# Beispiel Erkrankungsmeldevorgang HDVD

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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHDVD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="2991c336-a5a9-451a-9233-7c6efdaee7ce" />
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<status value="final" />
<type>
<coding>
<system value="http://loinc.org" />
<code value="34782-3" />
<display value="Infectious disease Note" />
</coding>
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<category>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/notificationType" />
<code value="6.1_2" />
<display value="Meldung gemäß §6 Absatz 1, 2" />
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<subject>
<reference value="Patient/23f0f78f-528b-3213-becb-1bd9170f5257" />
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<date value="2023-04-10T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/d2ce1086-f989-3986-b835-f290627b5f9f" />
</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/12ad2b92-b9ac-3695-93a3-0cb8799394b7" />
</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/f63fc78d-a340-3dd4-9fa9-3a00306a9fac" />
</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/909599d1-4fe4-3e4e-8c40-4469304234d9" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/7b327712-62b7-3448-9172-fd4e34fe69c4" />
<resource>
<Organization>
<id value="7b327712-62b7-3448-9172-fd4e34fe69c4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Martin Luther Hospital" />
<address>
<line value="Havelchaussee. 93" />
<city value="Berlin" />
<postalCode value="13597" />
<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/23f0f78f-528b-3213-becb-1bd9170f5257" />
<resource>
<Patient>
<id value="23f0f78f-528b-3213-becb-1bd9170f5257" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Schiffer" />
<given value="Manfred" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="mrmanfred@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="1960-02-25" />
<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/7b327712-62b7-3448-9172-fd4e34fe69c4" />
</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="Kuchenstr. 18" />
<city value="Berlin" />
<postalCode value="10551" />
<country value="DE" />
</address>
</Patient>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Condition/12ad2b92-b9ac-3695-93a3-0cb8799394b7" />
<resource>
<Condition>
<id value="12ad2b92-b9ac-3695-93a3-0cb8799394b7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHDVD" />
</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="hdvd" />
<display value="Hepatitis D" />
</coding>
</code>
<subject>
<reference value="Patient/23f0f78f-528b-3213-becb-1bd9170f5257" />
</subject>
<onsetDateTime value="2023-04-10" />
<recordedDate value="2023-04-10" />
<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>
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<fullUrl value="https://demis.rki.de/fhir/Organization/7c0fb24d-eee9-4720-8224-99da6c42d5f6" />
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<Organization>
<id value="7c0fb24d-eee9-4720-8224-99da6c42d5f6" />
<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="Martin Luther Hospital - Meldestandort" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Havelchaussee 93" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/d2ce1086-f989-3986-b835-f290627b5f9f" />
<resource>
<PractitionerRole>
<id value="d2ce1086-f989-3986-b835-f290627b5f9f" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/7c0fb24d-eee9-4720-8224-99da6c42d5f6" />
</organization>
</PractitionerRole>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/95479da8-412c-4f8a-becf-cab726208ec1" />
<resource>
<Organization>
<id value="95479da8-412c-4f8a-becf-cab726208ec1" />
<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/5d745d9b-a165-3931-b8ef-097947cbe336" />
<resource>
<Encounter>
<id value="5d745d9b-a165-3931-b8ef-097947cbe336" />
<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/23f0f78f-528b-3213-becb-1bd9170f5257" />
</subject>
<period>
<start value="2023-04-10" />
</period>
<serviceProvider>
<reference value="Organization/7b327712-62b7-3448-9172-fd4e34fe69c4" />
</serviceProvider>
</Encounter>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/f63fc78d-a340-3dd4-9fa9-3a00306a9fac" />
<resource>
<QuestionnaireResponse>
<id value="f63fc78d-a340-3dd4-9fa9-3a00306a9fac" />
<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/23f0f78f-528b-3213-becb-1bd9170f5257" />
</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/95479da8-412c-4f8a-becf-cab726208ec1" />
</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/5d745d9b-a165-3931-b8ef-097947cbe336" />
</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="Hängt Zusammen mit Meldung d0ddf26c-ce55-4f94-8504-29a761ea1b8a" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/909599d1-4fe4-3e4e-8c40-4469304234d9" />
<resource>
<QuestionnaireResponse>
<id value="909599d1-4fe4-3e4e-8c40-4469304234d9" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHDVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHDVD" />
<status value="completed" />
<subject>
<reference value="Patient/23f0f78f-528b-3213-becb-1bd9170f5257" />
</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="coinfection" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="235869004" />
<display value="Simultaninfektion mit HBV, chronische Infektion" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
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