# Beispiel Erkrankungsmeldevorgang HBVD

<Bundle xmlns="http://hl7.org/fhir">
<id value="b5014fa5-d9b3-34b8-b045-845cfd706e83" />
<meta>
<lastUpdated value="2023-04-10T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="b54fd54b-9978-31ae-bb23-8309f445db03" />
</identifier>
<type value="document" />
<timestamp value="2023-04-10T09:50:00+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/b35e57e1-7012-36b3-b9ac-246a597114a8" />
<resource>
<Composition>
<id value="b35e57e1-7012-36b3-b9ac-246a597114a8" />
<meta>
<lastUpdated value="2023-04-10T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHBVD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="f5f0db12-0440-421f-a2b8-db447085af6f" />
</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/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
</subject>
<date value="2023-04-10T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/80411d71-1d1b-3ec0-b19f-36cd74e51f0c" />
</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/de66ed11-97cb-342c-9308-95feeda6e9e4" />
</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/212f5523-3a5f-33dc-bbd8-9651a042acdf" />
</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/6674fb25-4211-3608-8adb-6efdbd3e2d29" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/3135c898-48a3-3823-8f74-bc722eac82ac" />
<resource>
<Organization>
<id value="3135c898-48a3-3823-8f74-bc722eac82ac" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Sankt Titania Krankenhaus" />
<address>
<line value="Eisberger Straße 14" />
<city value="Berlin" />
<postalCode value="14912" />
<country value="DE" />
</address>
<contact>
<name>
<use value="official" />
<family value="Jakobsen" />
<given value="Rosa" />
</name>
</contact>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
<resource>
<Patient>
<id value="a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Sukkasem" />
<given value="Araya" />
</name>
<telecom>
<system value="email" />
<value value="arayasus@domain.de" />
</telecom>
<gender value="female" />
<birthDate value="1989-08-24" />
<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/3135c898-48a3-3823-8f74-bc722eac82ac" />
</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="Krielower Weg" />
<city value="Berlin" />
<postalCode value="14089" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/de66ed11-97cb-342c-9308-95feeda6e9e4" />
<resource>
<Condition>
<id value="de66ed11-97cb-342c-9308-95feeda6e9e4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHBVD" />
</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="hbvd" />
<display value="Hepatitis-B" />
</coding>
</code>
<subject>
<reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
</subject>
<onsetDateTime value="2023-04-10" />
<recordedDate value="2023-04-10" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="105721009:363698007=80581009" />
<display value="Oberbauchbeschwerden" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="707724006" />
<display value="Serumtransaminasen, erhöht" />
</coding>
</code>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/d52bfbda-6069-49b1-bb26-3f1c864a526f" />
<resource>
<Organization>
<id value="d52bfbda-6069-49b1-bb26-3f1c864a526f" />
<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 Titania Krankenhaus – Meldestandort" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Eisberger Straße 14" />
<city value="Berlin" />
<postalCode value="14912" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/80411d71-1d1b-3ec0-b19f-36cd74e51f0c" />
<resource>
<PractitionerRole>
<id value="80411d71-1d1b-3ec0-b19f-36cd74e51f0c" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/d52bfbda-6069-49b1-bb26-3f1c864a526f" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/bcae34a1-42ed-49b1-8ff7-8a648b152352" />
<resource>
<Organization>
<id value="bcae34a1-42ed-49b1-8ff7-8a648b152352" />
<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/5f620fbb-473c-3f52-b7d0-cf0042260287" />
<resource>
<Encounter>
<id value="5f620fbb-473c-3f52-b7d0-cf0042260287" />
<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="3700" />
<display value="Sonstige Fachabteilung" />
</coding>
</serviceType>
<subject>
<reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
</subject>
<period>
<start value="2020-04-10" />
</period>
<serviceProvider>
<reference value="Organization/3135c898-48a3-3823-8f74-bc722eac82ac" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/212f5523-3a5f-33dc-bbd8-9651a042acdf" />
<resource>
<QuestionnaireResponse>
<id value="212f5523-3a5f-33dc-bbd8-9651a042acdf" />
<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/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
</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/bcae34a1-42ed-49b1-8ff7-8a648b152352" />
</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/5f620fbb-473c-3f52-b7d0-cf0042260287" />
</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="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="13000011" />
<display value="Berlin" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Wohnt mit HepB-Erkrankter Person zusammen in einer WG." />
</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>
<item>
<linkId value="additionalInformation" />
<answer>
<valueString value="-" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/6674fb25-4211-3608-8adb-6efdbd3e2d29" />
<resource>
<QuestionnaireResponse>
<id value="6674fb25-4211-3608-8adb-6efdbd3e2d29" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHBVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHBVD" />
<status value="completed" />
<subject>
<reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" />
</subject>
<item>
<linkId value="immunization" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="nationalityGroup" />
<item>
<linkId value="nationality" />
<answer>
<valueCoding>
<system value="urn:iso:std:iso:3166" />
<code value="TH" />
<display value="Thailand" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="countryOfBirth" />
<answer>
<valueCoding>
<system value="urn:iso:std:iso:3166" />
<code value="TH" />
<display value="Thailand" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="yearOfEntry" />
<answer>
<valueDate value="2019" />
</answer>
</item>
</item>
<item>
<linkId value="stadium" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="37871000" />
<display value="Akute Infektion" />
</valueCoding>
<item>
<linkId value="acute" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</valueCoding>
</answer>
</item>
</answer>
</item>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000:704326004=(224149009:47429007=170489004)" />
<display value="Wohngemeinschaft mit Virusträger/-in" />
</valueCoding>
</answer>
</item>
<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>