# Beispiel Erkrankungsmeldevorgang CDFD

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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseCDFD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="297cde89-a24a-42f8-b60c-719c594d08f0" />
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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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<subject>
<reference value="Patient/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
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<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/bfeaa2b6-5919-344d-854e-7b7df9168dbe" />
</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/4b97f6f0-06c2-3f84-afa6-d8448e802115" />
</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/3646926b-3ee9-30f3-b5c6-197ee3ac9f6a" />
</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/7f0e958d-b58c-30ce-b8da-ac3367b142f6" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/4e499502-9031-331a-ae7a-6029d515e46b" />
<resource>
<Organization>
<id value="4e499502-9031-331a-ae7a-6029d515e46b" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Einfaches Hospital" />
<address>
<line value="Harztr. 11" />
<city value="Berlin" />
<postalCode value="12623" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Schüler" />
<given value="Andreas" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
<resource>
<Patient>
<id value="4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Parlak" />
<given value="Gülay" />
</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="1989-04-18" />
<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/4e499502-9031-331a-ae7a-6029d515e46b" />
</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/4b97f6f0-06c2-3f84-afa6-d8448e802115" />
<resource>
<Condition>
<id value="4b97f6f0-06c2-3f84-afa6-d8448e802115" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseCDFD" />
</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="cdfd" />
<display value="Clostridioides difficile" />
</coding>
</code>
<subject>
<reference value="Patient/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
</subject>
<onsetDateTime value="2023-04-13" />
<recordedDate value="2023-04-15" />
<note>
<text value="Dickdarm-OP am 13.04.2023, seitdem behandlung mit Breitspektrum Antibiotikum (Ciprofloxacin)" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/39fa5a01-0682-3cc8-b59d-80d715c5210a" />
<resource>
<Immunization>
<id value="39fa5a01-0682-3cc8-b59d-80d715c5210a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCDFD" />
</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/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
</patient>
<occurrenceDateTime value="2022-12-15" />
</Immunization>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/644dc18e-8945-4deb-bc83-d603f2e2ebe4" />
<resource>
<Organization>
<id value="644dc18e-8945-4deb-bc83-d603f2e2ebe4" />
<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="Einfaches Hospital – Meldestandort" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<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/PractitionerRole/bfeaa2b6-5919-344d-854e-7b7df9168dbe" />
<resource>
<PractitionerRole>
<id value="bfeaa2b6-5919-344d-854e-7b7df9168dbe" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/644dc18e-8945-4deb-bc83-d603f2e2ebe4" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/29b8b55b-ece4-4b13-a717-5707d356c130" />
<resource>
<Organization>
<id value="29b8b55b-ece4-4b13-a717-5707d356c130" />
<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/Encounter/9fcc4837-a20f-38b6-881b-2554b6a72434" />
<resource>
<Encounter>
<id value="9fcc4837-a20f-38b6-881b-2554b6a72434" />
<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/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
</subject>
<period>
<start value="2023-04-15" />
</period>
<serviceProvider>
<reference value="Organization/4e499502-9031-331a-ae7a-6029d515e46b" />
</serviceProvider>
</Encounter>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/3646926b-3ee9-30f3-b5c6-197ee3ac9f6a" />
<resource>
<QuestionnaireResponse>
<id value="3646926b-3ee9-30f3-b5c6-197ee3ac9f6a" />
<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/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
</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/29b8b55b-ece4-4b13-a717-5707d356c130" />
</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/9fcc4837-a20f-38b6-881b-2554b6a72434" />
</valueReference>
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="infectProtectFacility" />
<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="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="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="ASKU" />
<display value="asked but unknown" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/7f0e958d-b58c-30ce-b8da-ac3367b142f6" />
<resource>
<QuestionnaireResponse>
<id value="7f0e958d-b58c-30ce-b8da-ac3367b142f6" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCDFD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCDFD" />
<status value="completed" />
<subject>
<reference value="Patient/4e3f1dd5-5267-35d7-b7de-263b49b764b0" />
</subject>
<item>
<linkId value="form" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="186431008:{288556008=305351004}" />
<display value="Aufnahme oder Verlegung auf eine Intensivstation aufgrund einer C.-difficile-Infektion oder ihrer Komplikationen" />
</valueCoding>
</answer>
</item>
<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/39fa5a01-0682-3cc8-b59d-80d715c5210a" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="method" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="117963005:363701004=386126001" />
<display value="Nachweis von C.-difficile-Toxin A und/oder B aus dem Isolat" />
</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>