# Beispiel Erkrankungsmeldevorgang CVDD

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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseCVDD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="2e855b98-9622-4f2d-bad1-b872da24b654" />
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<status value="final" />
<type>
<coding>
<system value="http://loinc.org" />
<code value="34782-3" />
<display value="Infectious disease Note" />
</coding>
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<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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<date value="2023-04-11T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/ebd6a747-2354-3cc6-a930-f0b7ca4b2ea3" />
</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/930ae7a1-d1b7-358d-b89c-de349f607047" />
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<section>
<title value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
<code>
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<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/e7a0e197-1408-3022-a535-237f8bd7fb48" />
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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/ac836050-4c18-3316-8a61-79a4a64bfd4a" />
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</section>
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<fullUrl value="https://demis.rki.de/fhir/Organization/38af87e7-30da-31d4-afe8-b9891d773c05" />
<resource>
<Organization>
<id value="38af87e7-30da-31d4-afe8-b9891d773c05" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Universitätsklinikum Berlin - Meldestandort" />
<address>
<line value="Bachstr. 16" />
<city value="Berlin" />
<postalCode value="12526" />
<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/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
<resource>
<Patient>
<id value="b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Rashtesh" />
<given value="Kovar" />
</name>
<telecom>
<system value="phone" />
<value value="0301268312683" />
</telecom>
<telecom>
<system value="email" />
<value value="kovar_r@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="2007-04-03" />
<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/38af87e7-30da-31d4-afe8-b9891d773c05" />
</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="Köpenicker Straße 267" />
<city value="Berlin" />
<postalCode value="12683" />
<country value="DE" />
</address>
</Patient>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Condition/930ae7a1-d1b7-358d-b89c-de349f607047" />
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<Condition>
<id value="930ae7a1-d1b7-358d-b89c-de349f607047" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseCVDD" />
</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="cvdd" />
<display value="COVID-19" />
</coding>
</code>
<subject>
<reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</subject>
<onsetDateTime value="2023-04-09" />
<recordedDate value="2023-04-11" />
<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="386661006" />
<display value="Fieber" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="43724002" />
<display value="Frösteln" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="67782005" />
<display value="akutes schweres Atemnotsyndrom (ARDS)" />
</coding>
</code>
</evidence>
<note>
<text value="-" />
</note>
</Condition>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/d2b298cf-8d43-3035-849f-fc6ed0bb8b02" />
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<Immunization>
<id value="d2b298cf-8d43-3035-849f-fc6ed0bb8b02" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1119349007" />
<display value="COVID-19-Impfstoff (mRNA) (BioNTech / Pfizer, Moderna)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</patient>
<occurrenceDateTime value="2021-05-05" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/474fefa4-62b1-3610-91d2-e4f9cd8a5ee7" />
<resource>
<Immunization>
<id value="474fefa4-62b1-3610-91d2-e4f9cd8a5ee7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1119349007" />
<display value="COVID-19-Impfstoff (mRNA) (BioNTech / Pfizer, Moderna)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</patient>
<occurrenceDateTime value="2021-06-16" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/50537107-1c3c-345c-832c-9781078185a2" />
<resource>
<Immunization>
<id value="50537107-1c3c-345c-832c-9781078185a2" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationCVDD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1119349007" />
<display value="COVID-19-Impfstoff (mRNA) (BioNTech / Pfizer, Moderna)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</patient>
<occurrenceDateTime value="2022-04-09" />
<note>
<text value="-" />
</note>
</Immunization>
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<fullUrl value="https://demis.rki.de/fhir/Organization/00a9a8f1-d6fb-464e-b9a9-d5a56ff2e918" />
<resource>
<Organization>
<id value="00a9a8f1-d6fb-464e-b9a9-d5a56ff2e918" />
<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="Universitätsklinikum Berlin" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Bachstr. 16" />
<city value="Berlin" />
<postalCode value="12526" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/ebd6a747-2354-3cc6-a930-f0b7ca4b2ea3" />
<resource>
<PractitionerRole>
<id value="ebd6a747-2354-3cc6-a930-f0b7ca4b2ea3" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/00a9a8f1-d6fb-464e-b9a9-d5a56ff2e918" />
</organization>
</PractitionerRole>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/a592744f-e2e2-413b-a093-d79960eabea7" />
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<Organization>
<id value="a592744f-e2e2-413b-a093-d79960eabea7" />
<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/917c92ce-7e12-3cd2-bf46-f79cd3f6bb5a" />
<resource>
<Encounter>
<id value="917c92ce-7e12-3cd2-bf46-f79cd3f6bb5a" />
<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/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</subject>
<period>
<start value="2023-04-11" />
</period>
<serviceProvider>
<reference value="Organization/38af87e7-30da-31d4-afe8-b9891d773c05" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/e7a0e197-1408-3022-a535-237f8bd7fb48" />
<resource>
<QuestionnaireResponse>
<id value="e7a0e197-1408-3022-a535-237f8bd7fb48" />
<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/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</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/a592744f-e2e2-413b-a093-d79960eabea7" />
</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/917c92ce-7e12-3cd2-bf46-f79cd3f6bb5a" />
</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="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/ac836050-4c18-3316-8a61-79a4a64bfd4a" />
<resource>
<QuestionnaireResponse>
<id value="ac836050-4c18-3316-8a61-79a4a64bfd4a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCVDD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCVDD" />
<status value="completed" />
<subject>
<reference value="Patient/b6bb7aa4-e298-3b4e-83a1-32aaf7407eb0" />
</subject>
<item>
<linkId value="infectionSource" />
<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="infectionEnvironmentSetting" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="infectionEnvironmentSettingGroup" />
<item>
<linkId value="infectionEnvironmentSettingKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="257698009" />
<display value="Schule" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionEnvironmentSettingBegin" />
<answer>
<valueDate value="2023-02-27" />
</answer>
</item>
<item>
<linkId value="infectionEnvironmentSettingEnd" />
<answer>
<valueDate value="2023-03-31" />
</answer>
</item>
</item>
<item>
<linkId value="infectionEnvironmentSettingGroup" />
<item>
<linkId value="infectionEnvironmentSettingKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="14468000" />
<display value="Sport" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionEnvironmentSettingBegin" />
<answer>
<valueDate value="2023-04-08" />
</answer>
</item>
<item>
<linkId value="infectionEnvironmentSettingEnd" />
<answer>
<valueDate value="2023-04-09" />
</answer>
</item>
</item>
</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/d2b298cf-8d43-3035-849f-fc6ed0bb8b02" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/474fefa4-62b1-3610-91d2-e4f9cd8a5ee7" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/50537107-1c3c-345c-832c-9781078185a2" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="infectionRiskKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="413839001" />
<display value="Chronische Lungenerkrankung (z.B. COPD)" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionRiskKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="46635009" />
<display value="Diabetes Typ 1" />
</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>