# Beispiel Erkrankungsmeldevorgang HEVD

<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<lastUpdated value="2023-03-20T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
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<timestamp value="2023-03-20T09:50:00.000+01:00" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHEVD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="36fe7228-a93d-11ed-afa1-0242ac120002" />
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<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/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
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<date value="2023-03-26T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/b1893e99-d47d-3599-8bf6-96ab45382165" />
</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/ab6240ef-3da1-36d6-8de5-052d50108dfa" />
</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/b15330e6-6776-3ca5-b955-a6264423369e" />
</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/51379f94-053f-3338-831e-bd512e8be1c7" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/2fa3985d-4663-39f2-ac81-d28a1608d65a" />
<resource>
<Organization>
<id value="2fa3985d-4663-39f2-ac81-d28a1608d65a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Waldkrankenhaus Waldau" />
<address>
<line value="Fichtenweg 39" />
<city value="Berlin" />
<postalCode value="12042" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Nadler" />
<given value="Waldemar" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
<resource>
<Patient>
<id value="bba36c43-bbcd-37c8-8313-3f3eae52081a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Sophie" />
<given value="Achen" />
</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="1977-09-10" />
<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/2fa3985d-4663-39f2-ac81-d28a1608d65a" />
</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="Eisenacher Straße 73" />
<city value="Berlin" />
<postalCode value="10421" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/ab6240ef-3da1-36d6-8de5-052d50108dfa" />
<resource>
<Condition>
<id value="ab6240ef-3da1-36d6-8de5-052d50108dfa" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHEVD" />
</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="hevd" />
<display value="Hepatitis E" />
</coding>
</code>
<subject>
<reference value="Patient/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
</subject>
<onsetDateTime value="2023-03-17" />
<recordedDate value="2023-03-20" />
<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="105721009:363698007=80581009" />
<display value="Oberbauchbeschwerden" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/d725011c-c4db-326d-83d7-1d67c3bcc472" />
<resource>
<Immunization>
<id value="d725011c-c4db-326d-83d7-1d67c3bcc472" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationHEVD" />
</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/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
</patient>
<occurrenceDateTime value="2021-09-22" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/13146782-a93d-11ed-afa1-0242ac120002" />
<resource>
<Organization>
<id value="13146782-a93d-11ed-afa1-0242ac120002" />
<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="Waldkrankenhaus Waldau – Meldestandort" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<use value="work" />
</telecom>
<address>
<line value="Fichtenweg 39" />
<city value="Berlin" />
<postalCode value="12042" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/b1893e99-d47d-3599-8bf6-96ab45382165" />
<resource>
<PractitionerRole>
<id value="b1893e99-d47d-3599-8bf6-96ab45382165" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/13146782-a93d-11ed-afa1-0242ac120002" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/19c3e77e-a93d-11ed-afa1-0242ac120002" />
<resource>
<Organization>
<id value="19c3e77e-a93d-11ed-afa1-0242ac120002" />
<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="Waldkrankenhaus Waldau – Krankenhauslabor" />
<telecom>
<system value="phone" />
<value value="084077842" />
<use value="work" />
</telecom>
<address>
<line value="Fichtenweg 40" />
<city value="Berlin" />
<postalCode value="12042" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/d430feef-0c75-3751-9857-6460b5632190" />
<resource>
<Encounter>
<id value="d430feef-0c75-3751-9857-6460b5632190" />
<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="3700" />
<display value="Sonstige Fachabteilung" />
</coding>
</serviceType>
<subject>
<reference value="Patient/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
</subject>
<period>
<start value="2023-03-20" />
</period>
<serviceProvider>
<reference value="Organization/2fa3985d-4663-39f2-ac81-d28a1608d65a" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/b15330e6-6776-3ca5-b955-a6264423369e" />
<resource>
<QuestionnaireResponse>
<id value="b15330e6-6776-3ca5-b955-a6264423369e" />
<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/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
</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="civilPersonActiveInBundeswehr" />
<display value="Zivilperson tätig/untergebracht in Einrichtung der 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/19c3e77e-a93d-11ed-afa1-0242ac120002" />
</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/d430feef-0c75-3751-9857-6460b5632190" />
</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="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="additionalInformation" />
<answer>
<valueString value="Leidet an anamnteischer Herzerkrankung." />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/51379f94-053f-3338-831e-bd512e8be1c7" />
<resource>
<QuestionnaireResponse>
<id value="51379f94-053f-3338-831e-bd512e8be1c7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHEVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHEVD" />
<status value="completed" />
<subject>
<reference value="Patient/bba36c43-bbcd-37c8-8313-3f3eae52081a" />
</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/d725011c-c4db-326d-83d7-1d67c3bcc472" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="infectionRiskKindGroup" />
<item>
<linkId value="infectionRiskKindJob" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="34484007" />
<display value="Förster/-in, Waldarbeiter /-in" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionRiskKindAnimal" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="78678003" />
<display value="Wildschwein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionRiskKindOther" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="289925000" />
<display value="Müll" />
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="74964007" />
<display value="andere/sonstige" />
</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>