Beispiel Erkrankungsmeldevorgang VCHD

<Bundle xmlns="http://hl7.org/fhir">
    <id value="1eced634-d0ef-3f17-904e-33eeeac13571" />
    <meta>
        <lastUpdated value="2023-04-20T09:50:00.000+01:00" />
        <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
    </meta>
    <identifier>
        <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
        <value value="859857f8-c5a8-32d5-829e-094138e4a7ba" />
    </identifier>
    <type value="document" />
    <timestamp value="2023-04-20T09:50:00.000+01:00" />
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Composition/f94fbeba-e640-318f-8601-3d0f5181fb46" />
        <resource>
            <Composition>
                <id value="f94fbeba-e640-318f-8601-3d0f5181fb46" />
                <meta>
                    <lastUpdated value="2023-04-20T09:50:00.000+01:00" />
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseVCHD" />
                </meta>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
                    <value value="2b57730f-b5bb-4455-a2c2-f5e402e0758f" />
                </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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </subject>
                <date value="2023-04-20T02:00:00+02:00" />
                <author>
                    <reference value="PractitionerRole/7593a058-7b23-38c4-81c1-49a61a586403" />
                </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/e4568b2c-40d6-3b05-b317-7c57861d4430" />
                    </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/32021e30-b940-361c-8720-2efc230900e8" />
                    </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/aad1af94-25c3-3e8b-adaa-31837af72b92" />
                    </entry>
                </section>
            </Composition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
        <resource>
            <Organization>
                <id value="d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
                </meta>
                <name value="Sankt J&#252;rgen Klinikum - Meldestandort" />
                <address>
                    <line value="Richard-Wagner-Str. 17" />
                    <city value="Berlin" />
                    <postalCode value="12681" />
                    <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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
        <resource>
            <Patient>
                <id value="be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="Kalinowsky" />
                    <given value="Justyn" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="0301268112681" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="kalinowskyyy@domain.de" />
                </telecom>
                <gender value="male" />
                <birthDate value="1978-07-26" />
                <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/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
                        </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="Mierendorfer Weg 88" />
                    <city value="Berlin" />
                    <postalCode value="12681" />
                    <country value="DE" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Condition/e4568b2c-40d6-3b05-b317-7c57861d4430" />
        <resource>
            <Condition>
                <id value="e4568b2c-40d6-3b05-b317-7c57861d4430" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseVCHD" />
                </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="vchd" />
                        <display value="Cholera" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </subject>
                <onsetDateTime value="2023-04-17" />
                <recordedDate value="2023-04-20" />
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="409966000" />
                            <display value="Durchfall, akut" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="18425006" />
                            <display value="Reiswasserstuhl" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="422400008" />
                            <display value="Erbrechen" />
                        </coding>
                    </code>
                </evidence>
                <note>
                    <text value="-" />
                </note>
            </Condition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/68636b03-91bb-35d5-bb83-b50f05fabcb8" />
        <resource>
            <Immunization>
                <id value="68636b03-91bb-35d5-bb83-b50f05fabcb8" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="1001000221103" />
                        <display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </patient>
                <occurrenceDateTime value="2016-10-18" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/2acdd6f5-4f6b-349a-8463-edf5dcf8cf99" />
        <resource>
            <Immunization>
                <id value="2acdd6f5-4f6b-349a-8463-edf5dcf8cf99" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="1001000221103" />
                        <display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </patient>
                <occurrenceDateTime value="2016-10-25" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/a34407f5-25c6-30ff-ba5e-864ee98beae9" />
        <resource>
            <Immunization>
                <id value="a34407f5-25c6-30ff-ba5e-864ee98beae9" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="1001000221103" />
                        <display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </patient>
                <occurrenceDateTime value="2018-06-18" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/6c765ea5-1d22-3b0c-b6fb-83a4eff2dbfb" />
        <resource>
            <Immunization>
                <id value="6c765ea5-1d22-3b0c-b6fb-83a4eff2dbfb" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="1001000221103" />
                        <display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </patient>
                <occurrenceDateTime value="2020-02-01" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/45f2dcd1-86ba-4f88-9f4c-faf6cbfa4876" />
        <resource>
            <Organization>
                <id value="45f2dcd1-86ba-4f88-9f4c-faf6cbfa4876" />
                <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 J&#252;rgen Klinikum" />
                <telecom>
                    <system value="phone" />
                    <value value="030777123490" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Richard-Wagner-Str. 17" />
                    <city value="Berlin" />
                    <postalCode value="12681" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/7593a058-7b23-38c4-81c1-49a61a586403" />
        <resource>
            <PractitionerRole>
                <id value="7593a058-7b23-38c4-81c1-49a61a586403" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
                </meta>
                <organization>
                    <reference value="Organization/45f2dcd1-86ba-4f88-9f4c-faf6cbfa4876" />
                </organization>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/d8f57e41-9f46-412f-be7b-ea0adf323ae6" />
        <resource>
            <Organization>
                <id value="d8f57e41-9f46-412f-be7b-ea0adf323ae6" />
                <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/17d78e26-0c65-3730-a2af-e1a13d8cb5b2" />
        <resource>
            <Encounter>
                <id value="17d78e26-0c65-3730-a2af-e1a13d8cb5b2" />
                <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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </subject>
                <period>
                    <start value="2023-04-19" />
                </period>
                <serviceProvider>
                    <reference value="Organization/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
                </serviceProvider>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Encounter/a95c4ba8-6967-3dbd-893b-9080679727ba" />
        <resource>
            <Encounter>
                <id value="a95c4ba8-6967-3dbd-893b-9080679727ba" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
                </meta>
                <extension url="https://demis.rki.de/fhir/StructureDefinition/HospitalizationNote">
                    <valueString value="Liegt im Koma." />
                </extension>
                <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="3600" />
                        <display value="Intensivmedizin" />
                    </coding>
                </serviceType>
                <subject>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </subject>
                <period>
                    <start value="2023-04-20" />
                </period>
                <serviceProvider>
                    <reference value="Organization/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
                </serviceProvider>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/32021e30-b940-361c-8720-2efc230900e8" />
        <resource>
            <QuestionnaireResponse>
                <id value="32021e30-b940-361c-8720-2efc230900e8" />
                <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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </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/d8f57e41-9f46-412f-be7b-ea0adf323ae6" />
                                </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/17d78e26-0c65-3730-a2af-e1a13d8cb5b2" />
                                    </valueReference>
                                </answer>
                            </item>
                        </item>
                        <item>
                            <linkId value="hospitalizedGroup" />
                            <item>
                                <linkId value="hospitalizedEncounter" />
                                <answer>
                                    <valueReference>
                                        <reference value="Encounter/a95c4ba8-6967-3dbd-893b-9080679727ba" />
                                    </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="2023-03-01" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureEnd" />
                                <answer>
                                    <valueDate value="2023-04-14" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureRegion" />
                                <answer>
                                    <valueCoding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="21000246" />
                                        <display value="Bangladesch" />
                                    </valueCoding>
                                </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/aad1af94-25c3-3e8b-adaa-31837af72b92" />
        <resource>
            <QuestionnaireResponse>
                <id value="aad1af94-25c3-3e8b-adaa-31837af72b92" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationVCHD" />
                </meta>
                <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsVCHD" />
                <status value="completed" />
                <subject>
                    <reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
                </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/68636b03-91bb-35d5-bb83-b50f05fabcb8" />
                                </valueReference>
                            </answer>
                        </item>
                        <item>
                            <linkId value="immunizationRef" />
                            <answer>
                                <valueReference>
                                    <reference value="Immunization/2acdd6f5-4f6b-349a-8463-edf5dcf8cf99" />
                                </valueReference>
                            </answer>
                        </item>
                        <item>
                            <linkId value="immunizationRef" />
                            <answer>
                                <valueReference>
                                    <reference value="Immunization/a34407f5-25c6-30ff-ba5e-864ee98beae9" />
                                </valueReference>
                            </answer>
                        </item>
                        <item>
                            <linkId value="immunizationRef" />
                            <answer>
                                <valueReference>
                                    <reference value="Immunization/6c765ea5-1d22-3b0c-b6fb-83a4eff2dbfb" />
                                </valueReference>
                            </answer>
                        </item>
                    </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>