# Beispiel Erkrankungsmeldevorgang CLOD

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<lastUpdated value="2023-03-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseCLOD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="80201f2f-65a4-432d-a007-c52888848e07" />
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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>
</category>
<subject>
<reference value="Patient/eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
</subject>
<date value="2023-03-20T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/2b1091fb-c014-3854-b4ff-6851cf8d4b05" />
</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/36890b03-a869-3ef2-8646-1b32fefcb368" />
</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/6a29221a-1adf-3a2a-89e2-af77320251db" />
</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/e3ef77f5-cc54-3cb4-a509-dc9184b878c2" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/da167bb8-250b-312e-8d13-154320086cc4" />
<resource>
<Organization>
<id value="da167bb8-250b-312e-8d13-154320086cc4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Martin Luther Hospital" />
<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/eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
<resource>
<Patient>
<id value="eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Peters" />
<given value="Philipp" />
</name>
<telecom>
<system value="phone" />
<value value="+4992710823792" />
</telecom>
<telecom>
<system value="email" />
<value value="philippeters@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="1995-02-05" />
<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/da167bb8-250b-312e-8d13-154320086cc4" />
</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="Schwabinger Weg 51" />
<city value="Berlin" />
<postalCode value="14089" />
<country value="DE" />
</address>
</Patient>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/36890b03-a869-3ef2-8646-1b32fefcb368" />
<resource>
<Condition>
<id value="36890b03-a869-3ef2-8646-1b32fefcb368" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseCLOD" />
</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="clod" />
<display value="Botulismus" />
</coding>
</code>
<subject>
<reference value="Patient/eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
</subject>
<onsetDateTime value="2023-03-18" />
<recordedDate value="2023-03-20" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="40739000" />
<display value="Schluckstörung (Dysphagie)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="397540003" />
<display value="Sehstörung" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/339ad4cb-3fbc-41cd-b672-40d04c9eefd2" />
<resource>
<Organization>
<id value="339ad4cb-3fbc-41cd-b672-40d04c9eefd2" />
<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="Martin Luther Hospital - Meldestandort" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Havelchaussee 93" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/2b1091fb-c014-3854-b4ff-6851cf8d4b05" />
<resource>
<PractitionerRole>
<id value="2b1091fb-c014-3854-b4ff-6851cf8d4b05" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/339ad4cb-3fbc-41cd-b672-40d04c9eefd2" />
</organization>
</PractitionerRole>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/a0b03667-cb1b-4ef1-bce5-e06d81c10c6d" />
<resource>
<Organization>
<id value="a0b03667-cb1b-4ef1-bce5-e06d81c10c6d" />
<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="Martin Luther Hospital - Krankenhauslabor" />
<telecom>
<system value="phone" />
<value value="03077771234" />
<use value="work" />
</telecom>
<address>
<line value="Havelchaussee 93" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/0bab024c-1824-36e6-a910-9d5f52db577c" />
<resource>
<Encounter>
<id value="0bab024c-1824-36e6-a910-9d5f52db577c" />
<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/eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
</subject>
<period>
<start value="2023-03-20" />
</period>
<serviceProvider>
<reference value="Organization/da167bb8-250b-312e-8d13-154320086cc4" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/6a29221a-1adf-3a2a-89e2-af77320251db" />
<resource>
<QuestionnaireResponse>
<id value="6a29221a-1adf-3a2a-89e2-af77320251db" />
<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/eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
</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="civilPersonActiveInBundeswehr" />
<display value="Zivilperson tätig/untergebracht in Einrichtung der 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/a0b03667-cb1b-4ef1-bce5-e06d81c10c6d" />
</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/0bab024c-1824-36e6-a910-9d5f52db577c" />
</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="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="organDonation" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="additionalInformation" />
<answer>
<valueString value="-" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/e3ef77f5-cc54-3cb4-a509-dc9184b878c2" />
<resource>
<QuestionnaireResponse>
<id value="e3ef77f5-cc54-3cb4-a509-dc9184b878c2" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCLOD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCLOD" />
<status value="completed" />
<subject>
<reference value="Patient/eb14bc48-e720-36b9-b1b5-eca7f78e64bf" />
</subject>
<item>
<linkId value="form" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="398523009" />
<display value="Lebensmittelbedingter Botulismus" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionPathKindGroup" />
<item>
<linkId value="foodGroup" />
<item>
<linkId value="food" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="256354006" />
<display value="Bohnen" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="consumptionWhen" />
<answer>
<valueDate value="2023-02-01" />
</answer>
</item>
<item>
<linkId value="consumptionWhere" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="310205006" />
<display value="Haushalt" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="conservation" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="229982008" />
<display value="Sauer eingelegt" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="manufacturing" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="162542007" />
<display value="eigene (private)" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="toxinInFood" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
</answer>
</item>
</item>
</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>