# Beispiel Erkrankungsmeldevorgang GFVD

<Bundle xmlns="http://hl7.org/fhir">
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<lastUpdated value="2023-03-10T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
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<lastUpdated value="2023-03-10T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseGFVD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="0c937236-8846-4b4e-b082-c3041541b0a0" />
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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/133f885e-30b4-3c30-8773-acc1ecba4168" />
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<date value="2023-03-10T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/7f9093c6-ced6-362f-a8db-48efcd1fa60f" />
</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/404076f1-782c-353e-bf55-83ba925eb22a" />
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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>
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<reference value="QuestionnaireResponse/7bc580f0-e6c1-3b94-ad67-4219302e7146" />
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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/22d95ce4-d440-3b2b-a575-a06f15035184" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/133f885e-30b4-3c30-8773-acc1ecba4168" />
<resource>
<Patient>
<id value="133f885e-30b4-3c30-8773-acc1ecba4168" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Wiencke" />
<given value="Max" />
</name>
<telecom>
<system value="phone" />
<value value="0305875993414" />
</telecom>
<telecom>
<system value="email" />
<value value="maxpower@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="2002-02-05" />
<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="Jules-Verne-Str. 90" />
<city value="Berlin" />
<postalCode value="14089" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/404076f1-782c-353e-bf55-83ba925eb22a" />
<resource>
<Condition>
<id value="404076f1-782c-353e-bf55-83ba925eb22a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseGFVD" />
</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="gfvd" />
<display value="Gelbfieber" />
</coding>
</code>
<subject>
<reference value="Patient/133f885e-30b4-3c30-8773-acc1ecba4168" />
</subject>
<onsetDateTime value="2023-03-08" />
<recordedDate value="2023-03-10" />
<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="74474003" />
<display value="Blutung gastrointestinal" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="131148009" />
<display value="Blutung" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="95385002" />
<display value="Blutung aus Injektionsstelle" />
</coding>
</code>
</evidence>
<note>
<text value="-" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/e7e234d5-e9e6-3e63-86ac-745bbfcc31ff" />
<resource>
<Immunization>
<id value="e7e234d5-e9e6-3e63-86ac-745bbfcc31ff" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationGFVD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1121000221106" />
<display value="Stamaril" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/133f885e-30b4-3c30-8773-acc1ecba4168" />
</patient>
<occurrenceDateTime value="2019-12-21" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/b06c9fef-5f55-4d17-bca0-cbfe2b96134c" />
<resource>
<Organization>
<id value="b06c9fef-5f55-4d17-bca0-cbfe2b96134c" />
<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="Zauberarzt Hausarztpraxis" />
<telecom>
<system value="phone" />
<value value="0308976543210" />
<use value="work" />
</telecom>
<address>
<line value="Feuerballstr. 13" />
<city value="Berlin" />
<postalCode value="12309" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/7f9093c6-ced6-362f-a8db-48efcd1fa60f" />
<resource>
<PractitionerRole>
<id value="7f9093c6-ced6-362f-a8db-48efcd1fa60f" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/b06c9fef-5f55-4d17-bca0-cbfe2b96134c" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/44a9b39c-749a-4e90-9bd9-773fc75ba57a" />
<resource>
<Organization>
<id value="44a9b39c-749a-4e90-9bd9-773fc75ba57a" />
<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>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/7bc580f0-e6c1-3b94-ad67-4219302e7146" />
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<id value="7bc580f0-e6c1-3b94-ad67-4219302e7146" />
<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/133f885e-30b4-3c30-8773-acc1ecba4168" />
</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/44a9b39c-749a-4e90-9bd9-773fc75ba57a" />
</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="2022-09-15" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-03-18" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000422" />
<display value="Peru" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Auslandssemester." />
</answer>
</item>
</item>
</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/22d95ce4-d440-3b2b-a575-a06f15035184" />
<resource>
<QuestionnaireResponse>
<id value="22d95ce4-d440-3b2b-a575-a06f15035184" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationGFVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsGFVD" />
<status value="completed" />
<subject>
<reference value="Patient/133f885e-30b4-3c30-8773-acc1ecba4168" />
</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/e7e234d5-e9e6-3e63-86ac-745bbfcc31ff" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="outbreak" />
<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>
</Bundle>