# Beispiel Erkrankungsmeldevorgang SSPD

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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseSSPD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="98a864a1-f54b-4dda-ac95-e61ff1d1f0c7" />
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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>
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<reference value="Patient/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
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<date value="2023-03-20T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/a40f20e9-3825-317d-a06b-5b52387a5df6" />
</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/e28dc57f-fdb9-3e2b-808a-8398075d5aa5" />
</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/6368165a-62a5-3101-b961-59821aa23baa" />
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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/b3c783f9-8bc7-3f23-81e2-c61d0a0fb034" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
<resource>
<Patient>
<id value="2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Bäcker" />
<given value="Paula" />
</name>
<telecom>
<system value="phone" />
<value value="03044948433" />
</telecom>
<telecom>
<system value="email" />
<value value="paula.isst.baeck@gmehl.de" />
</telecom>
<gender value="female" />
<birthDate value="1979-08-02" />
<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="Diagonalallee 414" />
<city value="Berlin" />
<postalCode value="10179" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/e28dc57f-fdb9-3e2b-808a-8398075d5aa5" />
<resource>
<Condition>
<id value="e28dc57f-fdb9-3e2b-808a-8398075d5aa5" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseSSPD" />
</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="sspd" />
<display value="Subakute sklerosierende Panenzephalitis" />
</coding>
</code>
<subject>
<reference value="Patient/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
</subject>
<onsetDateTime value="2023-03-20" />
<recordedDate value="2023-03-20" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="102943000" />
<display value="Persönlichkeitsveränderungen (z.B. Reizbarkeit)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="224398005" />
<display value="Rückgang der Leistungen in Ausbildung oder Beruf" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="17450006" />
<display value="Myoklonien" />
</coding>
</code>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/d8f8f50e-bd1a-327b-b768-e4ce3cef64bf" />
<resource>
<Immunization>
<id value="d8f8f50e-bd1a-327b-b768-e4ce3cef64bf" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationSSPD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="2241000221103" />
<display value="Masern-Mumps-Röteln-Lebendvirusimpfstoff (Priorix,M-M-RVAXPRO)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
</patient>
<occurrenceDateTime value="1988-09-10" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/7f8b8d88-7be0-32ce-b541-17e134565387" />
<resource>
<Immunization>
<id value="7f8b8d88-7be0-32ce-b541-17e134565387" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationSSPD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="2241000221103" />
<display value="Masern-Mumps-Röteln-Lebendvirusimpfstoff (Priorix,M-M-RVAXPRO)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
</patient>
<occurrenceDateTime value="1988-10-20" />
<note>
<text value="-" />
</note>
</Immunization>
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<fullUrl value="https://demis.rki.de/fhir/Organization/ac258f9e-ed96-11ed-a05b-0242ac120003" />
<resource>
<Organization>
<id value="ac258f9e-ed96-11ed-a05b-0242ac120003" />
<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="Heftinger Ambulanz – Notaufnahme" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<use value="work" />
</telecom>
<address>
<line value="Loter Straße 7" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
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<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/a40f20e9-3825-317d-a06b-5b52387a5df6" />
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<PractitionerRole>
<id value="a40f20e9-3825-317d-a06b-5b52387a5df6" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/ac258f9e-ed96-11ed-a05b-0242ac120003" />
</organization>
</PractitionerRole>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/a3ae9ec8-ed96-11ed-a05b-0242ac120003" />
<resource>
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<id value="a3ae9ec8-ed96-11ed-a05b-0242ac120003" />
<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/QuestionnaireResponse/6368165a-62a5-3101-b961-59821aa23baa" />
<resource>
<QuestionnaireResponse>
<id value="6368165a-62a5-3101-b961-59821aa23baa" />
<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/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
</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/a3ae9ec8-ed96-11ed-a05b-0242ac120003" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="hospitalized" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="no" />
<display value="Nein" />
</valueCoding>
</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>
</QuestionnaireResponse>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/b3c783f9-8bc7-3f23-81e2-c61d0a0fb034" />
<resource>
<QuestionnaireResponse>
<id value="b3c783f9-8bc7-3f23-81e2-c61d0a0fb034" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationSSPD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsSSPD" />
<status value="completed" />
<subject>
<reference value="Patient/2a64e4ad-b0c9-3a90-a2aa-4b66e393a16a" />
</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/d8f8f50e-bd1a-327b-b768-e4ce3cef64bf" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/7f8b8d88-7be0-32ce-b541-17e134565387" />
</valueReference>
</answer>
</item>
</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>
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