# Beispiel Erkrankungsmeldevorgang CJKD

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<lastUpdated value="2023-04-15T09:50:00+01:00" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseCJKD" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="a661e86e-91f3-4850-8f8b-58de5c2154e7" />
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<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>
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<subject>
<reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
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<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/8fa89b2b-9fa7-3856-a62c-1bdcc191fcea" />
</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/a21c0305-fd26-33fd-bba8-2f41cbcda999" />
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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>
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<reference value="QuestionnaireResponse/b120c1c4-18be-357c-bfd8-332d31de2bf2" />
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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/5f7b17e2-801f-30a9-92ae-8f71f75713b6" />
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/9821ef1b-6989-3723-9fba-7a9231daa650" />
<resource>
<Organization>
<id value="9821ef1b-6989-3723-9fba-7a9231daa650" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Sankt Gertrauden Krankenhaus (ganz anderer Standort)" />
<address>
<line value="Harztr. 11" />
<city value="Berlin" />
<postalCode value="12623" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Schüler" />
<given value="Andreas" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
<resource>
<Patient>
<id value="9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Drechseler" />
<given value="Brigit" />
</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="1998-01-31" />
<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/9821ef1b-6989-3723-9fba-7a9231daa650" />
</valueReference>
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</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>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/a21c0305-fd26-33fd-bba8-2f41cbcda999" />
<resource>
<Condition>
<id value="a21c0305-fd26-33fd-bba8-2f41cbcda999" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseCJKD" />
</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="cjkd" />
<display value="Creutzfeldt-Jakob-Krankheit" />
</coding>
</code>
<subject>
<reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
</subject>
<onsetDateTime value="2023-01-20" />
<recordedDate value="2023-04-15" />
<note>
<text value="-" />
</note>
</Condition>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/e62c8a22-b936-4a64-9d71-75d3a3a0d549" />
<resource>
<Organization>
<id value="e62c8a22-b936-4a64-9d71-75d3a3a0d549" />
<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="Sankt Gertrauden Krankenhaus" />
<telecom>
<system value="phone" />
<value value="0309876543210" />
<use value="work" />
</telecom>
<address>
<line value="Dingsweg 321" />
<city value="Berlin" />
<postalCode value="13055" />
<country value="DE" />
</address>
</Organization>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/8fa89b2b-9fa7-3856-a62c-1bdcc191fcea" />
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<id value="8fa89b2b-9fa7-3856-a62c-1bdcc191fcea" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/e62c8a22-b936-4a64-9d71-75d3a3a0d549" />
</organization>
</PractitionerRole>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/9d433b8c-f62f-487a-b375-57970b93e5ce" />
<resource>
<Organization>
<id value="9d433b8c-f62f-487a-b375-57970b93e5ce" />
<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/58437da7-6e4a-3e48-9121-7836b6226030" />
<resource>
<Encounter>
<id value="58437da7-6e4a-3e48-9121-7836b6226030" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<status value="finished" />
<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/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
</subject>
<period>
<start value="2022-12-13" />
<end value="2023-01-11" />
</period>
<serviceProvider>
<reference value="Organization/9821ef1b-6989-3723-9fba-7a9231daa650" />
</serviceProvider>
</Encounter>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/b120c1c4-18be-357c-bfd8-332d31de2bf2" />
<resource>
<QuestionnaireResponse>
<id value="b120c1c4-18be-357c-bfd8-332d31de2bf2" />
<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/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
</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="2023-04-06" />
</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/9d433b8c-f62f-487a-b375-57970b93e5ce" />
</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/58437da7-6e4a-3e48-9121-7836b6226030" />
</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="2022-12-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-02-01" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000116" />
<display value="Tschechische Republik" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Behandlung/Hospitalisierung fand im Ausland statt." />
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="organDonation" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
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<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/5f7b17e2-801f-30a9-92ae-8f71f75713b6" />
<resource>
<QuestionnaireResponse>
<id value="5f7b17e2-801f-30a9-92ae-8f71f75713b6" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCJKD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCJKD" />
<status value="completed" />
<subject>
<reference value="Patient/9c03dea3-66d8-3f87-ba88-a7f4339cff54" />
</subject>
<item>
<linkId value="form" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="304603007" />
<display value="Creutzfeldt-Jakob-Krankheit, variante Form (vCJK)" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="biopsy" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="autopsy" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="diagnosis" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="715662009" />
<display value="iatrogene CJK" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000+704319004=410942007" />
<display value="Kontakt mit potentiell kontaminierten intrazerebralen Substanzen (z.B. Behandlung mit Hypophysenhormonen)" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="neuropath" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</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>
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