# Beispiel Erkrankungsmeldevorgang VZZD

<Bundle xmlns="http://hl7.org/fhir">
<id value="3df61e20-b387-3ff2-b1a5-368c7d5accbc" />
<meta>
<lastUpdated value="2023-04-01T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="dad51807-37dc-37ed-b552-a15393c93aa7" />
</identifier>
<type value="document" />
<timestamp value="2023-04-01T09:50:00.000+01:00" />
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<fullUrl value="https://demis.rki.de/fhir/Composition/ec0361c1-317e-3583-ae5a-8d87f50a2dea" />
<resource>
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<id value="ec0361c1-317e-3583-ae5a-8d87f50a2dea" />
<meta>
<lastUpdated value="2023-04-01T09:50:00.000+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseVZZD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="57aa2b3f-a36b-40cb-95ea-c5909fe4cc1a" />
</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/486f4d8e-337a-3dd0-83c7-3758273ecd05" />
</subject>
<date value="2023-04-01T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/f6812967-18d2-3b12-9134-22a9b176958a" />
</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/e1f11661-3178-30da-9d47-5f4eed981bf0" />
</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/887d0ca5-7c71-3d13-ab21-066af44c5e35" />
</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/6f293b6a-789c-3ca6-b230-9de8c6ac9f2f" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/486f4d8e-337a-3dd0-83c7-3758273ecd05" />
<resource>
<Patient>
<id value="486f4d8e-337a-3dd0-83c7-3758273ecd05" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Grosche" />
<given value="Manfred" />
</name>
<telecom>
<system value="phone" />
<value value="03044948433" />
</telecom>
<gender value="male" />
<birthDate value="1945-04-05" />
<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="Anna-Maria-Müller-Str. 55" />
<city value="Berlin" />
<postalCode value="13053" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/e1f11661-3178-30da-9d47-5f4eed981bf0" />
<resource>
<Condition>
<id value="e1f11661-3178-30da-9d47-5f4eed981bf0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseVZZD" />
</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="vzzd" />
<display value="Windpocken" />
</coding>
</code>
<subject>
<reference value="Patient/486f4d8e-337a-3dd0-83c7-3758273ecd05" />
</subject>
<onsetDateTime value="2023-03-31" />
<recordedDate value="2023-04-01" />
<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="418290006" />
<display value="Jucken" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="271807003:{363698007=244023005,116676008=53788007}" />
<display value="Ausschlag, einseitig auf Hautsegment beschränkt, bläschenförmig" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="423628002" />
<display value="Schmerzen im betroffenen Bereich (Zosterneuralgie)" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/c9741e45-8603-4b95-a53f-ff3055dc541b" />
<resource>
<Organization>
<id value="c9741e45-8603-4b95-a53f-ff3055dc541b" />
<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="Arztpraxis Dr. Schnellgesund" />
<telecom>
<system value="phone" />
<value value="0308976543210" />
<use value="work" />
</telecom>
<address>
<line value="Arztweg 321" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/f6812967-18d2-3b12-9134-22a9b176958a" />
<resource>
<PractitionerRole>
<id value="f6812967-18d2-3b12-9134-22a9b176958a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/c9741e45-8603-4b95-a53f-ff3055dc541b" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/5a2ebc32-d8e8-4e65-b539-92f6bbd982c1" />
<resource>
<Organization>
<id value="5a2ebc32-d8e8-4e65-b539-92f6bbd982c1" />
<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/108ef957-980e-4954-9e32-fd7954a5eae7" />
<resource>
<Organization>
<id value="108ef957-980e-4954-9e32-fd7954a5eae7" />
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</meta>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="nursingHome" />
<display value="Pflegeheim" />
</coding>
</type>
<name value="Seniorenheim Golden Days" />
<address>
<line value="Beutenweg 10A" />
<postalCode value="12099" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/887d0ca5-7c71-3d13-ab21-066af44c5e35" />
<resource>
<QuestionnaireResponse>
<id value="887d0ca5-7c71-3d13-ab21-066af44c5e35" />
<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/486f4d8e-337a-3dd0-83c7-3758273ecd05" />
</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/5a2ebc32-d8e8-4e65-b539-92f6bbd982c1" />
</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" />
</item>
<item>
<linkId value="infectProtectFacilityEnd" />
</item>
<item>
<linkId value="infectProtectFacilityRole" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationAssociation" />
<code value="accommodation" />
<display value="Unterbringung" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectProtectFacilityOrganization" />
<answer>
<valueReference>
<reference value="Organization/108ef957-980e-4954-9e32-fd7954a5eae7" />
</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="Information über eine durchgemachte Windpockeninfektion gibt es nicht." />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/6f293b6a-789c-3ca6-b230-9de8c6ac9f2f" />
<resource>
<QuestionnaireResponse>
<id value="6f293b6a-789c-3ca6-b230-9de8c6ac9f2f" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationVZZD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsVZZD" />
<status value="completed" />
<subject>
<reference value="Patient/486f4d8e-337a-3dd0-83c7-3758273ecd05" />
</subject>
<item>
<linkId value="immunization" />
<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="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>