Beispiel Erkrankungsmeldevorgang SXXD

Erstmeldung

<Bundle xmlns="http://hl7.org/fhir">
<id value="1f8c19cc-69d6-3616-a42f-65d89b88205c" />
<meta>
<lastUpdated value="2022-12-07T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="4aaa66a0-ac3a-37a0-851e-4e45ab6c408b" />
</identifier>
<type value="document" />
<timestamp value="2022-12-07T09:50:00.000+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/5258ed4a-6d6b-3162-8993-2c74c3c70ada" />
<resource>
<Composition>
<id value="5258ed4a-6d6b-3162-8993-2c74c3c70ada" />
<meta>
<lastUpdated value="2022-12-07T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseSXXD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="57afacac-c1a2-4a13-93c3-f41e75aa311b" />
</identifier>
<status value="preliminary" />
<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/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</subject>
<date value="2022-12-07T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/09737105-4951-3173-9ad8-7b1a455d3905" />
</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/7ec726cb-dd21-3d92-8605-4d807dc06b1f" />
</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/3a52a39d-7be5-39a4-b927-6a513c207379" />
</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/de7b4a25-a6fb-3333-a3d2-9a27bcc87911" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
<resource>
<Patient>
<id value="198b8948-67bc-3ced-8b37-d3ab6e335f97" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Mustermann" />
<given value="Hans" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="bb@hfksjfhdaksljdfhsakl.de" />
</telecom>
<gender value="male" />
<birthDate value="1990-06-13" />
<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/7ec726cb-dd21-3d92-8605-4d807dc06b1f" />
<resource>
<Condition>
<id value="7ec726cb-dd21-3d92-8605-4d807dc06b1f" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseSXXD" />
</meta>
<verificationStatus>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/condition-ver-status" />
<code value="unconfirmed" />
</coding>
</verificationStatus>
<code>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/notificationDiseaseCategory" />
<code value="sxxd" />
<display value="Verdacht auf akute Typhus/Paratyphus" />
</coding>
</code>
<subject>
<reference value="Patient/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</subject>
<onsetDateTime value="2022-12-05" />
<recordedDate value="2022-12-07" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="21522001" />
<display value="Bauchschmerzen" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="111360009" />
<display value="Verstopfung (Obstipation)" />
</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="25064002" />
<display value="Kopfschmerzen" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/01b1cc5b-d70f-38f9-92cb-1c9e209608b8" />
<resource>
<Immunization>
<id value="01b1cc5b-d70f-38f9-92cb-1c9e209608b8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationSXXD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="971000221109" />
<display value="Typhus-Impfstoff, oral,lebend abgeschwächt (Typhoral L)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</patient>
<occurrenceDateTime value="2022-11-24" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/35acb898-e67f-38fd-8373-5714186fed17" />
<resource>
<Immunization>
<id value="35acb898-e67f-38fd-8373-5714186fed17" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationSXXD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="971000221109" />
<display value="Typhus-Impfstoff, oral,lebend abgeschwächt (Typhoral L)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</patient>
<occurrenceDateTime value="2022-11-28" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/01b4ee88-33bd-3e8a-8683-a84cf4920eaa" />
<resource>
<Immunization>
<id value="01b4ee88-33bd-3e8a-8683-a84cf4920eaa" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationSXXD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="971000221109" />
<display value="Typhus-Impfstoff, oral,lebend abgeschwächt (Typhoral L)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</patient>
<occurrenceDateTime value="2022-12-01" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/93efca38-6b28-403d-a4a9-a68d37d7fad0" />
<resource>
<Organization>
<id value="93efca38-6b28-403d-a4a9-a68d37d7fad0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" />
</meta>
<identifier>
<system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" />
<value value="123123100" />
</identifier>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="physicianOffice" />
</coding>
</type>
<name value="Hausarztpraxis Dr. Musterfrau" />
<telecom>
<system value="phone" />
<value value="0308976543210" />
<use value="work" />
</telecom>
<address>
<line value="Kattenstr. 11" />
<city value="Berlin" />
<postalCode value="12524" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/09737105-4951-3173-9ad8-7b1a455d3905" />
<resource>
<PractitionerRole>
<id value="09737105-4951-3173-9ad8-7b1a455d3905" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/93efca38-6b28-403d-a4a9-a68d37d7fad0" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/217fb412-193f-49d2-8d6b-a7a762dd8b99" />
<resource>
<Organization>
<id value="217fb412-193f-49d2-8d6b-a7a762dd8b99" />
<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/3a52a39d-7be5-39a4-b927-6a513c207379" />
<resource>
<QuestionnaireResponse>
<id value="3a52a39d-7be5-39a4-b927-6a513c207379" />
<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/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</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/217fb412-193f-49d2-8d6b-a7a762dd8b99" />
</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="2022-11-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2022-12-04" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000213" />
<display value="Pakistan" />
</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/de7b4a25-a6fb-3333-a3d2-9a27bcc87911" />
<resource>
<QuestionnaireResponse>
<id value="de7b4a25-a6fb-3333-a3d2-9a27bcc87911" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationSXXD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsSXXD" />
<status value="completed" />
<subject>
<reference value="Patient/198b8948-67bc-3ced-8b37-d3ab6e335f97" />
</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/01b1cc5b-d70f-38f9-92cb-1c9e209608b8" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/35acb898-e67f-38fd-8373-5714186fed17" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/01b4ee88-33bd-3e8a-8683-a84cf4920eaa" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="suspectedCase" />
<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>

Ergänzungsmeldung

Das Beispiel befindet sich in Überarbeitung.