# Beispiel Erkrankungsmeldevorgang NEID

<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<lastUpdated value="2023-04-15T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="0542e379-f615-308e-9011-eed0d7d16821" />
</identifier>
<type value="document" />
<timestamp value="2023-04-15T09:50:00+01:00" />
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<meta>
<lastUpdated value="2023-04-15T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseNEID" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="1bf6b991-8d9c-4613-9f6e-784b0be0c855" />
</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/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</subject>
<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/6796afbc-2ed0-3bcc-be20-e2c54c22ed10" />
</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/198cb7b4-2a18-3913-b3d2-cbf4bf3676ef" />
</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/b73645cd-b4d4-3aa9-8e05-a078b9911569" />
</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/acb6f196-1aac-30ea-b580-22bf2c0cdc78" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/096528b5-02ba-321d-9b6e-28f80bf3a655" />
<resource>
<Organization>
<id value="096528b5-02ba-321d-9b6e-28f80bf3a655" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Martin Luther Hospital - Meldezentrale" />
<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/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
<resource>
<Patient>
<id value="a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Ali" />
<given value="Serkan" />
</name>
<telecom>
<system value="phone" />
<value value="030 123456789" />
</telecom>
<telecom>
<system value="email" />
<value value="bb@hfksjfhdaksljdfhsakl.de" />
</telecom>
<gender value="male" />
<birthDate value="2022-08-05" />
<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/096528b5-02ba-321d-9b6e-28f80bf3a655" />
</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/198cb7b4-2a18-3913-b3d2-cbf4bf3676ef" />
<resource>
<Condition>
<id value="198cb7b4-2a18-3913-b3d2-cbf4bf3676ef" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseNEID" />
</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="neid" />
<display value="Meningokokken, invasive Erkrankung" />
</coding>
</code>
<subject>
<reference value="Patient/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</subject>
<onsetDateTime value="2023-04-13" />
<recordedDate value="2023-04-15" />
<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="422400008" />
<display value="Erbrechen" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="233604007" />
<display value="Lungenentzündung (Pneumonie)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="447931005" />
<display value="septisches Krankheitsbild" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="271813007" />
<display value="Hauteinblutung, Petechien" />
</coding>
</code>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/b0cfa859-a6d1-31a1-abf2-633805388d60" />
<resource>
<Immunization>
<id value="b0cfa859-a6d1-31a1-abf2-633805388d60" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationNEID" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="951000221102" />
<display value="Meningokokken-C-Konjugat-Impfstoff (Konjugat C) (Menjugate 10 Mikrogramm, NeisVac-C,MENJUGATE KIT)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</patient>
<occurrenceDateTime value="2022-12-12" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/b9e14474-6c89-4b58-85ac-be2d4d764ad6" />
<resource>
<Organization>
<id value="b9e14474-6c89-4b58-85ac-be2d4d764ad6" />
<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>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/6796afbc-2ed0-3bcc-be20-e2c54c22ed10" />
<resource>
<PractitionerRole>
<id value="6796afbc-2ed0-3bcc-be20-e2c54c22ed10" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/b9e14474-6c89-4b58-85ac-be2d4d764ad6" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/3afc6c20-7cbb-4ffa-9499-01b14854db8f" />
<resource>
<Organization>
<id value="3afc6c20-7cbb-4ffa-9499-01b14854db8f" />
<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/25e01c97-5d00-3e4c-94d9-245155b95fe2" />
<resource>
<Encounter>
<id value="25e01c97-5d00-3e4c-94d9-245155b95fe2" />
<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/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</subject>
<period>
<start value="2023-04-15" />
</period>
<serviceProvider>
<reference value="Organization/096528b5-02ba-321d-9b6e-28f80bf3a655" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/2a45a1e4-dcc3-3a9d-b99f-39d8d6e8da87" />
<resource>
<Encounter>
<id value="2a45a1e4-dcc3-3a9d-b99f-39d8d6e8da87" />
<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="3600" />
<display value="Intensivmedizin" />
</coding>
</serviceType>
<subject>
<reference value="Patient/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</subject>
<period>
<start value="2023-04-15" />
</period>
<serviceProvider>
<reference value="Organization/096528b5-02ba-321d-9b6e-28f80bf3a655" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/b73645cd-b4d4-3aa9-8e05-a078b9911569" />
<resource>
<QuestionnaireResponse>
<id value="b73645cd-b4d4-3aa9-8e05-a078b9911569" />
<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/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</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/3afc6c20-7cbb-4ffa-9499-01b14854db8f" />
</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/25e01c97-5d00-3e4c-94d9-245155b95fe2" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/2a45a1e4-dcc3-3a9d-b99f-39d8d6e8da87" />
</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="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="placeExposureGroup" />
<item>
<linkId value="placeExposureBegin" />
<answer>
<valueDate value="2023-03-10" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-04-10" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="21000223" />
<display value="Indien" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="-" />
</answer>
</item>
</item>
</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>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/acb6f196-1aac-30ea-b580-22bf2c0cdc78" />
<resource>
<QuestionnaireResponse>
<id value="acb6f196-1aac-30ea-b580-22bf2c0cdc78" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationNEID" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsNEID" />
<status value="completed" />
<subject>
<reference value="Patient/a5a2a64c-ddcb-3d27-94c2-1c1fc646ce5f" />
</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/b0cfa859-a6d1-31a1-abf2-633805388d60" />
</valueReference>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="infectionRiskKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="260413007" />
<display value="keine" />
</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>