# Beispiel Erkrankungsmeldevorgang OPXD

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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/NotificationDiseaseOPXD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="046eb2c0-b084-4cd2-b32d-07359922484d" />
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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" />
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<reference value="Patient/efc8af49-6607-3e05-9e3b-affd647857a9" />
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<date value="2023-06-08T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/6ccb050d-e93b-3783-8519-35d9bdbb5258" />
</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/e7949a8e-c4be-3ea0-883f-f6f98d5e60cb" />
</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/6de61863-39b8-3b9f-8d52-376dbf72832c" />
</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/f403116b-4b26-3375-9b24-c39abfffba2e" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/c337ada9-2a38-3d83-8585-ffaa7f847ee5" />
<resource>
<Organization>
<id value="c337ada9-2a38-3d83-8585-ffaa7f847ee5" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Kipling Klinikum – Meldezentrale" />
<address>
<line value="Regenwald Chaussee 67" />
<city value="Berlin" />
<postalCode value="10942" />
<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/efc8af49-6607-3e05-9e3b-affd647857a9" />
<resource>
<Patient>
<id value="efc8af49-6607-3e05-9e3b-affd647857a9" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Müller" />
<given value="Gustav" />
</name>
<gender value="male" />
<birthDate value="1986-04-01" />
<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/c337ada9-2a38-3d83-8585-ffaa7f847ee5" />
</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="Heerstr. 1" />
<city value="Berlin" />
<postalCode value="14052" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/e7949a8e-c4be-3ea0-883f-f6f98d5e60cb" />
<resource>
<Condition>
<id value="e7949a8e-c4be-3ea0-883f-f6f98d5e60cb" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseOPXD" />
</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="opxd" />
<display value="Orthopocken (andere)" />
</coding>
</code>
<subject>
<reference value="Patient/efc8af49-6607-3e05-9e3b-affd647857a9" />
</subject>
<onsetDateTime value="2023-06-04" />
<recordedDate value="2023-06-08" />
<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="271807003" />
<display value="Hautausschlag" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="276320009" />
<display value="Schleimhautläsion" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="30746006" />
<display value="Lymphknotenschwellung" />
</coding>
</code>
</evidence>
</Condition>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/2181cbf2-ce56-446b-a7c0-40ba59ea5198" />
<resource>
<Organization>
<id value="2181cbf2-ce56-446b-a7c0-40ba59ea5198" />
<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="Kipling Klinikum" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Regenwald Chaussee 67" />
<city value="Berlin" />
<postalCode value="10942" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/6ccb050d-e93b-3783-8519-35d9bdbb5258" />
<resource>
<PractitionerRole>
<id value="6ccb050d-e93b-3783-8519-35d9bdbb5258" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/2181cbf2-ce56-446b-a7c0-40ba59ea5198" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/6f787a28-b2be-4ff0-bf05-1328176ac50e" />
<resource>
<Organization>
<id value="6f787a28-b2be-4ff0-bf05-1328176ac50e" />
<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/640f8cb2-a502-3b59-93a7-2078bd038083" />
<resource>
<Encounter>
<id value="640f8cb2-a502-3b59-93a7-2078bd038083" />
<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/efc8af49-6607-3e05-9e3b-affd647857a9" />
</subject>
<period>
<start value="2023-06-07" />
</period>
<serviceProvider>
<reference value="Organization/c337ada9-2a38-3d83-8585-ffaa7f847ee5" />
</serviceProvider>
</Encounter>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/43b3e7ed-2cc0-3e6a-b99a-c266c494ccdf" />
<resource>
<Encounter>
<id value="43b3e7ed-2cc0-3e6a-b99a-c266c494ccdf" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<extension url="https://demis.rki.de/fhir/StructureDefinition/HospitalizationNote">
<valueString value="." />
</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/efc8af49-6607-3e05-9e3b-affd647857a9" />
</subject>
<period>
<start value="2023-06-07" />
</period>
<serviceProvider>
<reference value="Organization/c337ada9-2a38-3d83-8585-ffaa7f847ee5" />
</serviceProvider>
</Encounter>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/6de61863-39b8-3b9f-8d52-376dbf72832c" />
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<QuestionnaireResponse>
<id value="6de61863-39b8-3b9f-8d52-376dbf72832c" />
<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/efc8af49-6607-3e05-9e3b-affd647857a9" />
</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/6f787a28-b2be-4ff0-bf05-1328176ac50e" />
</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/640f8cb2-a502-3b59-93a7-2078bd038083" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/43b3e7ed-2cc0-3e6a-b99a-c266c494ccdf" />
</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="2023-05-29" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-06-03" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="11014521" />
<display value="LK Erzgebirgskreis" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Waldexkursion, Kontakt zu Wildratte. Ist Jäger." />
</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/f403116b-4b26-3375-9b24-c39abfffba2e" />
<resource>
<QuestionnaireResponse>
<id value="f403116b-4b26-3375-9b24-c39abfffba2e" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationOPXD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsOPXD" />
<status value="completed" />
<subject>
<reference value="Patient/efc8af49-6607-3e05-9e3b-affd647857a9" />
</subject>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000:{704326004=424681004}" />
<display value="Kontakt zu infiziertem Tier" />
</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>
</Bundle>