Beispiel Erkrankungsmeldevorgang PKVD
<Bundle xmlns="http://hl7.org/fhir"> <id value="e1ce2b85-9f84-3344-b6a3-8572a2942dbc" /> <meta> <lastUpdated value="2023-04-06T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" /> <value value="d3efca3a-8240-3f3f-8aa6-4f5bc78aa3f5" /> </identifier> <type value="document" /> <timestamp value="2023-04-06T09:50:00.000+01:00" /> <entry> <fullUrl value="https://demis.rki.de/fhir/Composition/4599f3b9-1482-3e31-a0ba-96ca2ed67736" /> <resource> <Composition> <id value="4599f3b9-1482-3e31-a0ba-96ca2ed67736" /> <meta> <lastUpdated value="2023-04-06T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseasePKVD" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="1bf6b991-8d9c-4613-9f6e-784b0be0c855" /> </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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </subject> <date value="2023-04-06T02:00:00+02:00" /> <author> <reference value="PractitionerRole/46dec16b-4a8b-3387-ad8a-bcb55879070e" /> </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/4682ed0d-2a0b-3e51-bff7-37df546c7748" /> </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/0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" /> </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/0b2f24e4-b05e-3bef-9f54-a615340d9644" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" /> <resource> <Organization> <id value="e08555a5-55ce-3eb4-81c2-5dfefdc0b985" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" /> </meta> <name value="Fleming Krankenhaus – Meldezentrale" /> <address> <line value="Havelchaussee. 93" /> <city value="Berlin" /> <postalCode value="13597" /> <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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> <resource> <Patient> <id value="a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" /> </meta> <name> <use value="official" /> <family value="Gutierrez" /> <given value="Michelle" /> </name> <telecom> <system value="phone" /> <value value="030 123456789" /> </telecom> <telecom> <system value="email" /> <value value="bb@hfksjfhdaksljdfhsakl.de" /> </telecom> <gender value="female" /> <birthDate value="1978-06-08" /> <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/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" /> </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/4682ed0d-2a0b-3e51-bff7-37df546c7748" /> <resource> <Condition> <id value="4682ed0d-2a0b-3e51-bff7-37df546c7748" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseasePKVD" /> </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="pkvd" /> <display value="Pocken" /> </coding> </code> <subject> <reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </subject> <onsetDateTime value="2023-03-05" /> <recordedDate value="2023-04-06" /> <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="95324001" /> <display value="Hautläsion" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="66857006" /> <display value="Bluthusten (Hämoptysen)" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="302227002" /> <display value="Hauteinblutung, Ekchymosen" /> </coding> </code> </evidence> </Condition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Immunization/a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" /> <resource> <Immunization> <id value="a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationPKVD" /> </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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </patient> <occurrenceDateTime value="2022-12-20" /> <note> <text value="-" /> </note> </Immunization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Immunization/099f0a3c-4182-354f-9edc-f58cfa229eb4" /> <resource> <Immunization> <id value="099f0a3c-4182-354f-9edc-f58cfa229eb4" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationPKVD" /> </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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </patient> <occurrenceDateTime value="2023-01-18" /> <note> <text value="-" /> </note> </Immunization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/0c824df6-eda0-11ed-a05b-0242ac120003" /> <resource> <Organization> <id value="0c824df6-eda0-11ed-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="Fleming Krankenhaus" /> <telecom> <system value="phone" /> <value value="030777123490" /> <use value="work" /> </telecom> <address> <line value="Am Alexanderplatz 42" /> <city value="Berlin" /> <postalCode value="10179" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/46dec16b-4a8b-3387-ad8a-bcb55879070e" /> <resource> <PractitionerRole> <id value="46dec16b-4a8b-3387-ad8a-bcb55879070e" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" /> </meta> <organization> <reference value="Organization/0c824df6-eda0-11ed-a05b-0242ac120003" /> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/13e7d8e0-eda0-11ed-a05b-0242ac120003" /> <resource> <Organization> <id value="13e7d8e0-eda0-11ed-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> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/ad525a02-eda3-11ed-a05b-0242ac120003" /> <resource> <Organization> <id value="ad525a02-eda3-11ed-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" /> <display value="Krankenhauslabor" /> </coding> </type> <name value="Fleming-Krankenhaus – Hochsicherheitslabor" /> <address> <line value="Am Alexanderplatz 42" /> <postalCode value="10179" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Encounter/701cc0c1-ef69-37ea-ad1c-8e59caf72182" /> <resource> <Encounter> <id value="701cc0c1-ef69-37ea-ad1c-8e59caf72182" /> <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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </subject> <period> <start value="2023-04-06" /> </period> <serviceProvider> <reference value="Organization/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" /> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" /> <resource> <QuestionnaireResponse> <id value="0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" /> <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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </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/13e7d8e0-eda0-11ed-a05b-0242ac120003" /> </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/701cc0c1-ef69-37ea-ad1c-8e59caf72182" /> </valueReference> </answer> </item> </item> </answer> </item> <item> <linkId value="infectProtectFacility" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="infectProtectFacilityGroup" /> <item> <linkId value="infectProtectFacilityBegin" /> <answer> <valueDate value="2023-03-31" /> </answer> </item> <item> <linkId value="infectProtectFacilityRole" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationAssociation" /> <code value="employment" /> <display value="Tätigkeit" /> </valueCoding> </answer> </item> <item> <linkId value="infectProtectFacilityOrganization" /> <answer> <valueReference> <reference value="Organization/ad525a02-eda3-11ed-a05b-0242ac120003" /> </valueReference> </answer> </item> </item> </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> <item> <linkId value="additionalInformation" /> <answer> <valueString value="Laborunfall auf Arbeit mit Hochpathogenem Variolavirus." /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/0b2f24e4-b05e-3bef-9f54-a615340d9644" /> <resource> <QuestionnaireResponse> <id value="0b2f24e4-b05e-3bef-9f54-a615340d9644" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationPKVD" /> </meta> <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsPKVD" /> <status value="completed" /> <subject> <reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" /> </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/a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" /> </valueReference> </answer> </item> <item> <linkId value="immunizationRef" /> <answer> <valueReference> <reference value="Immunization/099f0a3c-4182-354f-9edc-f58cfa229eb4" /> </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>