# Beispiel Erkrankungsmeldevorgang IZVD

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<lastUpdated value="2023-04-04T09:50:00.000+01:00" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="98a864a1-f54b-4dda-ac95-e61ff1d1f0c7" />
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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/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
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<date value="2023-04-04T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/8b5fad85-bd17-3054-9335-17d124435b9c" />
</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/4b8e8c55-a032-38cf-a995-e28eb2616162" />
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</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/396c109c-0a4f-3cee-8b67-dd588dded41c" />
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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/db8a7046-5868-3e7a-8169-e56a20621fc9" />
</entry>
</section>
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<fullUrl value="https://demis.rki.de/fhir/Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
<resource>
<Patient>
<id value="3835fc33-7d99-3386-bc41-ffd0801f95e8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Fuhrmann" />
<given value="Monika" />
</name>
<telecom>
<system value="phone" />
<value value="03044948433" />
</telecom>
<telecom>
<system value="email" />
<value value="monikaaaa@domain.de" />
</telecom>
<gender value="female" />
<birthDate value="1982-08-20" />
<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="Parallelstraße 22A" />
<city value="Berlin" />
<postalCode value="12209" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/4b8e8c55-a032-38cf-a995-e28eb2616162" />
<resource>
<Condition>
<id value="4b8e8c55-a032-38cf-a995-e28eb2616162" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseIZVD" />
</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="izvd" />
<display value="Influenza, zoonotisch" />
</coding>
</code>
<subject>
<reference value="Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
</subject>
<onsetDateTime value="2023-03-31" />
<recordedDate value="2023-04-04" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="95891005" />
<display value="grippetypische Symptomatik" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="267036007" />
<display value="Atemstörung (Dyspnoe)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="9826008" />
<display value="Bindehautentzündung (Konjunktivitis)" />
</coding>
</code>
</evidence>
<note>
<text value="Leidet an Hypertonie." />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/28322eee-cd6e-35b2-9167-17b0021b8540" />
<resource>
<Immunization>
<id value="28322eee-cd6e-35b2-9167-17b0021b8540" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationIZVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="74964007" />
<display value="andere/sonstige" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
</patient>
<occurrenceDateTime value="2022-10-19" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/9dc80677-7f01-4b8c-a953-9ca7c705cd50" />
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<Organization>
<id value="9dc80677-7f01-4b8c-a953-9ca7c705cd50" />
<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="Augusta Viktoria Klinikum - Notaufnahme" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<use value="work" />
</telecom>
<address>
<line value="Grazer Damm 119" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
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<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/9dc80677-7f01-4b8c-a953-9ca7c705cd50" />
</organization>
</PractitionerRole>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/d0a5e622-2c94-4d12-9cdc-be91357ec7d2" />
<resource>
<Organization>
<id value="d0a5e622-2c94-4d12-9cdc-be91357ec7d2" />
<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>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/396c109c-0a4f-3cee-8b67-dd588dded41c" />
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<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/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
</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/d0a5e622-2c94-4d12-9cdc-be91357ec7d2" />
</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="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="2015-06-15" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="13000011" />
<display value="Berlin" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Arbeitet im Tierpark, Infizierte Flamingos." />
</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>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/db8a7046-5868-3e7a-8169-e56a20621fc9" />
<resource>
<QuestionnaireResponse>
<id value="db8a7046-5868-3e7a-8169-e56a20621fc9" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationIZVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsIZVD" />
<status value="completed" />
<subject>
<reference value="Patient/3835fc33-7d99-3386-bc41-ffd0801f95e8" />
</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/28322eee-cd6e-35b2-9167-17b0021b8540" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="pregnancy" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="trimester" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="255247007" />
<display value="2. Trimester" />
</valueCoding>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="infectionRiskKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="77386006" />
<display value="Schwangerschaft" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionRiskKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="49601007" />
<display value="Herz-Kreislauf-Erkrankung (inkl. Bluthochdruck)" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000:{704319004=256363008,704326004=424681004}" />
<display value="Direkter Kontakt zu Tieren mit möglicher oder bestätigter Influenza-Infektion oder deren Ausscheidungen (Geflügel, Wildvögel, Schweine)" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="therapy" />
<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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