# Beispiel Erkrankungsmeldevorgang RBVD

<Bundle xmlns="http://hl7.org/fhir">
<id value="964d2acb-e7ce-3fd9-bd22-43cfc26eb5ec" />
<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="48576f90-a394-3e05-8c35-179252acc4a2" />
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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/NotificationDiseaseRBVD" />
</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/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</subject>
<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/f1b77068-469b-365c-86c0-cda7aaba1bba" />
</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/388f4c48-dcfe-359f-b78e-0de7f09894e4" />
</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/aca1755e-55c4-3468-9710-394c3bac297f" />
</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/3554cafb-cb2e-3c16-942a-f3124e19b6ed" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/9b876f03-af2c-327f-8ae8-8c46ef19722b" />
<resource>
<Organization>
<id value="9b876f03-af2c-327f-8ae8-8c46ef19722b" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Beispielkrankenhaus - Meldestandort in Wedding" />
<address>
<line value="Reinickendorfer Str. 21" />
<city value="Berlin" />
<postalCode value="10441" />
<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/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
<resource>
<Patient>
<id value="ebf5c161-e375-3a62-9608-f0a6c69bc902" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Labingi" />
<given value="Melilot" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="bb@hfksjfhdaksljdfhsakl.de" />
</telecom>
<gender value="unknown" />
<birthDate value="1965-12-19" />
<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/9b876f03-af2c-327f-8ae8-8c46ef19722b" />
</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/388f4c48-dcfe-359f-b78e-0de7f09894e4" />
<resource>
<Condition>
<id value="388f4c48-dcfe-359f-b78e-0de7f09894e4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseRBVD" />
</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="rbvd" />
<display value="Tollwut" />
</coding>
</code>
<subject>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</subject>
<onsetDateTime value="2023-04-07" />
<recordedDate value="2023-04-15" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="22253000:47429007=782161000" />
<display value="Schmerzen im Bereich der Bissstelle" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="91019004:47429007=782161000" />
<display value="Sensibilitätsstörungen (Parästhesien) im Bereich der Bissstelle" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="198288003" />
<display value="Angstzustände" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="2776000" />
<display value="Delirium" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="44695005" />
<display value="Krämpfe" />
</coding>
</code>
</evidence>
<note>
<text value="Biss durch wilden Hund mit indirektem kontakt zu Fledermäusen." />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/99a998f5-aa3d-3042-9ccb-ff8798e517f9" />
<resource>
<Immunization>
<id value="99a998f5-aa3d-3042-9ccb-ff8798e517f9" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationRBVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1131000221109" />
<display value="Tollwut-Impfstoff (Virusimpfstoff, inaktiviert) (Rabipur,Tollwut-Impfstoff (HDC) inaktiviert)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</patient>
<occurrenceDateTime value="1986-05-20" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/23326f19-53e0-3019-80ea-2daeef9197a3" />
<resource>
<Immunization>
<id value="23326f19-53e0-3019-80ea-2daeef9197a3" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationRBVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1131000221109" />
<display value="Tollwut-Impfstoff (Virusimpfstoff, inaktiviert) (Rabipur,Tollwut-Impfstoff (HDC) inaktiviert)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</patient>
<occurrenceDateTime value="1986-05-27" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/aae576e0-531d-3135-9c5f-32c19edb86f3" />
<resource>
<Immunization>
<id value="aae576e0-531d-3135-9c5f-32c19edb86f3" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationRBVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1131000221109" />
<display value="Tollwut-Impfstoff (Virusimpfstoff, inaktiviert) (Rabipur,Tollwut-Impfstoff (HDC) inaktiviert)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</patient>
<occurrenceDateTime value="1986-06-18" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/dacb1cce-6d3f-326b-9607-a5f84615effa" />
<resource>
<Immunization>
<id value="dacb1cce-6d3f-326b-9607-a5f84615effa" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationRBVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1131000221109" />
<display value="Tollwut-Impfstoff (Virusimpfstoff, inaktiviert) (Rabipur,Tollwut-Impfstoff (HDC) inaktiviert)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</patient>
<occurrenceDateTime value="1998-02-01" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/4912a0c2-32d2-38fd-a19e-cfa06737d9b6" />
<resource>
<Immunization>
<id value="4912a0c2-32d2-38fd-a19e-cfa06737d9b6" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationRBVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1131000221109" />
<display value="Tollwut-Impfstoff (Virusimpfstoff, inaktiviert) (Rabipur,Tollwut-Impfstoff (HDC) inaktiviert)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</patient>
<occurrenceDateTime value="2017-08-08" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/b9e14474-6c89-4b58-85ac-be2d4d764ad6" />
<resource>
<Organization>
<id value="b9e14474-6c89-4b58-85ac-be2d4d764ad6" />
<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="Beispielkrankenhaus Lichtenberg" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Lichtenberger Weg 12" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/f1b77068-469b-365c-86c0-cda7aaba1bba" />
<resource>
<PractitionerRole>
<id value="f1b77068-469b-365c-86c0-cda7aaba1bba" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/b9e14474-6c89-4b58-85ac-be2d4d764ad6" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/3afc6c20-7cbb-4ffa-9499-01b14854db8f" />
<resource>
<Organization>
<id value="3afc6c20-7cbb-4ffa-9499-01b14854db8f" />
<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/c873baf8-ab35-3a15-8866-3e98eda4fef2" />
<resource>
<Encounter>
<id value="c873baf8-ab35-3a15-8866-3e98eda4fef2" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<status value="finished" />
<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/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</subject>
<period>
<start value="2023-04-09" />
</period>
<serviceProvider>
<reference value="Organization/9b876f03-af2c-327f-8ae8-8c46ef19722b" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/8e1f38b5-6cb3-3e25-9add-2c8ac684add3" />
<resource>
<Encounter>
<id value="8e1f38b5-6cb3-3e25-9add-2c8ac684add3" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<status value="finished" />
<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/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</subject>
<period>
<start value="2023-04-13" />
</period>
<serviceProvider>
<reference value="Organization/9b876f03-af2c-327f-8ae8-8c46ef19722b" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/aca1755e-55c4-3468-9710-394c3bac297f" />
<resource>
<QuestionnaireResponse>
<id value="aca1755e-55c4-3468-9710-394c3bac297f" />
<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/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</subject>
<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="2023-04-15" />
</answer>
</item>
</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/3afc6c20-7cbb-4ffa-9499-01b14854db8f" />
</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/c873baf8-ab35-3a15-8866-3e98eda4fef2" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/8e1f38b5-6cb3-3e25-9add-2c8ac684add3" />
</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="2018-01-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-04-08" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="21000231" />
<display value="Indonesien" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Tierarzt, Kontakt zu Straßenhunde." />
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="organDonation" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="ASKU" />
<display value="asked but unknown" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/3554cafb-cb2e-3c16-942a-f3124e19b6ed" />
<resource>
<QuestionnaireResponse>
<id value="3554cafb-cb2e-3c16-942a-f3124e19b6ed" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationRBVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsRBVD" />
<status value="completed" />
<subject>
<reference value="Patient/ebf5c161-e375-3a62-9608-f0a6c69bc902" />
</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>
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<linkId value="infectionRiskKindAnimal" />
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<valueCoding>
<system value="http://snomed.info/sct" />
<code value="448771007" />
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<linkId value="outbreak" />
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<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
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<display value="Nein" />
</valueCoding>
</answer>
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</entry>
</Bundle>