# Beispiel Erkrankungsmeldevorgang RUVD

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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
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<timestamp value="2022-12-07T09:50:00+01:00" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseRUVD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="74a5b0de-b9b7-11ed-afa1-0242ac120002" />
</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/28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
</subject>
<date value="2022-12-07T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/e1503440-5f37-3adb-ad9c-2675fd0cd3f5" />
</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/5bfe5069-5595-395f-a05c-46b740958f07" />
</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/3dca759e-c889-34e1-8cb0-27ae537f0bad" />
</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/e69ef9bf-4acf-3db2-a5a0-2a58509e3dc7" />
</entry>
</section>
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<fullUrl value="https://demis.rki.de/fhir/Organization/c0d0d1b4-0a24-354d-a4b4-815ae0fbd961" />
<resource>
<Organization>
<id value="c0d0d1b4-0a24-354d-a4b4-815ae0fbd961" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Oetker Krankenhaus" />
<address>
<line value="Kuchenweg 142" />
<city value="Berlin" />
<postalCode value="10428" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Broten" />
<given value="Karsten" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
<resource>
<Patient>
<id value="28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Brecht" />
<given value="Julia" />
</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="1998-05-20" />
<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/c0d0d1b4-0a24-354d-a4b4-815ae0fbd961" />
</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/5bfe5069-5595-395f-a05c-46b740958f07" />
<resource>
<Condition>
<id value="5bfe5069-5595-395f-a05c-46b740958f07" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseRUVD" />
</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="ruvd" />
<display value="Röteln" />
</coding>
</code>
<subject>
<reference value="Patient/28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
</subject>
<onsetDateTime value="2022-12-05" />
<recordedDate value="2022-12-07" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="725119006" />
<display value="Ausschlag, generalisiert" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="425061006" />
<display value="Lymphknotenschwellung im Kopf-, Hals- oder Nackenbereich" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="367494004" />
<display value="24. Schwangerschaftswoche vor Ende der 36. Schwangerschaftswoche (Frühgeburt)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="169836001+1857005" />
<display value="Geburt eines Kindes mit Rötelnembryofethopathie" />
</coding>
</code>
</evidence>
<note>
<text value="Frühgeburt nach starken Wehen in SSW 35" />
</note>
</Condition>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/77b13d7f-e222-4261-8ecb-3555f12b48c2" />
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<Organization>
<id value="77b13d7f-e222-4261-8ecb-3555f12b48c2" />
<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="Oetker Krankenhaus – Meldestandort" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<use value="work" />
</telecom>
<address>
<line value="Kuchenweg 142" />
<city value="Berlin" />
<postalCode value="10428" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/e1503440-5f37-3adb-ad9c-2675fd0cd3f5" />
<resource>
<PractitionerRole>
<id value="e1503440-5f37-3adb-ad9c-2675fd0cd3f5" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/77b13d7f-e222-4261-8ecb-3555f12b48c2" />
</organization>
</PractitionerRole>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/79935be3-0cf8-469d-b57e-d7e33285ec6d" />
<resource>
<Organization>
<id value="79935be3-0cf8-469d-b57e-d7e33285ec6d" />
<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="Tortenberg – Krankenhauslabor" />
<telecom>
<system value="phone" />
<value value="0873740234" />
<use value="work" />
</telecom>
<address>
<line value="Streuselstraße 75" />
<city value="Berlin" />
<postalCode value="10429" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/f80ff8a4-b1a8-3036-887f-e53a61a883e1" />
<resource>
<Encounter>
<id value="f80ff8a4-b1a8-3036-887f-e53a61a883e1" />
<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="1200" />
<display value="Neonatologie" />
</coding>
</serviceType>
<subject>
<reference value="Patient/28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
</subject>
<period>
<start value="2022-12-07" />
</period>
<serviceProvider>
<reference value="Organization/c0d0d1b4-0a24-354d-a4b4-815ae0fbd961" />
</serviceProvider>
</Encounter>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/3dca759e-c889-34e1-8cb0-27ae537f0bad" />
<resource>
<QuestionnaireResponse>
<id value="3dca759e-c889-34e1-8cb0-27ae537f0bad" />
<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/28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
</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/79935be3-0cf8-469d-b57e-d7e33285ec6d" />
</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/f80ff8a4-b1a8-3036-887f-e53a61a883e1" />
</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>
<item>
<linkId value="additionalInformation" />
<answer>
<valueString value="hängt zusammen mit Fall RUND_IG_01 mit ID 4670647a-b2cc-4b26-91f5-b2060b80d8c5" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/e69ef9bf-4acf-3db2-a5a0-2a58509e3dc7" />
<resource>
<QuestionnaireResponse>
<id value="e69ef9bf-4acf-3db2-a5a0-2a58509e3dc7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationRUVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsRUVD" />
<status value="completed" />
<subject>
<reference value="Patient/28604a9b-2bbe-38e3-9bfc-a7c772a8e0c5" />
</subject>
<item>
<linkId value="immunization" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="pregnancy" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="pregnancyWeek" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/pregnancyWeek" />
<code value="35" />
<display value="35" />
</valueCoding>
</answer>
</item>
</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>

<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<lastUpdated value="2023-04-01T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="20e65bd8-3b44-3832-ba14-77cab1e8b7e5" />
</identifier>
<type value="document" />
<timestamp value="2023-04-01T09:50:00+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/55156ffa-1a73-3cd3-84fe-9ef9b014699a" />
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<meta>
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseRUVD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="b4101fca-a940-11ed-afa1-0242ac120002" />
</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/d9b66d8f-02fd-318d-8df7-e960e250cff4" />
</subject>
<date value="2023-04-01T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/1f544f20-5812-3d8a-aa75-c766c25d2000" />
</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/6e5aeaaa-d3c8-3501-a52a-3dc452668fa7" />
</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/fe6a6d40-7374-3000-a1b5-c3a1438472bc" />
</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/2cd24fc3-48a5-3411-837b-c48128a1edf2" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/356deb9a-6dbc-34f3-8beb-909bce9aeab4" />
<resource>
<Organization>
<id value="356deb9a-6dbc-34f3-8beb-909bce9aeab4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Krankenhaus am See" />
<address>
<line value="Krakener Straße 92" />
<city value="Berlin" />
<postalCode value="12042" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Seemann" />
<given value="Ursula" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/d9b66d8f-02fd-318d-8df7-e960e250cff4" />
<resource>
<Patient>
<id value="d9b66d8f-02fd-318d-8df7-e960e250cff4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Brüll" />
<given value="Mara" />
</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="1998-08-10" />
<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/356deb9a-6dbc-34f3-8beb-909bce9aeab4" />
</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/6e5aeaaa-d3c8-3501-a52a-3dc452668fa7" />
<resource>
<Condition>
<id value="6e5aeaaa-d3c8-3501-a52a-3dc452668fa7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseRUVD" />
</meta>
<verificationStatus>
<coding>
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