# Beispiel Erkrankungsmeldevorgang DEND

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<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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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseDEND" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="d3a85b6f-101e-4205-a71c-c3aba431e2d5" />
</identifier>
<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/f3746628-1021-321c-a322-500bdd3c1fb8" />
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<date value="2023-03-10T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/5f88681b-86dd-300d-83c6-a6fd15195df6" />
</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/3a4c40c9-91a9-38e1-bbd3-6088c625de66" />
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</section>
<section>
<title value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
<code>
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<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/49fce338-76df-3fd2-97a4-b3ba1532a86d" />
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</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/fd6ffe79-df33-3097-95c1-9c4ff15b1885" />
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</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/396f5738-6883-3344-a378-897806a6ee79" />
<resource>
<Organization>
<id value="396f5738-6883-3344-a378-897806a6ee79" />
<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/f3746628-1021-321c-a322-500bdd3c1fb8" />
<resource>
<Patient>
<id value="f3746628-1021-321c-a322-500bdd3c1fb8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Burg" />
<given value="Gregor" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="gburg@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="1991-12-30" />
<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/396f5738-6883-3344-a378-897806a6ee79" />
</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="Inselstr. 34" />
<city value="Berlin" />
<postalCode value="14129" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/3a4c40c9-91a9-38e1-bbd3-6088c625de66" />
<resource>
<Condition>
<id value="3a4c40c9-91a9-38e1-bbd3-6088c625de66" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseDEND" />
</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="dend" />
<display value="Denguefieber" />
</coding>
</code>
<subject>
<reference value="Patient/f3746628-1021-321c-a322-500bdd3c1fb8" />
</subject>
<onsetDateTime value="2023-03-08" />
<recordedDate value="2023-03-10" />
<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="271813007" />
<display value="Hauteinblutung, Petechien" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="387778001" />
<display value="Hauteinblutung, Purpura" />
</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>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="389026000:42752001=166778002" />
<display value="Anzeichen für Plasmaaustritt (Aszites)" />
</coding>
</code>
</evidence>
<note>
<text value="-" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/1e0abafb-eb2d-3e35-8a80-27144432ea91" />
<resource>
<Immunization>
<id value="1e0abafb-eb2d-3e35-8a80-27144432ea91" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationDEND" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="871720004" />
<display value="Tetravalenter Dengue-Impfstoff (lebend, attenuiert) (Qdenga)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/f3746628-1021-321c-a322-500bdd3c1fb8" />
</patient>
<occurrenceDateTime value="2022-05-01" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/01182196-4efc-3a1a-857e-2f16fce4dabc" />
<resource>
<Immunization>
<id value="01182196-4efc-3a1a-857e-2f16fce4dabc" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationDEND" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="871720004" />
<display value="Tetravalenter Dengue-Impfstoff (lebend, attenuiert) (Qdenga)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/f3746628-1021-321c-a322-500bdd3c1fb8" />
</patient>
<occurrenceDateTime value="2022-08-12" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/9d6c3dcd-cba3-4fcc-9eae-6b7b19e60148" />
<resource>
<Organization>
<id value="9d6c3dcd-cba3-4fcc-9eae-6b7b19e60148" />
<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/5f88681b-86dd-300d-83c6-a6fd15195df6" />
<resource>
<PractitionerRole>
<id value="5f88681b-86dd-300d-83c6-a6fd15195df6" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/9d6c3dcd-cba3-4fcc-9eae-6b7b19e60148" />
</organization>
</PractitionerRole>
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<fullUrl value="https://demis.rki.de/fhir/Organization/e36c2993-c742-45ee-ac99-47a73ca29eeb" />
<resource>
<Organization>
<id value="e36c2993-c742-45ee-ac99-47a73ca29eeb" />
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</meta>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="othPrivatLab" />
</coding>
</type>
<name value="Labor 123" />
<telecom>
<system value="phone" />
<value value="030983211" />
<use value="work" />
</telecom>
<address>
<line value="Laborstr. 321" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/caa38410-6417-3aba-a30e-b3e0c2df71fe" />
<resource>
<Encounter>
<id value="caa38410-6417-3aba-a30e-b3e0c2df71fe" />
<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/f3746628-1021-321c-a322-500bdd3c1fb8" />
</subject>
<period>
<start value="2023-03-10" />
</period>
<serviceProvider>
<reference value="Organization/396f5738-6883-3344-a378-897806a6ee79" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/d4072f78-2cbd-3c49-ac07-cf9c9be9812d" />
<resource>
<Encounter>
<id value="d4072f78-2cbd-3c49-ac07-cf9c9be9812d" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<extension url="https://demis.rki.de/fhir/StructureDefinition/HospitalizationNote">
<valueString value="Sehr schlechter Zustand." />
</extension>
<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/f3746628-1021-321c-a322-500bdd3c1fb8" />
</subject>
<period>
<start value="2023-03-12" />
</period>
<serviceProvider>
<reference value="Organization/396f5738-6883-3344-a378-897806a6ee79" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/49fce338-76df-3fd2-97a4-b3ba1532a86d" />
<resource>
<QuestionnaireResponse>
<id value="49fce338-76df-3fd2-97a4-b3ba1532a86d" />
<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/f3746628-1021-321c-a322-500bdd3c1fb8" />
</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/e36c2993-c742-45ee-ac99-47a73ca29eeb" />
</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/caa38410-6417-3aba-a30e-b3e0c2df71fe" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/d4072f78-2cbd-3c49-ac07-cf9c9be9812d" />
</valueReference>
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="infectProtectFacility" />
<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="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="2022-09-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-02-23" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000519" />
<display value="Französisch Polynesien" />
</valueCoding>
</answer>
</item>
</item>
</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="Hatte 2019 bereits Denguefieber" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/fd6ffe79-df33-3097-95c1-9c4ff15b1885" />
<resource>
<QuestionnaireResponse>
<id value="fd6ffe79-df33-3097-95c1-9c4ff15b1885" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationDEND" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsDEND" />
<status value="completed" />
<subject>
<reference value="Patient/f3746628-1021-321c-a322-500bdd3c1fb8" />
</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/1e0abafb-eb2d-3e35-8a80-27144432ea91" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/01182196-4efc-3a1a-857e-2f16fce4dabc" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="outbreak" />
<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>
</Bundle>