# Beispiel Erkrankungsmeldevorgang YPSD

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<lastUpdated value="2022-12-07T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseYPSD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="a12ef51d-c387-412f-99af-c7df6d5194f5" />
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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/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
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<date value="2022-12-07T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/3a2329f6-876b-3337-8388-1e9abcbb7858" />
</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/3f94e304-a32f-3b81-9508-a53b339335c7" />
</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/9f854804-537d-362d-b6ba-75e0cd12374f" />
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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/f051b117-e8cc-394e-bffd-f8cbe55e051c" />
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</section>
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<fullUrl value="https://demis.rki.de/fhir/Organization/dce625f7-8a8b-367d-a5ba-aaf24c22f4a3" />
<resource>
<Organization>
<id value="dce625f7-8a8b-367d-a5ba-aaf24c22f4a3" />
<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/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
<resource>
<Patient>
<id value="f067000c-aaa3-3f63-9d88-930aac54bd0d" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Soloniaina" />
<given value="Dalià" />
</name>
<gender value="female" />
<birthDate value="1972-02-22" />
<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/dce625f7-8a8b-367d-a5ba-aaf24c22f4a3" />
</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="Storkower Str. 56" />
<city value="Berlin" />
<postalCode value="13125" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/3f94e304-a32f-3b81-9508-a53b339335c7" />
<resource>
<Condition>
<id value="3f94e304-a32f-3b81-9508-a53b339335c7" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseYPSD" />
</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="ypsd" />
<display value="Pest" />
</coding>
</code>
<subject>
<reference value="Patient/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
</subject>
<onsetDateTime value="2022-12-05" />
<recordedDate value="2022-12-07" />
<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="29857009" />
<display value="Brustschmerzen" />
</coding>
</code>
</evidence>
<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="66857006" />
<display value="Blutiger Auswurf (Hämoptyse)" />
</coding>
</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
</note>
</Condition>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/c8be02d9-f7b1-4a97-9071-e398c75d3d61" />
<resource>
<Organization>
<id value="c8be02d9-f7b1-4a97-9071-e398c75d3d61" />
<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>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/3a2329f6-876b-3337-8388-1e9abcbb7858" />
<resource>
<PractitionerRole>
<id value="3a2329f6-876b-3337-8388-1e9abcbb7858" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/c8be02d9-f7b1-4a97-9071-e398c75d3d61" />
</organization>
</PractitionerRole>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/189805f4-6d86-4187-99c2-dc18919192d7" />
<resource>
<Organization>
<id value="189805f4-6d86-4187-99c2-dc18919192d7" />
<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/Organization/12880cff-d67c-432c-9afc-dd45c5088ec1" />
<resource>
<Organization>
<id value="12880cff-d67c-432c-9afc-dd45c5088ec1" />
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</meta>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="childHome" />
<display value="Kinderheim o.ä." />
</coding>
</type>
<name value="Kinderhaus Lankwitz" />
<address>
<line value="Alt-Lankwitz 18" />
<postalCode value="14123" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/023b2ed0-8155-3371-8490-32051c56035e" />
<resource>
<Encounter>
<id value="023b2ed0-8155-3371-8490-32051c56035e" />
<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/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
</subject>
<period>
<start value="2022-12-06" />
</period>
<serviceProvider>
<reference value="Organization/dce625f7-8a8b-367d-a5ba-aaf24c22f4a3" />
</serviceProvider>
</Encounter>
</resource>
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<fullUrl value="https://demis.rki.de/fhir/Encounter/a3e8a410-c82b-38c7-a06b-717c41b25967" />
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<Encounter>
<id value="a3e8a410-c82b-38c7-a06b-717c41b25967" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" />
</meta>
<extension url="https://demis.rki.de/fhir/StructureDefinition/HospitalizationNote">
<valueString value="ITV zur Isolation." />
</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/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
</subject>
<period>
<start value="2022-12-07" />
</period>
<serviceProvider>
<reference value="Organization/dce625f7-8a8b-367d-a5ba-aaf24c22f4a3" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/9f854804-537d-362d-b6ba-75e0cd12374f" />
<resource>
<QuestionnaireResponse>
<id value="9f854804-537d-362d-b6ba-75e0cd12374f" />
<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/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
</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/189805f4-6d86-4187-99c2-dc18919192d7" />
</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/023b2ed0-8155-3371-8490-32051c56035e" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/a3e8a410-c82b-38c7-a06b-717c41b25967" />
</valueReference>
</answer>
</item>
</item>
</answer>
</item>
<item>
<linkId value="infectProtectFacility" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="infectProtectFacilityGroup" />
<item>
<linkId value="infectProtectFacilityBegin" />
<answer>
<valueDate value="2000-09-01" />
</answer>
</item>
<item>
<linkId value="infectProtectFacilityRole" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationAssociation" />
<code value="employment" />
<display value="Tätigkeit" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectProtectFacilityOrganization" />
<answer>
<valueReference>
<reference value="Organization/12880cff-d67c-432c-9afc-dd45c5088ec1" />
</valueReference>
</answer>
</item>
</item>
</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="2022-11-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2022-12-05" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/geographicRegion" />
<code value="21000333" />
<display value="Madagaskar" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Urlaubsreise" />
</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="Erzieherin im Kinderheim." />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/f051b117-e8cc-394e-bffd-f8cbe55e051c" />
<resource>
<QuestionnaireResponse>
<id value="f051b117-e8cc-394e-bffd-f8cbe55e051c" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationYPSD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsYPSD" />
<status value="completed" />
<subject>
<reference value="Patient/f067000c-aaa3-3f63-9d88-930aac54bd0d" />
</subject>
<item>
<linkId value="form" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="38976008" />
<display value="Lungenpest" />
</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>