# Beispiel Erkrankungsmeldevorgang LSVD

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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/NotificationDiseaseLSVD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="3a82e20e-c253-4e36-9e05-a07d83ee6237" />
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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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<reference value="Patient/07c79767-d953-3e9f-8f6c-96806ece3527" />
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<date value="2023-03-15T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/946a5d6e-6741-34d0-aab1-f481ad03fec8" />
</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/d2fda150-cb7b-3cdb-b7c3-91626e78832e" />
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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>
<entry>
<reference value="QuestionnaireResponse/c976d01b-492e-3ef1-a3e6-91dd4cbe11d4" />
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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/f196f880-c923-3492-acf5-6e2d8adee073" />
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</section>
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<fullUrl value="https://demis.rki.de/fhir/Organization/f9b043b1-478c-3a8a-9bd3-2031d144127c" />
<resource>
<Organization>
<id value="f9b043b1-478c-3a8a-9bd3-2031d144127c" />
<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/07c79767-d953-3e9f-8f6c-96806ece3527" />
<resource>
<Patient>
<id value="07c79767-d953-3e9f-8f6c-96806ece3527" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Ebersbacher" />
<given value="Mike" />
</name>
<telecom>
<system value="email" />
<value value="ebachmi@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="1969-02-24" />
<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/f9b043b1-478c-3a8a-9bd3-2031d144127c" />
</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="Möhrenstr. 44" />
<city value="Berlin" />
<postalCode value="10414" />
<country value="DE" />
</address>
</Patient>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/d2fda150-cb7b-3cdb-b7c3-91626e78832e" />
<resource>
<Condition>
<id value="d2fda150-cb7b-3cdb-b7c3-91626e78832e" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseLSVD" />
</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="lsvd" />
<display value="Lassafieber" />
</coding>
</code>
<subject>
<reference value="Patient/07c79767-d953-3e9f-8f6c-96806ece3527" />
</subject>
<onsetDateTime value="2023-03-13" />
<recordedDate value="2023-03-15" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="387778001" />
<display value="Hauteinblutung, Purpura" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="302227002" />
<display value="Hauteinblutung, Ekchymosen" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="389026000:42752001=166778002" />
<display value="Anzeichen für Plasmaaustritt (Aszites)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="302215000" />
<display value="Thrombozytopenie (<= 150.000 Zellen/cmm)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="386661006" />
<display value="Fieber" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
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<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>
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<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/946a5d6e-6741-34d0-aab1-f481ad03fec8" />
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<PractitionerRole>
<id value="946a5d6e-6741-34d0-aab1-f481ad03fec8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/74bd378a-5122-400f-80f5-09d9d091e3b1" />
</organization>
</PractitionerRole>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Organization/152684a3-b722-4226-8b31-16ba490b0b65" />
<resource>
<Organization>
<id value="152684a3-b722-4226-8b31-16ba490b0b65" />
<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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<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/bf100a73-0393-3cae-9422-27e243e96806" />
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<Encounter>
<id value="bf100a73-0393-3cae-9422-27e243e96806" />
<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/07c79767-d953-3e9f-8f6c-96806ece3527" />
</subject>
<period>
<start value="2023-03-15" />
</period>
<serviceProvider>
<reference value="Organization/f9b043b1-478c-3a8a-9bd3-2031d144127c" />
</serviceProvider>
</Encounter>
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<id value="c976d01b-492e-3ef1-a3e6-91dd4cbe11d4" />
<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/07c79767-d953-3e9f-8f6c-96806ece3527" />
</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="memberOfBundeswehr" />
<display value="Soldat/BW-Angehöriger" />
</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/152684a3-b722-4226-8b31-16ba490b0b65" />
</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/bf100a73-0393-3cae-9422-27e243e96806" />
</valueReference>
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="infectProtectFacility" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</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="2022-10-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-03-05" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000329" />
<display value="Ghana" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Bundeswehreinsatz." />
</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>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/f196f880-c923-3492-acf5-6e2d8adee073" />
<resource>
<QuestionnaireResponse>
<id value="f196f880-c923-3492-acf5-6e2d8adee073" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationLSVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsLSVD" />
<status value="completed" />
<subject>
<reference value="Patient/07c79767-d953-3e9f-8f6c-96806ece3527" />
</subject>
<item>
<linkId value="outbreak" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
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