# Beispiel Erkrankungsmeldevorgang MBVD

<Bundle xmlns="http://hl7.org/fhir">
<id value="d26f4e2b-36c3-3396-83c6-6ea4572fe0ff" />
<meta>
<lastUpdated value="2023-03-15T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="65237827-c0dd-3651-8ff4-ce90ea0cfa11" />
</identifier>
<type value="document" />
<timestamp value="2023-03-15T09:50:00+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/7505b58c-130d-3f98-b4e6-1371e91fd701" />
<resource>
<Composition>
<id value="7505b58c-130d-3f98-b4e6-1371e91fd701" />
<meta>
<lastUpdated value="2023-03-15T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseMBVD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="9d2ef8ba-f49c-40dc-a852-9d05fd4296bf" />
</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/8eb79c72-3890-343a-84a7-80ede08619a8" />
</subject>
<date value="2023-03-15T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/de602252-9706-3eee-ae6c-35cfeb570b08" />
</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/301ceb1c-d7c4-3a21-b738-286552e0fce8" />
</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/85dcdcb0-04fc-305b-ba51-b6adc8e1396f" />
</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/e4c8fc5b-9078-3e8e-96d7-63796ce9f3a2" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/8198daea-8f53-31eb-9688-00a5ed1a3f9a" />
<resource>
<Organization>
<id value="8198daea-8f53-31eb-9688-00a5ed1a3f9a" />
<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/8eb79c72-3890-343a-84a7-80ede08619a8" />
<resource>
<Patient>
<id value="8eb79c72-3890-343a-84a7-80ede08619a8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Reinhard" />
<given value="Christina" />
</name>
<telecom>
<system value="email" />
<value value="mrs.reinhard@domain.de" />
</telecom>
<gender value="female" />
<birthDate value="1994-12-15" />
<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/8198daea-8f53-31eb-9688-00a5ed1a3f9a" />
</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="Müllerstr. 44" />
<city value="Berlin" />
<postalCode value="12169" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/301ceb1c-d7c4-3a21-b738-286552e0fce8" />
<resource>
<Condition>
<id value="301ceb1c-d7c4-3a21-b738-286552e0fce8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseMBVD" />
</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="mbvd" />
<display value="Marburgfieber" />
</coding>
</code>
<subject>
<reference value="Patient/8eb79c72-3890-343a-84a7-80ede08619a8" />
</subject>
<onsetDateTime value="2023-03-13" />
<recordedDate value="2023-03-15" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="131148009:{363698007=414781009}" />
<display value="Blutung der Schleimhäute" />
</coding>
</code>
</evidence>
<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="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>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/30e06d91-5eb6-4f4c-a379-f4fc9f2fa248" />
<resource>
<Organization>
<id value="30e06d91-5eb6-4f4c-a379-f4fc9f2fa248" />
<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/de602252-9706-3eee-ae6c-35cfeb570b08" />
<resource>
<PractitionerRole>
<id value="de602252-9706-3eee-ae6c-35cfeb570b08" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/30e06d91-5eb6-4f4c-a379-f4fc9f2fa248" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/fd8ef8ef-029a-4f31-ae7c-24eac7d3d538" />
<resource>
<Organization>
<id value="fd8ef8ef-029a-4f31-ae7c-24eac7d3d538" />
<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>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/48421323-1b96-3cbb-aec8-18edc5572012" />
<resource>
<Encounter>
<id value="48421323-1b96-3cbb-aec8-18edc5572012" />
<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/8eb79c72-3890-343a-84a7-80ede08619a8" />
</subject>
<period>
<start value="2023-03-14" />
</period>
<serviceProvider>
<reference value="Organization/8198daea-8f53-31eb-9688-00a5ed1a3f9a" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/32594a5b-7536-3be1-8d57-a61d6db55a6c" />
<resource>
<Encounter>
<id value="32594a5b-7536-3be1-8d57-a61d6db55a6c" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<extension url="https://demis.rki.de/fhir/StructureDefinition/HospitalizationNote">
<valueString value="Fulminanter Verlauf." />
</extension>
<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/8eb79c72-3890-343a-84a7-80ede08619a8" />
</subject>
<period>
<start value="2023-03-15" />
</period>
<serviceProvider>
<reference value="Organization/8198daea-8f53-31eb-9688-00a5ed1a3f9a" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/85dcdcb0-04fc-305b-ba51-b6adc8e1396f" />
<resource>
<QuestionnaireResponse>
<id value="85dcdcb0-04fc-305b-ba51-b6adc8e1396f" />
<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/8eb79c72-3890-343a-84a7-80ede08619a8" />
</subject>
<item>
<linkId value="isDead" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="deathDate" />
<answer>
<valueDate value="2023-03-15" />
</answer>
</item>
</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/fd8ef8ef-029a-4f31-ae7c-24eac7d3d538" />
</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/48421323-1b96-3cbb-aec8-18edc5572012" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/32594a5b-7536-3be1-8d57-a61d6db55a6c" />
</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="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="21000339" />
<display value="Uganda" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Med. Einsatz als Pflegeperson." />
</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/e4c8fc5b-9078-3e8e-96d7-63796ce9f3a2" />
<resource>
<QuestionnaireResponse>
<id value="e4c8fc5b-9078-3e8e-96d7-63796ce9f3a2" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationMBVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsMBVD" />
<status value="completed" />
<subject>
<reference value="Patient/8eb79c72-3890-343a-84a7-80ede08619a8" />
</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>
</Bundle>