Beispiel Erkrankungsmeldevorgang IZVD

<Bundle xmlns="http://hl7.org/fhir">
    <id value="142ce6de-4ad4-3419-b539-fad442f45bb1" />
    <meta>
        <lastUpdated value="2023-04-04T09:50:00.000+01:00" />
        <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
    </meta>
    <identifier>
        <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
        <value value="54fbc076-250f-34aa-9daa-8f7f5255e550" />
    </identifier>
    <type value="document" />
    <timestamp value="2023-04-04T09:50:00.000+01:00" />
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Composition/bada490e-ed88-38ac-bab3-021b505f4a25" />
        <resource>
            <Composition>
                <id value="bada490e-ed88-38ac-bab3-021b505f4a25" />
                <meta>
                    <lastUpdated value="2023-04-04T09:50:00.000+01:00" />
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseIZVD" />
                </meta>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
                    <value value="98a864a1-f54b-4dda-ac95-e61ff1d1f0c7" />
                </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/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
                </subject>
                <date value="2023-04-04T02:00:00+02:00" />
                <author>
                    <reference value="PractitionerRole/8b5fad85-bd17-3054-9335-17d124435b9c" />
                </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/4b8e8c55-a032-38cf-a995-e28eb2616162" />
                    </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/396c109c-0a4f-3cee-8b67-dd588dded41c" />
                    </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/db8a7046-5868-3e7a-8169-e56a20621fc9" />
                    </entry>
                </section>
            </Composition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
        <resource>
            <Patient>
                <id value="3835fc33-7d99-3386-bc41-ffd0801f95e8" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="Fuhrmann" />
                    <given value="Monika" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="03044948433" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="monikaaaa@domain.de" />
                </telecom>
                <gender value="female" />
                <birthDate value="1982-08-20" />
                <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="Parallelstra&#223;e 22A" />
                    <city value="Berlin" />
                    <postalCode value="12209" />
                    <country value="DE" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Condition/4b8e8c55-a032-38cf-a995-e28eb2616162" />
        <resource>
            <Condition>
                <id value="4b8e8c55-a032-38cf-a995-e28eb2616162" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseIZVD" />
                </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="izvd" />
                        <display value="Influenza, zoonotisch" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
                </subject>
                <onsetDateTime value="2023-03-31" />
                <recordedDate value="2023-04-04" />
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="95891005" />
                            <display value="grippetypische Symptomatik" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="267036007" />
                            <display value="Atemst&#246;rung (Dyspnoe)" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="9826008" />
                            <display value="Bindehautentz&#252;ndung (Konjunktivitis)" />
                        </coding>
                    </code>
                </evidence>
                <note>
                    <text value="Leidet an Hypertonie." />
                </note>
            </Condition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/28322eee-cd6e-35b2-9167-17b0021b8540" />
        <resource>
            <Immunization>
                <id value="28322eee-cd6e-35b2-9167-17b0021b8540" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationIZVD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="74964007" />
                        <display value="andere/sonstige" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
                </patient>
                <occurrenceDateTime value="2022-10-19" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/9dc80677-7f01-4b8c-a953-9ca7c705cd50" />
        <resource>
            <Organization>
                <id value="9dc80677-7f01-4b8c-a953-9ca7c705cd50" />
                <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="Augusta Viktoria Klinikum - Notaufnahme" />
                <telecom>
                    <system value="phone" />
                    <value value="0309876543210" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Grazer Damm 119" />
                    <city value="Berlin" />
                    <postalCode value="13055" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/8b5fad85-bd17-3054-9335-17d124435b9c" />
        <resource>
            <PractitionerRole>
                <id value="8b5fad85-bd17-3054-9335-17d124435b9c" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
                </meta>
                <organization>
                    <reference value="Organization/9dc80677-7f01-4b8c-a953-9ca7c705cd50" />
                </organization>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/d0a5e622-2c94-4d12-9cdc-be91357ec7d2" />
        <resource>
            <Organization>
                <id value="d0a5e622-2c94-4d12-9cdc-be91357ec7d2" />
                <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/QuestionnaireResponse/396c109c-0a4f-3cee-8b67-dd588dded41c" />
        <resource>
            <QuestionnaireResponse>
                <id value="396c109c-0a4f-3cee-8b67-dd588dded41c" />
                <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/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
                </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/d0a5e622-2c94-4d12-9cdc-be91357ec7d2" />
                                </valueReference>
                            </answer>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="hospitalized" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="no" />
                            <display value="Nein" />
                        </valueCoding>
                    </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="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="placeExposureGroup" />
                            <item>
                                <linkId value="placeExposureBegin" />
                                <answer>
                                    <valueDate value="2015-06-15" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureRegion" />
                                <answer>
                                    <valueCoding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="13000011" />
                                        <display value="Berlin" />
                                    </valueCoding>
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureHint" />
                                <answer>
                                    <valueString value="Arbeitet im Tierpark, Infizierte Flamingos." />
                                </answer>
                            </item>
                        </item>
                    </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/db8a7046-5868-3e7a-8169-e56a20621fc9" />
        <resource>
            <QuestionnaireResponse>
                <id value="db8a7046-5868-3e7a-8169-e56a20621fc9" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationIZVD" />
                </meta>
                <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsIZVD" />
                <status value="completed" />
                <subject>
                    <reference value="Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
                </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/28322eee-cd6e-35b2-9167-17b0021b8540" />
                                </valueReference>
                            </answer>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="pregnancy" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="trimester" />
                            <answer>
                                <valueCoding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="255247007" />
                                    <display value="2. Trimester" />
                                </valueCoding>
                            </answer>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="infectionRiskKind" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="77386006" />
                            <display value="Schwangerschaft" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="infectionRiskKind" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="49601007" />
                            <display value="Herz-Kreislauf-Erkrankung (inkl. Bluthochdruck)" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="infectionPathKind" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="409496000:{704319004=256363008,704326004=424681004}" />
                            <display value="Direkter Kontakt zu Tieren mit m&#246;glicher oder best&#228;tigter Influenza-Infektion oder deren Ausscheidungen (Gefl&#252;gel, Wildv&#246;gel, Schweine)" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="therapy" />
                    <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>