# Beispiel Erkrankungsmeldevorgang PKVD

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<lastUpdated value="2023-04-06T09:50:00.000+01:00" />
<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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<lastUpdated value="2023-04-06T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseasePKVD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="1bf6b991-8d9c-4613-9f6e-784b0be0c855" />
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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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<subject>
<reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</subject>
<date value="2023-04-06T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/46dec16b-4a8b-3387-ad8a-bcb55879070e" />
</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/4682ed0d-2a0b-3e51-bff7-37df546c7748" />
</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/0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" />
</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/0b2f24e4-b05e-3bef-9f54-a615340d9644" />
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</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
<resource>
<Organization>
<id value="e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Fleming Krankenhaus – 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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
<resource>
<Patient>
<id value="a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Gutierrez" />
<given value="Michelle" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="bb@hfksjfhdaksljdfhsakl.de" />
</telecom>
<gender value="female" />
<birthDate value="1978-06-08" />
<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/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
</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="Bertolt-Brecht-Platz 1" />
<city value="Berlin" />
<postalCode value="10117" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/4682ed0d-2a0b-3e51-bff7-37df546c7748" />
<resource>
<Condition>
<id value="4682ed0d-2a0b-3e51-bff7-37df546c7748" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseasePKVD" />
</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="pkvd" />
<display value="Pocken" />
</coding>
</code>
<subject>
<reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</subject>
<onsetDateTime value="2023-03-05" />
<recordedDate value="2023-04-06" />
<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="95324001" />
<display value="Hautläsion" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="66857006" />
<display value="Bluthusten (Hämoptysen)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="302227002" />
<display value="Hauteinblutung, Ekchymosen" />
</coding>
</code>
</evidence>
</Condition>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" />
<resource>
<Immunization>
<id value="a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationPKVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="871727001" />
<display value="MVA-Impfstoff (Imvanex oder Jynneos; Drittgenerationsimpfstoff)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</patient>
<occurrenceDateTime value="2022-12-20" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/099f0a3c-4182-354f-9edc-f58cfa229eb4" />
<resource>
<Immunization>
<id value="099f0a3c-4182-354f-9edc-f58cfa229eb4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationPKVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="871727001" />
<display value="MVA-Impfstoff (Imvanex oder Jynneos; Drittgenerationsimpfstoff)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</patient>
<occurrenceDateTime value="2023-01-18" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/0c824df6-eda0-11ed-a05b-0242ac120003" />
<resource>
<Organization>
<id value="0c824df6-eda0-11ed-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="Fleming Krankenhaus" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Am Alexanderplatz 42" />
<city value="Berlin" />
<postalCode value="10179" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/46dec16b-4a8b-3387-ad8a-bcb55879070e" />
<resource>
<PractitionerRole>
<id value="46dec16b-4a8b-3387-ad8a-bcb55879070e" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/0c824df6-eda0-11ed-a05b-0242ac120003" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/13e7d8e0-eda0-11ed-a05b-0242ac120003" />
<resource>
<Organization>
<id value="13e7d8e0-eda0-11ed-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/Organization/ad525a02-eda3-11ed-a05b-0242ac120003" />
<resource>
<Organization>
<id value="ad525a02-eda3-11ed-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" />
<display value="Krankenhauslabor" />
</coding>
</type>
<name value="Fleming-Krankenhaus – Hochsicherheitslabor" />
<address>
<line value="Am Alexanderplatz 42" />
<postalCode value="10179" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/701cc0c1-ef69-37ea-ad1c-8e59caf72182" />
<resource>
<Encounter>
<id value="701cc0c1-ef69-37ea-ad1c-8e59caf72182" />
<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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</subject>
<period>
<start value="2023-04-06" />
</period>
<serviceProvider>
<reference value="Organization/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" />
<resource>
<QuestionnaireResponse>
<id value="0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" />
<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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</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/13e7d8e0-eda0-11ed-a05b-0242ac120003" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="hospitalized" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/701cc0c1-ef69-37ea-ad1c-8e59caf72182" />
</valueReference>
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="infectProtectFacility" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="infectProtectFacilityGroup" />
<item>
<linkId value="infectProtectFacilityBegin" />
<answer>
<valueDate value="2023-03-31" />
</answer>
</item>
<item>
<linkId value="infectProtectFacilityRole" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationAssociation" />
<code value="employment" />
<display value="Tätigkeit" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectProtectFacilityOrganization" />
<answer>
<valueReference>
<reference value="Organization/ad525a02-eda3-11ed-a05b-0242ac120003" />
</valueReference>
</answer>
</item>
</item>
</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="Laborunfall auf Arbeit mit Hochpathogenem Variolavirus." />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/0b2f24e4-b05e-3bef-9f54-a615340d9644" />
<resource>
<QuestionnaireResponse>
<id value="0b2f24e4-b05e-3bef-9f54-a615340d9644" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationPKVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsPKVD" />
<status value="completed" />
<subject>
<reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
</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/a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/099f0a3c-4182-354f-9edc-f58cfa229eb4" />
</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>
</Bundle>