# Beispiel Erkrankungsmeldevorgang HXXD

<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<lastUpdated value="2023-04-15T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="998d32c0-8145-3e8e-aad8-663d48e31fef" />
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<type value="document" />
<timestamp value="2023-04-15T09:50:00.000+01:00" />
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<meta>
<lastUpdated value="2023-04-15T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHXXD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="270fe64c-c9f8-4a80-9879-c4f6707bcafa" />
</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/80fca103-42ef-339c-a8c1-ca2200a1efb7" />
</subject>
<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/9c069341-9bbc-36c5-89eb-82093d33f4e0" />
</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/2c97528e-6a57-3fea-96fb-ceae377c0821" />
</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/b8993f1c-2912-3994-811a-0a1decd779a5" />
</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/85ae88d8-c8bd-3667-9913-7686af7929db" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/5b1f2900-3bc9-3c95-97ee-0bdcb8c57878" />
<resource>
<Organization>
<id value="5b1f2900-3bc9-3c95-97ee-0bdcb8c57878" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Westerhagen Hospital" />
<address>
<line value="Harztr. 11" />
<city value="Berlin" />
<postalCode value="12623" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Schüler" />
<given value="Andreas" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/80fca103-42ef-339c-a8c1-ca2200a1efb7" />
<resource>
<Patient>
<id value="80fca103-42ef-339c-a8c1-ca2200a1efb7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Sebastian" />
<given value="Osterhagen" />
</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="1967-01-03" />
<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/5b1f2900-3bc9-3c95-97ee-0bdcb8c57878" />
</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/2c97528e-6a57-3fea-96fb-ceae377c0821" />
<resource>
<Condition>
<id value="2c97528e-6a57-3fea-96fb-ceae377c0821" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHXXD" />
</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="hxxd" />
<display value="Hepatitis, Verdachtsmeldung" />
</coding>
</code>
<subject>
<reference value="Patient/80fca103-42ef-339c-a8c1-ca2200a1efb7" />
</subject>
<onsetDateTime value="2023-04-15" />
<recordedDate value="2023-04-15" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="105721009:363698007=80581009" />
<display value="Oberbauchbeschwerden" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="707724006" />
<display value="Serumtransaminasen, erhöht" />
</coding>
</code>
</evidence>
<note>
<text value="-" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/7ef42110-f8c4-4d93-88e0-3122a19bc714" />
<resource>
<Organization>
<id value="7ef42110-f8c4-4d93-88e0-3122a19bc714" />
<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="Westerhagen Hospital – Zentrale Meldestelle" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<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/PractitionerRole/9c069341-9bbc-36c5-89eb-82093d33f4e0" />
<resource>
<PractitionerRole>
<id value="9c069341-9bbc-36c5-89eb-82093d33f4e0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/7ef42110-f8c4-4d93-88e0-3122a19bc714" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/db9d470a-3768-4db5-a6c2-8195671a24e7" />
<resource>
<Organization>
<id value="db9d470a-3768-4db5-a6c2-8195671a24e7" />
<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/63149837-edfe-32a2-a694-ad2788ae03b3" />
<resource>
<Encounter>
<id value="63149837-edfe-32a2-a694-ad2788ae03b3" />
<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/80fca103-42ef-339c-a8c1-ca2200a1efb7" />
</subject>
<period>
<start value="2023-04-15" />
</period>
<serviceProvider>
<reference value="Organization/5b1f2900-3bc9-3c95-97ee-0bdcb8c57878" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/b8993f1c-2912-3994-811a-0a1decd779a5" />
<resource>
<QuestionnaireResponse>
<id value="b8993f1c-2912-3994-811a-0a1decd779a5" />
<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/80fca103-42ef-339c-a8c1-ca2200a1efb7" />
</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/db9d470a-3768-4db5-a6c2-8195671a24e7" />
</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/63149837-edfe-32a2-a694-ad2788ae03b3" />
</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="no" />
<display value="Nein" />
</valueCoding>
</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="-" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/85ae88d8-c8bd-3667-9913-7686af7929db" />
<resource>
<QuestionnaireResponse>
<id value="85ae88d8-c8bd-3667-9913-7686af7929db" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHXXD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHXXD" />
<status value="completed" />
<subject>
<reference value="Patient/80fca103-42ef-339c-a8c1-ca2200a1efb7" />
</subject>
<item>
<linkId value="immunization" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="no" />
<display value="Nein" />
</valueCoding>
</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>