1408-3022-a535-237f8bd7fb48" /> </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/ac836050-4c18-3316-8a61-79a4a64bfd4a" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/38af87e7-30da-31d4-afe8-b9891d773c05" /> <resource> <Organization> <id value="38af87e7-30da-31d4-afe8-b9891d773c05" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" /> </meta> <name value="Universitätsklinikum Berlin - Meldestandort" /> <address> <line value="Bachstr. 16" /> <city value="Berlin" /> <postalCode value="12526" /> <country value="DE" /> </address> <contact> <name> <use value="official" /> <family value="Neudorf" /> <given value="Lea" /> </name> </contact> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> <resource> <Patient> <id value="b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" /> </meta> <name> <use value="official" /> <family value="Rashtesh" /> <given value="Kovar" /> </name> <telecom> <system value="phone" /> <value value="0301268312683" /> </telecom> <telecom> <system value="email" /> <value value="kovar_r@domain.de" /> </telecom> <gender value="male" /> <birthDate value="2007-04-03" /> <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/38af87e7-30da-31d4-afe8-b9891d773c05" /> </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="Köpenicker Straße 267" /> <city value="Berlin" /> <postalCode value="12683" /> <country value="DE" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Condition/930ae7a1-d1b7-358d-b89c-de349f607047" /> <resource> <Condition> <id value="930ae7a1-d1b7-358d-b89c-de349f607047" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseCVDD" /> </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="cvdd" /> <display value="COVID-19" /> </coding> </code> <subject> <reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </subject> <onsetDateTime value="2023-04-09" /> <recordedDate value="2023-04-11" /> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="267036007" /> <display value="Atemstörung (Dyspnoe)" /> </coding> </code> </evidence> <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="43724002" /> <display value="Frösteln" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="67782005" /> <display value="akutes schweres Atemnotsyndrom (ARDS)" /> </coding> </code> </evidence> <note> <text value="-" /> </note> </Condition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Immunization/d2b298cf-8d43-3035-849f-fc6ed0bb8b02" /> <resource> <Immunization> <id value="d2b298cf-8d43-3035-849f-fc6ed0bb8b02" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD" /> </meta> <status value="completed" /> <vaccineCode> <coding> <system value="http://snomed.info/sct" /> <code value="1119349007" /> <display value="COVID-19-Impfstoff (mRNA) (BioNTech / Pfizer, Moderna)" /> </coding> </vaccineCode> <patient> <reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </patient> <occurrenceDateTime value="2021-05-05" /> <note> <text value="-" /> </note> </Immunization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Immunization/474fefa4-62b1-3610-91d2-e4f9cd8a5ee7" /> <resource> <Immunization> <id value="474fefa4-62b1-3610-91d2-e4f9cd8a5ee7" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD" /> </meta> <status value="completed" /> <vaccineCode> <coding> <system value="http://snomed.info/sct" /> <code value="1119349007" /> <display value="COVID-19-Impfstoff (mRNA) (BioNTech / Pfizer, Moderna)" /> </coding> </vaccineCode> <patient> <reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </patient> <occurrenceDateTime value="2021-06-16" /> <note> <text value="-" /> </note> </Immunization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Immunization/50537107-1c3c-345c-832c-9781078185a2" /> <resource> <Immunization> <id value="50537107-1c3c-345c-832c-9781078185a2" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD" /> </meta> <status value="completed" /> <vaccineCode> <coding> <system value="http://snomed.info/sct" /> <code value="1119349007" /> <display value="COVID-19-Impfstoff (mRNA) (BioNTech / Pfizer, Moderna)" /> </coding> </vaccineCode> <patient> <reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </patient> <occurrenceDateTime value="2022-04-09" /> <note> <text value="-" /> </note> </Immunization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/00a9a8f1-d6fb-464e-b9a9-d5a56ff2e918" /> <resource> <Organization> <id value="00a9a8f1-d6fb-464e-b9a9-d5a56ff2e918" /> <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="Universitätsklinikum Berlin" /> <telecom> <system value="phone" /> <value value="030777123490" /> <use value="work" /> </telecom> <address> <line value="Bachstr. 16" /> <city value="Berlin" /> <postalCode value="12526" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/ebd6a747-2354-3cc6-a930-f0b7ca4b2ea3" /> <resource> <PractitionerRole> <id value="ebd6a747-2354-3cc6-a930-f0b7ca4b2ea3" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" /> </meta> <organization> <reference value="Organization/00a9a8f1-d6fb-464e-b9a9-d5a56ff2e918" /> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/a592744f-e2e2-413b-a093-d79960eabea7" /> <resource> <Organization> <id value="a592744f-e2e2-413b-a093-d79960eabea7" /> <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/917c92ce-7e12-3cd2-bf46-f79cd3f6bb5a" /> <resource> <Encounter> <id value="917c92ce-7e12-3cd2-bf46-f79cd3f6bb5a" /> <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="0152" /> <display value="Schwerpunkt Infektionskrankheiten" /> </coding> </serviceType> <subject> <reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </subject> <period> <start value="2023-04-11" /> </period> <serviceProvider> <reference value="Organization/38af87e7-30da-31d4-afe8-b9891d773c05" /> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/e7a0e197-1408-3022-a535-237f8bd7fb48" /> <resource> <QuestionnaireResponse> <id value="e7a0e197-1408-3022-a535-237f8bd7fb48" /> <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/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </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="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/a592744f-e2e2-413b-a093-d79960eabea7" /> </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/917c92ce-7e12-3cd2-bf46-f79cd3f6bb5a" /> </valueReference> </answer> </item> </item> </answer> </item> <item> <linkId value="infectProtectFacility" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </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> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/ac836050-4c18-3316-8a61-79a4a64bfd4a" /> <resource> <QuestionnaireResponse> <id value="ac836050-4c18-3316-8a61-79a4a64bfd4a" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCVDD" /> </meta> <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCVDD" /> <status value="completed" /> <subject> <reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" /> </subject> <item> <linkId value="infectionSource" /> <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="infectionEnvironmentSetting" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="infectionEnvironmentSettingGroup" /> <item> <linkId value="infectionEnvironmentSettingKind" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="257698009" /> <display value="Schule" /> </valueCoding> </answer> </item> <item> <linkId value="infectionEnvironmentSettingBegin" /> <answer> <valueDate value="2023-02-27" /> </answer> </item> <item> <linkId value="infectionEnvironmentSettingEnd" /> <answer> <valueDate value="2023-03-31" /> </answer> </item> </item> <item> <linkId value="infectionEnvironmentSettingGroup" /> <item> <linkId value="infectionEnvironmentSettingKind" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="14468000" /> <display value="Sport" /> </valueCoding> </answer> </item> <item> <linkId value="infectionEnvironmentSettingBegin" /> <answer> <valueDate value="2023-04-08" /> </answer> </item> <item> <linkId value="infectionEnvironmentSettingEnd" /> <answer> <valueDate value="2023-04-09" /> </answer> </item> </item> </answer> </item> <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/d2b298cf-8d43-3035-849f-fc6ed0bb8b02" /> </valueReference> </answer> </item> <item> <linkId value="immunizationRef" /> <answer> <valueReference> <reference value="Immunization/474fefa4-62b1-3610-91d2-e4f9cd8a5ee7" /> </valueReference> </answer> </item> <item> <linkId value="immunizationRef" /> <answer> <valueReference> <reference value="Immunization/50537107-1c3c-345c-832c-9781078185a2" /> </valueReference> </answer> </item> </answer> </item> <item> <linkId value="reason" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/hospitalizationReason" /> <code value="becauseOfDisease" /> </valueCoding> </answer> </item> <item> <linkId value="infectionRiskKind" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="413839001" /> <display value="Chronische Lungenerkrankung (z.B. COPD)" /> </valueCoding> </answer> </item> <item> <linkId value="infectionRiskKind" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="46635009" /> <display value="Diabetes Typ 1" /> </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>