# Beispiel Erkrankungsmeldevorgang HFAD

## Erstmeldung

<Bundle xmlns="http://hl7.org/fhir">
<id value="da60c812-1f5e-3001-8205-a0c908f16a5f" />
<meta>
<lastUpdated value="2023-03-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="725b9518-3f53-38eb-91b2-0d5e7570b65e" />
</identifier>
<type value="document" />
<timestamp value="2023-03-20T09:50:00+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/8326135f-919d-3739-bc18-f2397309e3d5" />
<resource>
<Composition>
<id value="8326135f-919d-3739-bc18-f2397309e3d5" />
<meta>
<lastUpdated value="2023-03-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHFAD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="c9f46921-df8f-43d1-9204-2ab9ef260f6c" />
</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/4842f7c3-eecd-3b59-b890-482708e3528b" />
</subject>
<date value="2023-03-20T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/8e1f7a69-5954-39a7-a02b-7ae3ea89dd18" />
</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/4f6887e6-8673-3882-b6c6-e71fa4a50869" />
</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/371f69b3-d13b-389c-9261-b227d8c97e7f" />
</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/15e3e86d-842e-3098-b570-3daad166b9ad" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/cb003f53-a458-3d7f-9174-824745410932" />
<resource>
<Organization>
<id value="cb003f53-a458-3d7f-9174-824745410932" />
<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/4842f7c3-eecd-3b59-b890-482708e3528b" />
<resource>
<Patient>
<id value="4842f7c3-eecd-3b59-b890-482708e3528b" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Bach" />
<given value="Melanie" />
</name>
<telecom>
<system value="phone" />
<value value="030912391231" />
</telecom>
<telecom>
<system value="email" />
<value value="mbach@domain.de" />
</telecom>
<gender value="female" />
<birthDate value="1983-03-17" />
<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/cb003f53-a458-3d7f-9174-824745410932" />
</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="Alexandrinenstr. 44" />
<city value="Berlin" />
<postalCode value="10969" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/4f6887e6-8673-3882-b6c6-e71fa4a50869" />
<resource>
<Condition>
<id value="4f6887e6-8673-3882-b6c6-e71fa4a50869" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHFAD" />
</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="hfad" />
<display value="Hämorrhagisches Fieber" />
</coding>
</code>
<subject>
<reference value="Patient/4842f7c3-eecd-3b59-b890-482708e3528b" />
</subject>
<onsetDateTime value="2023-03-18" />
<recordedDate value="2023-03-20" />
<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="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/6343a8ea-fd6d-4927-985f-b1d8e172252c" />
<resource>
<Organization>
<id value="6343a8ea-fd6d-4927-985f-b1d8e172252c" />
<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/8e1f7a69-5954-39a7-a02b-7ae3ea89dd18" />
<resource>
<PractitionerRole>
<id value="8e1f7a69-5954-39a7-a02b-7ae3ea89dd18" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/6343a8ea-fd6d-4927-985f-b1d8e172252c" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/8ac74303-cb9b-4322-9420-d299abea7257" />
<resource>
<Organization>
<id value="8ac74303-cb9b-4322-9420-d299abea7257" />
<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/842bdb2b-7694-3a81-a233-f8fb8cc1fa5e" />
<resource>
<Encounter>
<id value="842bdb2b-7694-3a81-a233-f8fb8cc1fa5e" />
<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/4842f7c3-eecd-3b59-b890-482708e3528b" />
</subject>
<period>
<start value="2023-03-20" />
</period>
<serviceProvider>
<reference value="Organization/cb003f53-a458-3d7f-9174-824745410932" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/85844600-8d37-3e30-861a-c50f9ea58462" />
<resource>
<Encounter>
<id value="85844600-8d37-3e30-861a-c50f9ea58462" />
<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="3600" />
<display value="Intensivmedizin" />
</coding>
</serviceType>
<subject>
<reference value="Patient/4842f7c3-eecd-3b59-b890-482708e3528b" />
</subject>
<period>
<start value="2023-03-22" />
</period>
<serviceProvider>
<reference value="Organization/cb003f53-a458-3d7f-9174-824745410932" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/371f69b3-d13b-389c-9261-b227d8c97e7f" />
<resource>
<QuestionnaireResponse>
<id value="371f69b3-d13b-389c-9261-b227d8c97e7f" />
<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/4842f7c3-eecd-3b59-b890-482708e3528b" />
</subject>
<item>
<linkId value="isDead" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="ASKU" />
<display value="asked but unknown" />
</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/8ac74303-cb9b-4322-9420-d299abea7257" />
</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/842bdb2b-7694-3a81-a233-f8fb8cc1fa5e" />
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="hospitalizedGroup" />
<item>
<linkId value="hospitalizedEncounter" />
<answer>
<valueReference>
<reference value="Encounter/85844600-8d37-3e30-861a-c50f9ea58462" />
</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="2022-10-01" />
</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="31001115" />
<display value="Zentralafrika" />
</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>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/15e3e86d-842e-3098-b570-3daad166b9ad" />
<resource>
<QuestionnaireResponse>
<id value="15e3e86d-842e-3098-b570-3daad166b9ad" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHFAD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHFAD" />
<status value="completed" />
<subject>
<reference value="Patient/4842f7c3-eecd-3b59-b890-482708e3528b" />
</subject>
<item>
<linkId value="pathogen" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="outbreak" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="ASKU" />
<display value="asked but unknown" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
</Bundle>

## Ergänzungsmeldung

<Bundle xmlns="http://hl7.org/fhir">
<id value="6215ea0a-82de-3ab1-83a2-fe99cd91bd55" />
<meta>
<lastUpdated value="2023-03-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="f6e50e77-7822-3371-b9fc-ae5d93f4523e" />
</identifier>
<type value="document" />
<timestamp value="2023-03-20T09:50:00+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/Composition/6c29a074-7871-3f61-8d6e-b421b580ec8b" />
<resource>
<Composition>
<id value="6c29a074-7871-3f61-8d6e-b421b580ec8b" />
<meta>
<lastUpdated value="2023-03-20T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHFAD" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="c9f46921-df8f-43d1-9204-2ab9ef260f6c" />
</identifier>
<status value="amended" />
<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/1883d3cb-3503-3daf-ba17-86c7df21fe36" />
</subject>
<date value="2023-03-20T01:00:00+01:00" />
<author>
<reference value="PractitionerRole/e956e26a-11be-349e-8847-85bd1af1f25a" />
</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/b8fee1b1-e981-3e4b-8f85-017b7690b3c0" />
</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/936db1f7-5ad4-3e49-8042-0e2f2187daaa" />
</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/826121f9-7f10-3f4c-bac9-8289eeb6bd49" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/5879c220-6546-34c8-931c-967611361988" />
<resource>
<Organization>
<id value="5879c220-6546-34c8-931c-967611361988" />
<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/1883d3cb-3503-3daf-ba17-86c7df21fe36" />
<resource>
<Patient>
<id value="1883d3cb-3503-3daf-ba17-86c7df21fe36" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Bach" />
<given value="Melanie" />
</name>
<telecom>
<system value="phone" />
<value value="030912391231" />
</telecom>
<telecom>
<system value="email" />
<value value="mbach@domain.de" />
</telecom>
<gender value="female" />
<birthDate value="1983-03-17" />
<address>
<extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse">
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/addressUse" />
<code value="current" />
</valueCoding>
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<line value="Alexandrinenstr. 44" />
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<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="131148009:{363698007=414781009}" />
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<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="302215000" />
<display value="Thrombozytopenie (<= 150.000 Zellen/cmm)" />
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</code>
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<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="386661006" />
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</code>
</evidence>
<note>
<text value="Textueller Hinweis" />
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<code value="hospital" />
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<name value="Sankt Gertrauden Krankenhaus" />
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<system value="phone" />
<value value="0309876543210" />
<use value="work" />
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<address>
<line value="Dingsweg 321" />
<city value="Berlin" />
<postalCode value="13055" />
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<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="hospitalLab" />
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<name value="Sankt Gertrauden Krankenhaus - Krankenhauslabor" />
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<system value="https://demis.rki.de/fhir/CodeSystem/hospitalizationServiceType" />
<code value="0152" />
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<system value="https://demis.rki.de/fhir/CodeSystem/hospitalizationServiceType" />
<code value="3600" />
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<linkId value="militaryAffiliation" />
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<code value="noReferenceToBundeswehr" />
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<linkId value="infectProtectFacility" />
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<valueDate value="2022-10-01" />
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<valueDate value="2023-03-05" />
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<code value="31001115" />
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<linkId value="placeExposureHint" />
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<valueString value="Med. Einsatz als Pflegeperson." />
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<linkId value="organDonation" />
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<linkId value="pathogen" />
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<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
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