# Beispiel Erkrankungsmeldevorgang EBVD

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<title value="Meldung gemäß §6 Absatz 1, 2 IfSG" />
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<title value="Diagnose" />
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<code value="diagnosis" />
<display value="Diagnose" />
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<reference value="Condition/68dba2be-6910-30ab-87ce-7e873f7e3b21" />
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<code value="generalClinAndEpiInformation" />
<display value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
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<title value="Meldetatbestandsspezifische klinische und epidemiologische Angaben" />
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<code value="specificClinAndEpiInformation" />
<display value="Meldetatbestandsspezifische klinische und epidemiologische Angaben" />
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<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="St. Johanna Krankenhaus" />
<address>
<line value="Piepsstr. 18" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Neudorf" />
<given value="Lea" />
</name>
</contact>
</Organization>
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<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Thiel" />
<given value="Natalie" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="nataliet@domain.de" />
</telecom>
<gender value="female" />
<birthDate value="1978-05-11" />
<address>
<extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse">
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<system value="https://demis.rki.de/fhir/CodeSystem/addressUse" />
<code value="current" />
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<code value="primary" />
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<line value="Fürstenwalder Damm 369" />
<city value="Berlin" />
<postalCode value="12587" />
<country value="DE" />
</address>
</Patient>
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<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseEBVD" />
</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="ebvd" />
<display value="Ebolafieber" />
</coding>
</code>
<subject>
<reference value="Patient/ce85d93a-1169-3140-9bfd-3dc3587ea5c7" />
</subject>
<onsetDateTime value="2023-03-18" />
<recordedDate value="2023-03-20" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="386661006" />
<display value="Fieber" />
</coding>
</code>
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<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="74474003" />
<display value="Blutung gastrointestinal" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="2901004" />
<display value="Blutstuhl, Melaena" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="60046008:42752001=166778002" />
<display value="Anzeichen für Plasmaaustritt (Pleuraerguss)" />
</coding>
</code>
</evidence>
<note>
<text value="Vorerkrankung (Diabetes)" />
</note>
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</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/ce85d93a-1169-3140-9bfd-3dc3587ea5c7" />
</patient>
<occurrenceDateTime value="2020-02-18" />
<note>
<text value="-" />
</note>
</Immunization>
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<id value="3adf9892-35bf-42d3-b8f5-d6aba3be844d" />
<meta>
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<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="St. Johanna Krankenhaus" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Piepsstr. 18" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
</Organization>
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<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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<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/ce85d93a-1169-3140-9bfd-3dc3587ea5c7" />
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<period>
<start value="2023-03-20" />
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<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/ce85d93a-1169-3140-9bfd-3dc3587ea5c7" />
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<period>
<start value="2023-03-22" />
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<serviceProvider>
<reference value="Organization/9e065bb6-86ba-3647-bef2-9c5d2d3793e6" />
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</Encounter>
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<status value="completed" />
<subject>
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<item>
<linkId value="isDead" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="deathDate" />
<answer>
<valueDate value="2023-03-22" />
</answer>
</item>
</answer>
</item>
<item>
<linkId value="militaryAffiliation" />
<answer>
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<system value="https://demis.rki.de/fhir/CodeSystem/militaryAffiliation" />
<code value="noReferenceToBundeswehr" />
<display value="Kein Bezug zur BW" />
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<item>
<linkId value="labSpecimenTaken" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
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<linkId value="labSpecimenLab" />
<answer>
<valueReference>
<reference value="Organization/31e9a695-4336-47e5-8fae-8c4a991c3dab" />
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<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/273eeaad-649c-3636-a700-9b2d06f2eade" />
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<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
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<reference value="Encounter/e8ab050d-76c9-3aec-a9cb-713276ccb91a" />
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</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="2022-11-15" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-03-08" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000324" />
<display value="Kongo" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Med. Betreuung von Ebola-Patienten" />
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="organDonation" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="additionalInformation" />
<answer>
<valueString value="Hat Diabetes mellitus." />
</answer>
</item>
</QuestionnaireResponse>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/4b087902-fa28-3f71-9e61-238618799e74" />
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<id value="4b087902-fa28-3f71-9e61-238618799e74" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationEBVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsEBVD" />
<status value="completed" />
<subject>
<reference value="Patient/ce85d93a-1169-3140-9bfd-3dc3587ea5c7" />
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<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/8eb8cbf9-9a14-3708-9a8e-1cce5bbb7a9d" />
</valueReference>
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</item>
</answer>
</item>
<item>
<linkId value="outbreak" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</valueCoding>
</answer>
</item>
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