# Beispiel Erkrankungsmeldevorgang HTVD

<Bundle xmlns="http://hl7.org/fhir">
<id value="743a77de-3313-3151-a714-ad40ecb3e174" />
<meta>
<lastUpdated value="2023-04-15T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="166dc81e-5634-3d36-bc1b-07e512627e0b" />
</identifier>
<type value="document" />
<timestamp value="2023-04-15T09:50:00.000+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/35e07351-d5b3-3e24-97a7-addfe5210c41" />
<resource>
<Composition>
<id value="35e07351-d5b3-3e24-97a7-addfe5210c41" />
<meta>
<lastUpdated value="2023-04-15T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHTVD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="71617205-ea01-4ace-a476-f7a788548af6" />
</identifier>
<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/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
</subject>
<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/878575ea-87d6-37f6-a064-3da576c7ea4f" />
</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/c51ffefd-2da7-3b0b-b6a9-7e5b069141d0" />
</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/976abd9f-9c13-38b7-85de-2e1e51a9c1ea" />
</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/17a5339d-f142-3388-bc3f-fc8e16ba7076" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
<resource>
<Organization>
<id value="8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Martin Luther Hospital - Meldezentrale" />
<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/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
<resource>
<Patient>
<id value="ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Brenner" />
<given value="Simon" />
</name>
<telecom>
<system value="phone" />
<value value="0305561478433" />
</telecom>
<telecom>
<system value="email" />
<value value="mr.brenner@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="2000-02-01" />
<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/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
</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="Uhlandstr. 118" />
<city value="Berlin" />
<postalCode value="10717" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/c51ffefd-2da7-3b0b-b6a9-7e5b069141d0" />
<resource>
<Condition>
<id value="c51ffefd-2da7-3b0b-b6a9-7e5b069141d0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHTVD" />
</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="htvd" />
<display value="Hantavirus-Erkrankung" />
</coding>
</code>
<subject>
<reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
</subject>
<onsetDateTime value="2023-04-15" />
<recordedDate value="2023-04-15" />
<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="74474003" />
<display value="Blutung gastrointestinal" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="302227002" />
<display value="Hauteinblutung, Ekchymosen" />
</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>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/abe66c33-e3d2-4671-b592-4cd89d387218" />
<resource>
<Organization>
<id value="abe66c33-e3d2-4671-b592-4cd89d387218" />
<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/878575ea-87d6-37f6-a064-3da576c7ea4f" />
<resource>
<PractitionerRole>
<id value="878575ea-87d6-37f6-a064-3da576c7ea4f" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/abe66c33-e3d2-4671-b592-4cd89d387218" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/00129cb3-edc3-402d-9cab-0099e0a7ed3a" />
<resource>
<Organization>
<id value="00129cb3-edc3-402d-9cab-0099e0a7ed3a" />
<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/18a4e04e-6e70-3e35-8a88-74ff24ac5b63" />
<resource>
<Encounter>
<id value="18a4e04e-6e70-3e35-8a88-74ff24ac5b63" />
<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/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
</subject>
<period>
<start value="2020-04-15" />
</period>
<serviceProvider>
<reference value="Organization/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/b1ab1b52-2cc8-3a52-bdbc-ae05aa50deff" />
<resource>
<Encounter>
<id value="b1ab1b52-2cc8-3a52-bdbc-ae05aa50deff" />
<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="3600" />
<display value="Intensivmedizin" />
</coding>
</serviceType>
<subject>
<reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
</subject>
<period>
<start value="2023-04-15" />
</period>
<serviceProvider>
<reference value="Organization/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/976abd9f-9c13-38b7-85de-2e1e51a9c1ea" />
<resource>
<QuestionnaireResponse>
<id value="976abd9f-9c13-38b7-85de-2e1e51a9c1ea" />
<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/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
</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/00129cb3-edc3-402d-9cab-0099e0a7ed3a" />
</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/18a4e04e-6e70-3e35-8a88-74ff24ac5b63" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/b1ab1b52-2cc8-3a52-bdbc-ae05aa50deff" />
</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="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="placeExposureGroup" />
<item>
<linkId value="placeExposureBegin" />
<answer>
<valueDate value="2023-02-10" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-04-10" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="11008315" />
<display value="LK Breisgau-Hochschwarzwald" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Im Rahmen der Ausbildung, viel Zeit im Wald." />
</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>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/17a5339d-f142-3388-bc3f-fc8e16ba7076" />
<resource>
<QuestionnaireResponse>
<id value="17a5339d-f142-3388-bc3f-fc8e16ba7076" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHTVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHTVD" />
<status value="completed" />
<subject>
<reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
</subject>
<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>
<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>