Beispiel Erkrankungsmeldevorgang MPXD
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<value value="98a864a1-f54b-4dda-ac95-e61ff1d1f0c7" />
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<status value="final" />
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<system value="http://loinc.org" />
<code value="34782-3" />
<display value="Infectious disease Note" />
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<code value="6.1_2" />
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<reference value="PractitionerRole/1ab3272c-2c22-3205-b308-64c591c9a06e" />
</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" />
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<entry>
<reference value="Condition/3cc61fec-15f0-3acf-9d09-8c2eacdc9e71" />
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<section>
<title value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
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<system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" />
<code value="generalClinAndEpiInformation" />
<display value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
</coding>
</code>
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<reference value="QuestionnaireResponse/2c0c0094-11fa-356d-a35f-c10920caf058" />
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</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>
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<reference value="QuestionnaireResponse/7d3a69e7-16bf-39b5-ad18-10ea9693201b" />
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<fullUrl value="https://demis.rki.de/fhir/Organization/74bb0059-4c4e-307e-800a-469225851971" />
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<Organization>
<id value="74bb0059-4c4e-307e-800a-469225851971" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Kipling Klinikum – Meldezentrale" />
<address>
<line value="Regenwald Chaussee 67" />
<city value="Berlin" />
<postalCode value="10942" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Neudorf" />
<given value="Lea" />
</name>
</contact>
</Organization>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
<resource>
<Patient>
<id value="a4f04326-3a2a-3a57-bf40-58a37b29f064" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Sandström" />
<given value="Albert" />
</name>
<gender value="male" />
<birthDate value="1991-12-30" />
<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/74bb0059-4c4e-307e-800a-469225851971" />
</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="Heerstr. 1" />
<city value="Berlin" />
<postalCode value="14052" />
<country value="DE" />
</address>
</Patient>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/3cc61fec-15f0-3acf-9d09-8c2eacdc9e71" />
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<Condition>
<id value="3cc61fec-15f0-3acf-9d09-8c2eacdc9e71" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseMPXD" />
</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="mpxd" />
<display value="Affenpocken" />
</coding>
</code>
<subject>
<reference value="Patient/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
</subject>
<onsetDateTime value="2023-03-12" />
<recordedDate value="2023-04-11" />
<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="271807003" />
<display value="Hautausschlag" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="95324001" />
<display value="Hautläsion" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="276320009" />
<display value="Schleimhautläsion" />
</coding>
</code>
</evidence>
</Condition>
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<fullUrl value="https://demis.rki.de/fhir/Immunization/ed69c6fa-6f68-36f0-b88c-aeec00b47ff0" />
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<id value="ed69c6fa-6f68-36f0-b88c-aeec00b47ff0" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationMPXD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="871727001" />
<display value="MVA-Impfstoff (Imvanex oder Jynneos; Drittgenerationsimpfstoff)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
</patient>
<occurrenceDateTime value="2022-10-08" />
<note>
<text value="-" />
</note>
</Immunization>
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<fullUrl value="https://demis.rki.de/fhir/Immunization/38d2d6c2-e979-33ec-85cf-20cbdd04cf30" />
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<id value="38d2d6c2-e979-33ec-85cf-20cbdd04cf30" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationMPXD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="871727001" />
<display value="MVA-Impfstoff (Imvanex oder Jynneos; Drittgenerationsimpfstoff)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
</patient>
<occurrenceDateTime value="2022-11-15" />
<note>
<text value="-" />
</note>
</Immunization>
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<Organization>
<id value="50566162-edae-11ed-a05b-0242ac120003" />
<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="Kipling Klinikum" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Regenwald Chaussee 67" />
<city value="Berlin" />
<postalCode value="10942" />
<country value="DE" />
</address>
</Organization>
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
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<organization>
<reference value="Organization/50566162-edae-11ed-a05b-0242ac120003" />
</organization>
</PractitionerRole>
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<fullUrl value="https://demis.rki.de/fhir/Organization/408303ee-edae-11ed-a05b-0242ac120003" />
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<Organization>
<id value="408303ee-edae-11ed-a05b-0242ac120003" />
<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>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/77d4524c-f2f6-36d2-b441-c10af44d52d5" />
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<Encounter>
<id value="77d4524c-f2f6-36d2-b441-c10af44d52d5" />
<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/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
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<period>
<start value="2023-04-13" />
</period>
<serviceProvider>
<reference value="Organization/74bb0059-4c4e-307e-800a-469225851971" />
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</Encounter>
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<id value="2c0c0094-11fa-356d-a35f-c10920caf058" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCommon" />
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<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon" />
<status value="completed" />
<subject>
<reference value="Patient/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
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<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/408303ee-edae-11ed-a05b-0242ac120003" />
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</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/77d4524c-f2f6-36d2-b441-c10af44d52d5" />
</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="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="placeExposureGroup" />
<item>
<linkId value="placeExposureBegin" />
<answer>
<valueDate value="2023-03-10" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-03-11" />
</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="Feier in einem Club." />
</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>
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<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationMPXD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsMPXD" />
<status value="completed" />
<subject>
<reference value="Patient/a4f04326-3a2a-3a57-bf40-58a37b29f064" />
</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/ed69c6fa-6f68-36f0-b88c-aeec00b47ff0" />
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<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/38d2d6c2-e979-33ec-85cf-20cbdd04cf30" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="skinSymptomBegin" />
<answer>
<valueDate value="2023-03-12" />
</answer>
</item>
<item>
<linkId value="locationLymphNodeSwelling" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="127199000" />
<display value="in Leistenregion" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="locationSkinLesions" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="95324001:{363698007=280158000}" />
<display value="im Anogenitalbereich" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="locationMucosalLesions" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="276320009:{363698007=399988002}" />
<display value="anorektal" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000:704326004=472986005" />
<display value="Sexueller Kontakt mit Männern" />
</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>
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