# Beispiel Erkrankungsmeldevorgang HUSD

<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<lastUpdated value="2023-04-04T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
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<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
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<timestamp value="2023-04-04T09:50:00+01:00" />
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<lastUpdated value="2023-04-04T09:50:00+01:00" />
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHUSD" />
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<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
<value value="a2e65882-0c15-441c-9721-47eab1764510" />
</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/9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
</subject>
<date value="2023-04-04T02:00:00+02:00" />
<author>
<reference value="PractitionerRole/3611c583-d45d-3e2c-becb-4c6fca1a4050" />
</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/ec0a28f1-cedb-3a54-92d8-62c4ca808be4" />
</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/88a2c087-9ba4-3c51-a9de-80b1b6bdcec6" />
</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/c707050d-ca3a-3988-b758-eafe17532402" />
</entry>
</section>
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<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/3e0e2260-a3ee-3d27-9438-8f49e9fa1c0c" />
<resource>
<Organization>
<id value="3e0e2260-a3ee-3d27-9438-8f49e9fa1c0c" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
</meta>
<name value="Martin Luther Hospital - Meldezentrale" />
<address>
<line value="Havelchaussee. 93" />
<city value="Berlin" />
<postalCode value="13597" />
<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/9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
<resource>
<Patient>
<id value="9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
</meta>
<name>
<use value="official" />
<family value="Donner-Witoscek" />
<given value="Tobias" />
</name>
<telecom>
<system value="email" />
<value value="ichbintobias@domain.de" />
</telecom>
<gender value="male" />
<birthDate value="1999-04-21" />
<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/3e0e2260-a3ee-3d27-9438-8f49e9fa1c0c" />
</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="Feuerbachstr. 21" />
<city value="Berlin" />
<postalCode value="12169" />
<country value="DE" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Condition/ec0a28f1-cedb-3a54-92d8-62c4ca808be4" />
<resource>
<Condition>
<id value="ec0a28f1-cedb-3a54-92d8-62c4ca808be4" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHUSD" />
</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="husd" />
<display value="Hämolytisch-Urämisches Syndrom, enteropathisch" />
</coding>
</code>
<subject>
<reference value="Patient/9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
</subject>
<onsetDateTime value="2023-03-15" />
<recordedDate value="2023-04-04" />
<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="422400008" />
<display value="Erbrechen" />
</coding>
</code>
</evidence>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="236423003" />
<display value="Nierenfunktionsstörung" />
</coding>
</code>
</evidence>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/46e763ae-608a-40a2-9c8c-d9927c414790" />
<resource>
<Organization>
<id value="46e763ae-608a-40a2-9c8c-d9927c414790" />
<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="Martin Luther Hospital - Meldestandort" />
<telecom>
<system value="phone" />
<value value="030777123490" />
<use value="work" />
</telecom>
<address>
<line value="Havelchaussee 93" />
<city value="Berlin" />
<postalCode value="13597" />
<country value="DE" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/PractitionerRole/3611c583-d45d-3e2c-becb-4c6fca1a4050" />
<resource>
<PractitionerRole>
<id value="3611c583-d45d-3e2c-becb-4c6fca1a4050" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
</meta>
<organization>
<reference value="Organization/46e763ae-608a-40a2-9c8c-d9927c414790" />
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Organization/1c3aede3-cf7c-4040-8ee5-4b0e47d085b0" />
<resource>
<Organization>
<id value="1c3aede3-cf7c-4040-8ee5-4b0e47d085b0" />
<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/2d71145a-61de-436a-a8df-6a2086bd0a6b" />
<resource>
<Organization>
<id value="2d71145a-61de-436a-a8df-6a2086bd0a6b" />
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</meta>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<code value="prevCareRehab" />
<display value="Vorsorge- oder Reha-Einrichtung" />
</coding>
</type>
<name value="Reha-Zentrum Steglitz" />
<address>
<line value="Lauenburger Str. 14" />
<postalCode value="12169" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/Encounter/1f459a8c-e498-3ed1-a7ee-fa950adb6996" />
<resource>
<Encounter>
<id value="1f459a8c-e498-3ed1-a7ee-fa950adb6996" />
<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/9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
</subject>
<period>
<start value="2023-04-04" />
</period>
<serviceProvider>
<reference value="Organization/3e0e2260-a3ee-3d27-9438-8f49e9fa1c0c" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/88a2c087-9ba4-3c51-a9de-80b1b6bdcec6" />
<resource>
<QuestionnaireResponse>
<id value="88a2c087-9ba4-3c51-a9de-80b1b6bdcec6" />
<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/9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
</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/1c3aede3-cf7c-4040-8ee5-4b0e47d085b0" />
</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/1f459a8c-e498-3ed1-a7ee-fa950adb6996" />
</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="2020-01-01" />
</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/2d71145a-61de-436a-a8df-6a2086bd0a6b" />
</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="2023-01-01" />
</answer>
</item>
<item>
<linkId value="placeExposureEnd" />
<answer>
<valueDate value="2023-03-20" />
</answer>
</item>
<item>
<linkId value="placeExposureRegion" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="31002850" />
<display value="Südostasien" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="placeExposureHint" />
<answer>
<valueString value="Motorrad-Roadtrip durch mehrere asiatische Länder." />
</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="Seit 03.04.2023 zudem eine Nierenfunktionsstörung." />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/c707050d-ca3a-3988-b758-eafe17532402" />
<resource>
<QuestionnaireResponse>
<id value="c707050d-ca3a-3988-b758-eafe17532402" />
<meta>
<profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHUSD" />
</meta>
<questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHUSD" />
<status value="completed" />
<subject>
<reference value="Patient/9ebf11d0-45f4-3e9d-a81b-e2e0601d88af" />
</subject>
<item>
<linkId value="infectionPathKind" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="74964007" />
<display value="andere/sonstige" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="onsetOfDiseaseHUS" />
<answer>
<valueDate value="2023-04-03" />
</answer>
</item>
<item>
<linkId value="infectionRisk" />
<answer>
<valueCoding>
<system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
<code value="yes" />
<display value="Ja" />
</valueCoding>
<item>
<linkId value="infectionRiskGroup" />
<item>
<linkId value="infectionRiskKindAnimal" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="125099002" />
<display value="Schaf" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionAnimalWhere" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="272504001" />
<display value="Bezug landwirschaftlichem Betrieb" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionAnimalWhen" />
<answer>
<valueDate value="2023-03-15" />
</answer>
</item>
</item>
<item>
<linkId value="infectionRiskGroup" />
<item>
<linkId value="infectionRiskKindAnimal" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="125097000" />
<display value="Ziege" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionAnimalWhere" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="272504001" />
<display value="Bezug landwirschaftlichem Betrieb" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionAnimalWhen" />
<answer>
<valueDate value="2023-03-15" />
</answer>
</item>
</item>
<item>
<linkId value="infectionRiskGroup" />
<item>
<linkId value="infectionRiskKindAnimal" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="107007004" />
<display value="Rind" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionAnimalWhere" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="272504001" />
<display value="Bezug landwirschaftlichem Betrieb" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="infectionAnimalWhen" />
<answer>
<valueDate value="2023-03-15" />
</answer>
</item>
</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>