# Beispiel Erkrankungsmeldevorgang BPSD

<Bundle xmlns="http://hl7.org/fhir">
<id value="76b46a3e-0252-34f0-8e92-a938504bad18" />
<meta>
<lastUpdated value="2023-03-04T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="926503d4-5e4a-381c-b918-bad334b91c6a" />
</identifier>
<type value="document" />
<timestamp value="2023-03-04T09:50:00.000+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/71c19d66-c389-3bb4-8480-7235e69dbad5" />
<resource>
<Composition>
<id value="71c19d66-c389-3bb4-8480-7235e69dbad5" />
<meta>
<lastUpdated value="2023-03-04T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseBPSD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="5ac97808-598e-49bb-a169-31b2f2c93c11" />
</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/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</subject>
<date value="2023-03-04T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/454af0c9-6d4e-3ab7-8f7c-9aff68abb1b1" />
</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/7633f28a-bbb6-304c-b470-2b9b0145136d" />
</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/953cb096-b00b-370c-a85a-9dec938302d4" />
</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/168bf6df-e76f-3df4-9f6f-319c7d61f334" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
<resource>
<Patient>
<id value="7fe61086-24d7-3ffa-9657-65eb23aa7593" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Müller" />
<given value="Felizitas" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<gender value="female" />
<birthDate value="2017-02-15" />
<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="Gaussstr. 22" />
<city value="Berlin" />
<postalCode value="10412" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/7633f28a-bbb6-304c-b470-2b9b0145136d" />
<resource>
<Condition>
<id value="7633f28a-bbb6-304c-b470-2b9b0145136d" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseBPSD" />
</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="bpsd" />
<display value="Keuchhusten" />
</coding>
</code>
<subject>
<reference value="Patient/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</subject>
<onsetDateTime value="2023-02-17" />
<recordedDate value="2023-03-04" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="284523002" />
<display value="Husten von mehr als 14 Tagen Dauer" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="58596002" />
<display value="Atemgeräusch, inspiratorisches Stridor" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/63be02c6-e582-33d2-9cb4-6cae05e55793" />
<resource>
<Immunization>
<id value="63be02c6-e582-33d2-9cb4-6cae05e55793" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationBPSD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1162634005" />
<display value="Impfstoffprodukt nur mit Bordetella-pertussis- und Clostridium-tetani- und Corynebacterium-diphtheriae- und Haemophilus-influenzae-b- und Hepatitis-B-Virus- und Humanes-Poliovirus-Antigenen (Hexyon, Hexacima, Infanrix hexa, Vaxelis, Hexavac)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</patient>
<occurrenceDateTime value="2017-04-21" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/0b8ddeee-de7a-3dba-a1a5-d7ad12821672" />
<resource>
<Immunization>
<id value="0b8ddeee-de7a-3dba-a1a5-d7ad12821672" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationBPSD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1162634005" />
<display value="Impfstoffprodukt nur mit Bordetella-pertussis- und Clostridium-tetani- und Corynebacterium-diphtheriae- und Haemophilus-influenzae-b- und Hepatitis-B-Virus- und Humanes-Poliovirus-Antigenen (Hexyon, Hexacima, Infanrix hexa, Vaxelis, Hexavac)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</patient>
<occurrenceDateTime value="2017-06-23" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/5864c0af-6f3e-3832-b0bf-fc6ca656ea26" />
<resource>
<Immunization>
<id value="5864c0af-6f3e-3832-b0bf-fc6ca656ea26" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationBPSD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1162634005" />
<display value="Impfstoffprodukt nur mit Bordetella-pertussis- und Clostridium-tetani- und Corynebacterium-diphtheriae- und Haemophilus-influenzae-b- und Hepatitis-B-Virus- und Humanes-Poliovirus-Antigenen (Hexyon, Hexacima, Infanrix hexa, Vaxelis, Hexavac)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</patient>
<occurrenceDateTime value="2018-01-21" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/128fa1fe-c264-406a-82a1-c74f4ae140ff" />
<resource>
<Organization>
<id value="128fa1fe-c264-406a-82a1-c74f4ae140ff" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" />
</meta>
<identifier>
<system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" />
<value value="987653400" />
</identifier>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="physicianOffice" />
</coding>
</type>
<name value="Kinderarztpraxis Dr. Tröstesehr" />
<telecom>
<system value="phone" />
<value value="0308976543210" />
<use value="work" />
</telecom>
<address>
<line value="Arztweg 321a" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/454af0c9-6d4e-3ab7-8f7c-9aff68abb1b1" />
<resource>
<PractitionerRole>
<id value="454af0c9-6d4e-3ab7-8f7c-9aff68abb1b1" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/128fa1fe-c264-406a-82a1-c74f4ae140ff" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/e9ce0573-935b-43b8-9780-d768890a92f2" />
<resource>
<Organization>
<id value="e9ce0573-935b-43b8-9780-d768890a92f2" />
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</meta>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="othPrivatLab" />
</coding>
</type>
<name value="Labor 123" />
<telecom>
<system value="phone" />
<value value="030983211" />
<use value="work" />
</telecom>
<address>
<line value="Laborstr. 321" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/b16d7ec1-d620-4bcc-9908-43371976aaba" />
<resource>
<Organization>
<id value="b16d7ec1-d620-4bcc-9908-43371976aaba" />
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</meta>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="school" />
<display value="Schule o.ä." />
</coding>
</type>
<name value="Lukasgemeinde Schule" />
<address>
<line value="Inselstr. 23" />
<postalCode value="10412" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/953cb096-b00b-370c-a85a-9dec938302d4" />
<resource>
<QuestionnaireResponse>
<id value="953cb096-b00b-370c-a85a-9dec938302d4" />
<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/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</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/e9ce0573-935b-43b8-9780-d768890a92f2" />
</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="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="infectProtectFacilityGroup" />
<item>
<linkId value="infectProtectFacilityBegin" />
<answer>
<valueDate value="2022-09-08" />
</answer>
</item>
<item>
<linkId value="infectProtectFacilityRole" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationAssociation" />
<code value="care" />
<display value="Betreuung" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectProtectFacilityOrganization" />
<answer>
<valueReference>
<reference value="Organization/b16d7ec1-d620-4bcc-9908-43371976aaba" />
</valueReference>
</answer>
</item>
</item>
</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="2023-02-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-02-17" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="11011002" />
<display value="SK Berlin Friedrichshain-Kreuzberg" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Krankes Kind in der Klasse. Gleiche Addresse wie Betreuungseinrichtung" />
</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>
<item>
<linkId value="additionalInformation" />
<answer>
<valueString value="-" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/168bf6df-e76f-3df4-9f6f-319c7d61f334" />
<resource>
<QuestionnaireResponse>
<id value="168bf6df-e76f-3df4-9f6f-319c7d61f334" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationBPSD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsBPSD" />
<status value="completed" />
<subject>
<reference value="Patient/7fe61086-24d7-3ffa-9657-65eb23aa7593" />
</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/63be02c6-e582-33d2-9cb4-6cae05e55793" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/0b8ddeee-de7a-3dba-a1a5-d7ad12821672" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/5864c0af-6f3e-3832-b0bf-fc6ca656ea26" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="immunizationMother" />
<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>
</Bundle>

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