# Beispiel Erkrankungsmeldevorgang HCVD

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<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHCVD" />
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<status value="final" />
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<system value="http://loinc.org" />
<code value="34782-3" />
<display value="Infectious disease Note" />
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<system value="https://demis.rki.de/fhir/CodeSystem/notificationType" />
<code value="6.1_2" />
<display value="Meldung gemäß §6 Absatz 1, 2" />
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<date value="2023-04-15T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/9999c2a8-c1d7-3237-b26b-ae4a72a9f1c9" />
</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" />
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</code>
<entry>
<reference value="Condition/08b2342e-0fe2-3483-b42b-0de9d06b1d93" />
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<section>
<title value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
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<system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" />
<code value="generalClinAndEpiInformation" />
<display value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" />
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<reference value="QuestionnaireResponse/87bd4f73-bbe4-34f6-9ad5-f4b440b75049" />
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<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" />
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</code>
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<reference value="QuestionnaireResponse/ae4c3435-911d-358a-8221-3f9f4636906a" />
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<fullUrl value="https://demis.rki.de/fhir/Organization/fc25a43f-c454-3b17-8118-0682d9616d41" />
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<Organization>
<id value="fc25a43f-c454-3b17-8118-0682d9616d41" />
<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="41912" />
<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/cb27ff85-839c-3e45-a7a9-ec62277b9e73" />
<resource>
<Patient>
<id value="cb27ff85-839c-3e45-a7a9-ec62277b9e73" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Sommer" />
<given value="Michael" />
</name>
<gender value="male" />
<birthDate value="1977-08-18" />
<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/fc25a43f-c454-3b17-8118-0682d9616d41" />
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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>
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<city value="Berlin" />
<country value="DE" />
</address>
</Patient>
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<fullUrl value="https://demis.rki.de/fhir/Condition/08b2342e-0fe2-3483-b42b-0de9d06b1d93" />
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<Condition>
<id value="08b2342e-0fe2-3483-b42b-0de9d06b1d93" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHCVD" />
</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="hcvd" />
<display value="Hepatitis-C" />
</coding>
</code>
<subject>
<reference value="Patient/cb27ff85-839c-3e45-a7a9-ec62277b9e73" />
</subject>
<onsetDateTime value="2023-04-15" />
<recordedDate value="2023-04-15" />
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="18165001" />
<display value="Ikterus (Gelbsucht)" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="707724006" />
<display value="Serumtransaminasen, erhöht" />
</coding>
</code>
</evidence>
</Condition>
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<id value="753feff4-0ce9-49ee-89bc-fcb9a4e8b330" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" />
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<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="41912" />
<country value="DE" />
</address>
</Organization>
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<organization>
<reference value="Organization/753feff4-0ce9-49ee-89bc-fcb9a4e8b330" />
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<fullUrl value="https://demis.rki.de/fhir/Organization/97dd9f62-e98a-437c-a410-5bec2841189e" />
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<id value="97dd9f62-e98a-437c-a410-5bec2841189e" />
<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>
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<fullUrl value="https://demis.rki.de/fhir/Encounter/8d0b7209-5d59-3180-8deb-3eeff867b9f1" />
<resource>
<Encounter>
<id value="8d0b7209-5d59-3180-8deb-3eeff867b9f1" />
<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/cb27ff85-839c-3e45-a7a9-ec62277b9e73" />
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<period>
<start value="2020-04-15" />
</period>
<serviceProvider>
<reference value="Organization/fc25a43f-c454-3b17-8118-0682d9616d41" />
</serviceProvider>
</Encounter>
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<id value="87bd4f73-bbe4-34f6-9ad5-f4b440b75049" />
<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/cb27ff85-839c-3e45-a7a9-ec62277b9e73" />
</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="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="NASK" />
<display value="not asked" />
</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/97dd9f62-e98a-437c-a410-5bec2841189e" />
</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/8d0b7209-5d59-3180-8deb-3eeff867b9f1" />
</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="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="organDonation" />
<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="additionalInformation" />
<answer>
<valueString value="Lange Zeit ohne festen Wohnsitz, hat Leberzirrhose." />
</answer>
</item>
</QuestionnaireResponse>
</resource>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/ae4c3435-911d-358a-8221-3f9f4636906a" />
<resource>
<QuestionnaireResponse>
<id value="ae4c3435-911d-358a-8221-3f9f4636906a" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHCVD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHCVD" />
<status value="completed" />
<subject>
<reference value="Patient/cb27ff85-839c-3e45-a7a9-ec62277b9e73" />
</subject>
<item>
<linkId value="nationalityGroup" />
<item>
<linkId value="nationality" />
<answer>
<valueCoding>
<system value="urn:iso:std:iso:3166" />
<code value="HR" />
<display value="Kroatien" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="countryOfBirth" />
<answer>
<valueCoding>
<system value="urn:iso:std:iso:3166" />
<code value="DE" />
<display value="Deutschland" />
</valueCoding>
</answer>
</item>
</item>
<item>
<linkId value="stadium" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="773114002" />
<display value="Verdacht auf 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="liverCirrhosis" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="diagnosisKnown" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="no" />
<display value="Nein" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000:{704326004=408678008}" />
<display value="Nosokomiale Übertragung" />
</valueCoding>
<item>
<linkId value="transmissionKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409496000:{704326004=5447007}" />
<display value="Erhalt von Blutprodukten" />
</valueCoding>
<item>
<linkId value="receiptBloodProductsUnknownDate" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/beforeOrAfter1991" />
<code value="128522" />
<display value="vor 1991" />
</valueCoding>
</answer>
</item>
</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>
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