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{
  "resourceType": "StructureDefinition",
  "id": "NotificationDiseaseNonNominal",
  "url": "https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseNonNominal",
  "version": "1.0.1",
  "name": "NotificationDiseaseNonNominal",
  "title": "Nichtnamentliche Ergänzungsmeldung zur nichtnamentlichen Erregernachweismeldung nach § 7 Abs. 3 IfSG",
  "status": "active",
  "date": "2025-08-12",
  "description": "Die nichtnamentliche Ergänzungsmeldung definiert die Meldeinhalte, die im Rahmen einer nichtnamentlichen Erregernachweismeldung nach § 7 Abs. 3 IfSG durch die einsende Person ergänzt werden müssen. Meldetatbestandsspezifische Inhalte werden über Subprofile von NotificationDiseaseNonNominal definiert.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "fhirdocumentreference",
      "uri": "http://hl7.org/fhir/documentreference",
      "name": "FHIR DocumentReference"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "Composition",
  "baseDefinition": "https://demis.rki.de/fhir/StructureDefinition/Notification",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "short": "Eindeutige ID der Meldung",
        "definition": "Eindeutige ID der Meldung, die vom Melder bei Erstellung generiert wird. Es handelt sich um eine UUID im NamingSystem https://demis.rki.de/fhir/NamingSystem/NotificationId.",
        "comment": "Bei einer Ergänzungs- bzw. einer Korrekturmeldung ist die gleiche NotificationId der Meldung anzugegeben.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.system",
        "path": "Composition.identifier.system",
        "min": 1,
        "fixedUri": "https://demis.rki.de/fhir/NamingSystem/NotificationId",
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.value",
        "path": "Composition.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "definition": "Typ der Composition. In DEMIS ist der Typ immer mit dem Wert 34782-3 (Infectious disease Note) aus dem entsprechend hinterlegten LOINC-ValueSet zu belegen."
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "system": "http://loinc.org",
          "code": "34782-3",
          "display": "Infectious disease Note"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.category",
        "path": "Composition.category",
        "short": "Typ der nichtnamentlichen Ergänzungsmeldung nach § 7 Abs. 3 IfSG",
        "definition": "Typ der nichtnamentlichen Ergänzungsmeldung nach § 7 Abs. 3 IfSG. Hierfür muss der Typ der Meldung entsprechend des vom RKI definierten ValueSets https://demis.rki.de/fhir/ValueSet/notificationType im coding Element dargestellt werden.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "Typ der nichtnamentlichen Ergänzungsmeldung nach § 7 Abs. 3 IfSG",
          "valueSet": "https://demis.rki.de/fhir/ValueSet/notificationType"
        }
      },
      {
        "id": "Composition.category.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.category.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "short": "Verweis auf die betroffene Person (namentlich oder anonym).",
        "definition": "Verweis auf die betroffene Person (namentlich oder anonym).",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson",
              "https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonAnonymous"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "definition": "Verweis auf die Melder-Rolle. Über die Melder-Rolle kann eine Person oder eine Organisation als Melder - hier Ärztin/Arzt, Praxis, Krankenhaus - referenziert werden."
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "Composition.section:disease",
        "path": "Composition.section",
        "sliceName": "disease",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:disease.code",
        "path": "Composition.section.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:disease.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:disease.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "https://demis.rki.de/fhir/CodeSystem/sectionCode",
        "mustSupport": true
      },
      {
        "id": "Composition.section:disease.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "diagnosis"
      },
      {
        "id": "Composition.section:disease.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "fixedString": "Diagnose"
      },
      {
        "id": "Composition.section:disease.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/StructureDefinition/DiseaseNonNominal"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:disease.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation",
        "path": "Composition.section",
        "sliceName": "diseaseInformation",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation.code",
        "path": "Composition.section.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "https://demis.rki.de/fhir/CodeSystem/sectionCode",
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "specificClinAndEpiInformation",
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "fixedString": "Meldetatbestandsspezifische klinische und epidemiologische Angaben"
      },
      {
        "id": "Composition.section:diseaseInformation.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationNonNominal"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:diseaseInformation.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}

name : NotificationDiseaseNonNominal

{

}