# Beispiel Erkrankungsmeldevorgang VCHD

<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<lastUpdated value="2023-04-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="859857f8-c5a8-32d5-829e-094138e4a7ba" />
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<type value="document" />
<timestamp value="2023-04-20T09:50:00+01:00" />
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<meta>
<lastUpdated value="2023-04-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseVCHD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="2b57730f-b5bb-4455-a2c2-f5e402e0758f" />
</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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</subject>
<date value="2023-04-20T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/7593a058-7b23-38c4-81c1-49a61a586403" />
</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/e4568b2c-40d6-3b05-b317-7c57861d4430" />
</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/32021e30-b940-361c-8720-2efc230900e8" />
</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/aad1af94-25c3-3e8b-adaa-31837af72b92" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
<resource>
<Organization>
<id value="d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Sankt Jürgen Klinikum - Meldestandort" />
<address>
<line value="Richard-Wagner-Str. 17" />
<city value="Berlin" />
<postalCode value="12681" />
<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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
<resource>
<Patient>
<id value="be5f358b-d7a7-3ea3-9ad9-efa742153395" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Kalinowsky" />
<given value="Justyn" />
</name>
<telecom>
<system value="phone" />
<value value="0301268112681" />
</telecom>
<telecom>
<system value="email" />
<value value="kalinowskyyy@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="1978-07-26" />
<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/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
</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="Mierendorfer Weg 88" />
<city value="Berlin" />
<postalCode value="12681" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/e4568b2c-40d6-3b05-b317-7c57861d4430" />
<resource>
<Condition>
<id value="e4568b2c-40d6-3b05-b317-7c57861d4430" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseVCHD" />
</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="vchd" />
<display value="Cholera" />
</coding>
</code>
<subject>
<reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</subject>
<onsetDateTime value="2023-04-17" />
<recordedDate value="2023-04-20" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="409966000" />
<display value="Durchfall, akut" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="18425006" />
<display value="Reiswasserstuhl" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="422400008" />
<display value="Erbrechen" />
</coding>
</code>
</evidence>
<note>
<text value="-" />
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/68636b03-91bb-35d5-bb83-b50f05fabcb8" />
<resource>
<Immunization>
<id value="68636b03-91bb-35d5-bb83-b50f05fabcb8" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1001000221103" />
<display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</patient>
<occurrenceDateTime value="2016-10-18" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/2acdd6f5-4f6b-349a-8463-edf5dcf8cf99" />
<resource>
<Immunization>
<id value="2acdd6f5-4f6b-349a-8463-edf5dcf8cf99" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1001000221103" />
<display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</patient>
<occurrenceDateTime value="2016-10-25" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/a34407f5-25c6-30ff-ba5e-864ee98beae9" />
<resource>
<Immunization>
<id value="a34407f5-25c6-30ff-ba5e-864ee98beae9" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1001000221103" />
<display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</patient>
<occurrenceDateTime value="2018-06-18" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Immunization/6c765ea5-1d22-3b0c-b6fb-83a4eff2dbfb" />
<resource>
<Immunization>
<id value="6c765ea5-1d22-3b0c-b6fb-83a4eff2dbfb" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationVCHD" />
</meta>
<status value="completed" />
<vaccineCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="1001000221103" />
<display value="Cholera Impfstoff, inaktiviert, oral (Dukoral)" />
</coding>
</vaccineCode>
<patient>
<reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</patient>
<occurrenceDateTime value="2020-02-01" />
<note>
<text value="-" />
</note>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/45f2dcd1-86ba-4f88-9f4c-faf6cbfa4876" />
<resource>
<Organization>
<id value="45f2dcd1-86ba-4f88-9f4c-faf6cbfa4876" />
<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 Jürgen Klinikum" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Richard-Wagner-Str. 17" />
<city value="Berlin" />
<postalCode value="12681" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/7593a058-7b23-38c4-81c1-49a61a586403" />
<resource>
<PractitionerRole>
<id value="7593a058-7b23-38c4-81c1-49a61a586403" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/45f2dcd1-86ba-4f88-9f4c-faf6cbfa4876" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/d8f57e41-9f46-412f-be7b-ea0adf323ae6" />
<resource>
<Organization>
<id value="d8f57e41-9f46-412f-be7b-ea0adf323ae6" />
<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/17d78e26-0c65-3730-a2af-e1a13d8cb5b2" />
<resource>
<Encounter>
<id value="17d78e26-0c65-3730-a2af-e1a13d8cb5b2" />
<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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</subject>
<period>
<start value="2023-04-19" />
</period>
<serviceProvider>
<reference value="Organization/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/a95c4ba8-6967-3dbd-893b-9080679727ba" />
<resource>
<Encounter>
<id value="a95c4ba8-6967-3dbd-893b-9080679727ba" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<extension url="https://demis.rki.de/fhir/StructureDefinition/HospitalizationNote">
<valueString value="Liegt im Koma." />
</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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</subject>
<period>
<start value="2023-04-20" />
</period>
<serviceProvider>
<reference value="Organization/d89db87c-8f3a-3f8c-9300-d4a6e9c0dfa8" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/32021e30-b940-361c-8720-2efc230900e8" />
<resource>
<QuestionnaireResponse>
<id value="32021e30-b940-361c-8720-2efc230900e8" />
<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/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</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/d8f57e41-9f46-412f-be7b-ea0adf323ae6" />
</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/17d78e26-0c65-3730-a2af-e1a13d8cb5b2" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/a95c4ba8-6967-3dbd-893b-9080679727ba" />
</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="2023-03-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-04-14" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="21000246" />
<display value="Bangladesch" />
</valueCoding>
</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/aad1af94-25c3-3e8b-adaa-31837af72b92" />
<resource>
<QuestionnaireResponse>
<id value="aad1af94-25c3-3e8b-adaa-31837af72b92" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationVCHD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsVCHD" />
<status value="completed" />
<subject>
<reference value="Patient/be5f358b-d7a7-3ea3-9ad9-efa742153395" />
</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/68636b03-91bb-35d5-bb83-b50f05fabcb8" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/2acdd6f5-4f6b-349a-8463-edf5dcf8cf99" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/a34407f5-25c6-30ff-ba5e-864ee98beae9" />
</valueReference>
</answer>
</item>
<item>
<linkId value="immunizationRef" />
<answer>
<valueReference>
<reference value="Immunization/6c765ea5-1d22-3b0c-b6fb-83a4eff2dbfb" />
</valueReference>
</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>