# Beispiel Erkrankungsmeldevorgang MSVD

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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseMSVD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="44126558-9da5-11ed-a8fc-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>
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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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<reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" />
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<date value="2023-01-26T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/879e1f6c-e7c2-3ff6-8c6f-17159736624b" />
</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/28655d7c-730c-3bed-b3df-a1ac66f2d12e" />
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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>
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<reference value="QuestionnaireResponse/e543171f-b479-38d4-bffa-409cb0fdb68d" />
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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/1b598a63-0a0b-333c-97fc-4221753ce6b4" />
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<fullUrl value="https://demis.rki.de/fhir/Organization/2077f603-7e5f-307f-8168-9bf3c9165d7d" />
<resource>
<Organization>
<id value="2077f603-7e5f-307f-8168-9bf3c9165d7d" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Kinderstation des Westens" />
<address>
<line value="Jung-Straße 90" />
<city value="Berlin" />
<postalCode value="12472" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Herz" />
<given value="Sophia" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/31bbeda4-f814-3898-b386-de581e237bf8" />
<resource>
<Patient>
<id value="31bbeda4-f814-3898-b386-de581e237bf8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Zimmer" />
<given value="Hänschen" />
</name>
<gender value="male" />
<birthDate value="2021-06-15" />
<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/2077f603-7e5f-307f-8168-9bf3c9165d7d" />
</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="Kleiner Weg 44" />
<city value="Berlin" />
<postalCode value="12748" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/28655d7c-730c-3bed-b3df-a1ac66f2d12e" />
<resource>
<Condition>
<id value="28655d7c-730c-3bed-b3df-a1ac66f2d12e" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseMSVD" />
</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="msvd" />
<display value="Masern" />
</coding>
</code>
<subject>
<reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" />
</subject>
<onsetDateTime value="2023-01-20" />
<recordedDate value="2023-01-26" />
<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="64611009" />
<display value="wässriger Schnupfen (Katarrh)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="247471006:363698007=181469002" />
<display value="Hautausschlag, generalisiert, makulopapulös" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="193894004" />
<display value="Rötung der Bindehaut" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="233604007" />
<display value="Lungenentzündung (Pneumonie)" />
</coding>
</code>
</evidence>
<note>
<text value="-" />
</note>
</Condition>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/a0618b8c-b019-3c5d-ae03-840ac5140c42" />
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<Immunization>
<id value="a0618b8c-b019-3c5d-ae03-840ac5140c42" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationMSVD" />
</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/31bbeda4-f814-3898-b386-de581e237bf8" />
</patient>
<occurrenceDateTime value="2022-04-20" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/a9cdd090-9da4-11ed-a8fc-0242ac120002" />
<resource>
<Organization>
<id value="a9cdd090-9da4-11ed-a8fc-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="Kinderstation des Westens – Meldestandort" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<use value="work" />
</telecom>
<address>
<line value="Jung-Straße 90" />
<city value="Berlin" />
<postalCode value="12472" />
<country value="DE" />
</address>
</Organization>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/879e1f6c-e7c2-3ff6-8c6f-17159736624b" />
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<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
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<organization>
<reference value="Organization/a9cdd090-9da4-11ed-a8fc-0242ac120002" />
</organization>
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<id value="a1241d6e-9da4-11ed-a8fc-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="Westseitenlabor" />
<telecom>
<system value="phone" />
<value value="098725684" />
<use value="work" />
</telecom>
<address>
<line value="Jung-Straße 92" />
<city value="Berlin" />
<postalCode value="12472" />
<country value="DE" />
</address>
</Organization>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/ffb09c69-de71-3233-ba3d-f4e977fc7550" />
<resource>
<Encounter>
<id value="ffb09c69-de71-3233-ba3d-f4e977fc7550" />
<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="1000" />
<display value="Pädiatrie" />
</coding>
</serviceType>
<subject>
<reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" />
</subject>
<period>
<start value="2023-01-26" />
</period>
<serviceProvider>
<reference value="Organization/2077f603-7e5f-307f-8168-9bf3c9165d7d" />
</serviceProvider>
</Encounter>
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<id value="e543171f-b479-38d4-bffa-409cb0fdb68d" />
<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/31bbeda4-f814-3898-b386-de581e237bf8" />
</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/a1241d6e-9da4-11ed-a8fc-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/ffb09c69-de71-3233-ba3d-f4e977fc7550" />
</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="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="-" />
</answer>
</item>
</QuestionnaireResponse>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/1b598a63-0a0b-333c-97fc-4221753ce6b4" />
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<QuestionnaireResponse>
<id value="1b598a63-0a0b-333c-97fc-4221753ce6b4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationMSVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsMSVD" />
<status value="completed" />
<subject>
<reference value="Patient/31bbeda4-f814-3898-b386-de581e237bf8" />
</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/a0618b8c-b019-3c5d-ae03-840ac5140c42" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="onsetOfExanthem" />
<answer>
<valueDate value="2023-01-27" />
</answer>
</item>
<item>
<linkId value="pregnancy" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="no" />
<display value="Nein" />
</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>
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