Inpatient - Klebsiella Pneumoniae with Susceptibility Testing

Example: Detection of Klebsiella pneumoniae in a hospitalized patient, including susceptibility testing.

This is to be understood as a technical example to illustrate the FHIR specification.


Bundle
<Bundle xmlns="http://hl7.org/fhir">
<id value="BundleExample-Inpatient-KlebsiellaPneumoniae" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Bundle" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="1" />
</identifier>
<type value="document" />
<timestamp value="2023-06-13T17:52:31.000+01:00" />
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Composition/e0081181-a119-ba25-4852-d247f2b47caf" />
<resource>
<Composition>
<id value="e0081181-a119-ba25-4852-d247f2b47caf" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Composition" />
</meta>
<status value="final" />
<type>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/900000000000207008/version/20241001" />
<code value="4241000179101" />
</coding>
</type>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<date value="2023-06-13T17:52:31.000+01:00" />
<author>
<reference value="Device/c6ef893b-a572-495e-b91e-806957eefd1d" />
</author>
<title value="Laboratory Report" />
<section>
<code>
<coding>
<system value="http://loinc.org" />
<code value="11502-2" />
<display value="Laboratory report" />
</coding>
</code>
<entry>
<reference value="DiagnosticReport/961e1c0e-b8ad-462d-bdb6-108481ad014d" />
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org" />
<code value="11336-5" />
<display value="History of Hospitalization Narrative" />
</coding>
</code>
<entry>
<reference value="Encounter/Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a" />
</entry>
<entry>
<reference value="Encounter/Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5" />
</entry>
<entry>
<reference value="Encounter/Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Organization/730d269c-109c-4b3a-86a6-408f22989aa9" />
<resource>
<Organization>
<id value="730d269c-109c-4b3a-86a6-408f22989aa9" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/DataSender" />
</meta>
<identifier>
<system value="https://demis.rki.de/fhir/NamingSystem/DemisParticipantId" />
<value value="999999999" />
</identifier>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<version value="1.4.2" />
<code value="laboratory" />
</coding>
</type>
<name value="Beispiellabor GmbH" />
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Device/c6ef893b-a572-495e-b91e-806957eefd1d" />
<resource>
<Device>
<id value="c6ef893b-a572-495e-b91e-806957eefd1d" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Software" />
</meta>
<manufacturer value="Softwarehersteller BSP GmbH" />
<deviceName>
<name value="MyBeispielLIS" />
<type value="user-friendly-name" />
</deviceName>
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="706687001" />
<display value="Software (physical object)" />
</coding>
</type>
<version>
<value value="1.0" />
</version>
<owner>
<reference value="Organization/730d269c-109c-4b3a-86a6-408f22989aa9" />
</owner>
</Device>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/DiagnosticReport/961e1c0e-b8ad-462d-bdb6-108481ad014d" />
<resource>
<DiagnosticReport>
<id value="961e1c0e-b8ad-462d-bdb6-108481ad014d" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/DiagnosticReport" />
</meta>
<basedOn>
<reference value="ServiceRequest/cc06ea66-2dcf-49f5-a4c8-e363936d03e1" />
</basedOn>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<version value="2.79" />
<code value="11502-2" />
</coding>
</code>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<result>
<reference value="Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7" />
</result>
<result>
<reference value="Observation/b5cee33d-29c6-4209-877f-9369d14f87bf" />
</result>
<result>
<reference value="Observation/baf8fd45-5c3a-b1a2-e221-fee38df64cf5" />
</result>
<result>
<reference value="Observation/1c3d4ca4-af8b-4142-b257-f0ec49f7c68f" />
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/ServiceRequest/cc06ea66-2dcf-49f5-a4c8-e363936d03e1" />
<resource>
<ServiceRequest>
<id value="cc06ea66-2dcf-49f5-a4c8-e363936d03e1" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest" />
</meta>
<status value="completed" />
<intent value="order" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="168186002" />
</coding>
</code>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<insurance>
<reference value="Coverage/7d31688f-8e42-4742-be37-a066376f19cb" />
</insurance>
<specimen>
<reference value="Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1" />
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
<resource>
<Patient>
<id value="43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Patient" />
</meta>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="ANON" />
</coding>
</type>
<system value="https://demis.rki.de/fhir/sid/SurveillancePatientPseudonym" />
<value value="f68ae1e4b4fb59f68b6e30ac51618aa8c5e7249735517ab5344fb900484e2a47" />
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="ANON" />
</coding>
</type>
<system value="https://demis.rki.de/fhir/sid/SurveillancePatientPseudonym" />
<value value="2d00467c311c659aed5f64b3daeb61be7793ef5410545c3b69634a18c7c7b429" />
</identifier>
<gender value="male" />
<birthDate value="1983-06" />
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Coverage/7d31688f-8e42-4742-be37-a066376f19cb" />
<resource>
<Coverage>
<id value="7d31688f-8e42-4742-be37-a066376f19cb" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Coverage" />
</meta>
<status value="active" />
<type>
<coding>
<system value="http://fhir.de/CodeSystem/versicherungsart-de-basis" />
<version value="1.5.3" />
<code value="GKV" />
</coding>
</type>
<beneficiary>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</beneficiary>
<payor>
<display value="unknown" />
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1" />
<resource>
<Specimen>
<id value="3a2f563f-a155-498f-a5b2-a2959e2380a1" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Specimen" />
</meta>
<accessionIdentifier>
<system value="http://www.beispiellabor.de/identifiers/specimen/accessionIdentifier" />
<value value="23BLN001234" />
</accessionIdentifier>
<type>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="866033003" />
</coding>
<text value="Blutkulturflasche aerob" />
</type>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<receivedTime value="2023-06-13" />
<request>
<reference value="ServiceRequest/CC06EA66-2DCF-49F5-A4C8-E363936D03E1" />
</request>
<collection>
<collector>
<reference value="PractitionerRole/59bc88f9-8ef8-4a04-8c19-5e2c5065e9eb" />
</collector>
<collectedDateTime value="2023-06-10" />
<bodySite>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="52124006" />
</coding>
<text value="Blutstrom" />
</bodySite>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/PractitionerRole/59bc88f9-8ef8-4a04-8c19-5e2c5065e9eb" />
<resource>
<PractitionerRole>
<id value="59bc88f9-8ef8-4a04-8c19-5e2c5065e9eb" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleInpatientOrganization" />
</meta>
<organization>
<reference value="Organization/797f680a-9340-4dc3-94ee-4395acc30779" />
</organization>
<specialty>
<coding>
<system value="http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" />
<version value="1.5.3" />
<code value="0300" />
</coding>
</specialty>
<location>
<reference value="Location/21883c9f-8da0-eb4b-4c34-1072527c1a26" />
</location>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Organization/e6f3ef23-c17d-0ffb-817e-073100c35f41" />
<resource>
<Organization>
<id value="e6f3ef23-c17d-0ffb-817e-073100c35f41" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Hospital" />
</meta>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="XX" />
</coding>
</type>
<system value="https://demis.rki.de/fhir/sid/InekStandortId" />
<value value="770015" />
</identifier>
<type>
<coding>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<version value="1.4.2" />
<code value="hospital" />
</coding>
</type>
<name value="Krankenhaus Wald und Wiesen Standort Mitte" />
<address>
<postalCode value="10123" />
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Location/21883c9f-8da0-eb4b-4c34-1072527c1a26" />
<resource>
<Location>
<id value="21883c9f-8da0-eb4b-4c34-1072527c1a26" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Ward" />
</meta>
<identifier>
<system value="http://www.beispiellabor.de/identifiers/ward" />
<value value="3A-NO" />
</identifier>
<name value="Station 3a" />
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
<version value="2014-03-26" />
<code value="HU" />
</coding>
</type>
<managingOrganization>
<reference value="Organization/e6f3ef23-c17d-0ffb-817e-073100c35f41" />
</managingOrganization>
</Location>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Encounter/Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a" />
<resource>
<Encounter>
<id value="Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Encounter" />
</meta>
<status value="finished" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<version value="4.0.1" />
<code value="IMP" />
</class>
<type>
<coding>
<system value="http://fhir.de/CodeSystem/Kontaktebene" />
<version value="1.5.3" />
<code value="einrichtungskontakt" />
</coding>
</type>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<period>
<start value="2023-05-01" />
<end value="2023-05-01" />
</period>
<serviceProvider>
<reference value="Organization/e6f3ef23-c17d-0ffb-817e-073100c35f41" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Encounter/Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5" />
<resource>
<Encounter>
<id value="Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Encounter" />
</meta>
<status value="finished" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<version value="4.0.1" />
<code value="IMP" />
</class>
<type>
<coding>
<system value="http://fhir.de/CodeSystem/Kontaktebene" />
<version value="1.5.3" />
<code value="abteilungskontakt" />
</coding>
</type>
<serviceType>
<coding>
<system value="http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" />
<version value="1.5.3" />
<code value="0300" />
</coding>
</serviceType>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<period>
<start value="2023-05-01" />
<end value="2023-05-01" />
</period>
<partOf>
<reference value="Encounter/Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a" />
</partOf>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Encounter/Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2" />
<resource>
<Encounter>
<id value="Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Encounter" />
</meta>
<status value="finished" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<version value="4.0.1" />
<code value="IMP" />
</class>
<type>
<coding>
<system value="http://fhir.de/CodeSystem/Kontaktebene" />
<version value="1.5.3" />
<code value="versorgungsstellenkontakt" />
</coding>
</type>
<type>
<coding>
<system value="http://fhir.de/CodeSystem/kontaktart-de" />
<version value="1.5.3" />
<code value="normalstationaer" />
</coding>
</type>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<period>
<start value="2023-05-01" />
<end value="2023-05-01" />
</period>
<location>
<location>
<reference value="Location/21883c9f-8da0-eb4b-4c34-1072527c1a26" />
</location>
<physicalType>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/location-physical-type" />
<code value="wa" />
</coding>
</physicalType>
</location>
<partOf>
<reference value="Encounter/Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5" />
</partOf>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7" />
<resource>
<Observation>
<id value="e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Observation" />
</meta>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<version value="2.79" />
<code value="41852-5" />
<display value="Microorganism or agent identified in Specimen" />
</coding>
</code>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<issued value="2023-06-14T00:00:00.000+01:00" />
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="56415008" />
</coding>
<text value="Klebsiella pneumoniae" />
</valueCodeableConcept>
<interpretation>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="10828004" />
</coding>
</interpretation>
<method>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="83581000052107" />
</coding>
<text value="MALDI-TOF" />
</method>
<specimen>
<reference value="Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1" />
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Observation/b5cee33d-29c6-4209-877f-9369d14f87bf" />
<resource>
<Observation>
<id value="b5cee33d-29c6-4209-877f-9369d14f87bf" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Observation" />
</meta>
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy">
<extension url="observation">
<valueReference>
<reference value="Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7" />
</valueReference>
</extension>
<extension url="type">
<valueCode value="reflex" />
</extension>
</extension>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<version value="2.79" />
<code value="29576-6" />
<display value="Bacterial susceptibility panel" />
</coding>
</code>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<issued value="2023-06-14T00:00:00.000+01:00" />
<specimen>
<reference value="Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1" />
</specimen>
<hasMember>
<reference value="Observation/baf8fd45-5c3a-b1a2-e221-fee38df64cf5" />
</hasMember>
<hasMember>
<reference value="Observation/1c3d4ca4-af8b-4142-b257-f0ec49f7c68f" />
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Observation/1c3d4ca4-af8b-4142-b257-f0ec49f7c68f" />
<resource>
<Observation>
<id value="1c3d4ca4-af8b-4142-b257-f0ec49f7c68f" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Observation" />
</meta>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<version value="2.79" />
<code value="18932-4" />
<display value="Imipenem [Susceptibility]" />
</coding>
</code>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<issued value="2023-06-14T00:00:00.000+01:00" />
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="1306581009" />
<display value="EUCAST-Kategorie 2019 - R (resistent)" />
</coding>
</valueCodeableConcept>
<interpretation>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="1306581009" />
<display value="EUCAST-Kategorie 2019 - R (resistent)" />
</coding>
</interpretation>
<method>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="263696007" />
</coding>
<text value="Mikrodilution" />
</method>
<specimen>
<reference value="Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1" />
</specimen>
<referenceRange>
<extension url="https://demis.rki.de/fhir/ars/StructureDefinition/Norm">
<valueCodeableConcept>
<coding>
<system value="https://demis.rki.de/fhir/ars/CodeSystem/norm" />
<version value="1.0.0" />
<code value="EUCAST" />
</coding>
<text value="EUCAST (v 13.1)" />
</valueCodeableConcept>
</extension>
<text value="nur Angabe Norm" />
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Observation/baf8fd45-5c3a-b1a2-e221-fee38df64cf5" />
<resource>
<Observation>
<id value="baf8fd45-5c3a-b1a2-e221-fee38df64cf5" />
<meta>
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Observation" />
</meta>
<status value="final" />
<code>
<coding>
<system value="http://loinc.org" />
<version value="2.79" />
<code value="18932-4" />
<display value="Imipenem [Susceptibility]" />
</coding>
</code>
<subject>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<issued value="2023-06-14T00:00:00.000+01:00" />
<valueQuantity>
<value value="5" />
<system value="http://unitsofmeasure.org" />
<code value="mg/L" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="1306581009" />
<display value="EUCAST-Kategorie 2019 - R (resistent)" />
</coding>
</interpretation>
<method>
<coding>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="263696007" />
</coding>
<text value="Mikrodilution" />
</method>
<specimen>
<reference value="Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1" />
</specimen>
<referenceRange>
<extension url="https://demis.rki.de/fhir/ars/StructureDefinition/Norm">
<valueCodeableConcept>
<coding>
<system value="https://demis.rki.de/fhir/ars/CodeSystem/norm" />
<version value="1.0.0" />
<code value="EUCAST" />
</coding>
<text value="EUCAST (v 13.1)" />
</valueCodeableConcept>
</extension>
<text value="nur Angabe Norm" />
</referenceRange>
</Observation>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "BundleExample-Inpatient-KlebsiellaPneumoniae",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Bundle"
]
},
"type": "document",
"identifier": {
"system": "https://demis.rki.de/fhir/NamingSystem/NotificationBundleId",
"value": "1"
},
"timestamp": "2023-06-13T17:52:31.000+01:00",
"entry": [
{
"fullUrl": "https://demis.rki.de/fhir/ars/Composition/e0081181-a119-ba25-4852-d247f2b47caf",
"resource": {
"resourceType": "Composition",
"id": "e0081181-a119-ba25-4852-d247f2b47caf",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Composition"
]
},
"title": "Laboratory Report",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "4241000179101",
"version": "http://snomed.info/sct/900000000000207008/version/20241001"
}
]
},
"section": [
{
"code": {
"coding": [
{
"code": "11502-2",
"system": "http://loinc.org",
"display": "Laboratory report"
}
]
},
"entry": [
{
"reference": "DiagnosticReport/961e1c0e-b8ad-462d-bdb6-108481ad014d"
}
]
},
{
"code": {
"coding": [
{
"code": "11336-5",
"system": "http://loinc.org",
"display": "History of Hospitalization Narrative"
}
]
},
"entry": [
{
"reference": "Encounter/Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a"
},
{
"reference": "Encounter/Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5"
},
{
"reference": "Encounter/Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2"
}
]
}
],
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"date": "2023-06-13T17:52:31.000+01:00",
"author": [
{
"reference": "Device/c6ef893b-a572-495e-b91e-806957eefd1d"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Organization/730d269c-109c-4b3a-86a6-408f22989aa9",
"resource": {
"resourceType": "Organization",
"id": "730d269c-109c-4b3a-86a6-408f22989aa9",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/DataSender"
]
},
"identifier": [
{
"system": "https://demis.rki.de/fhir/NamingSystem/DemisParticipantId",
"value": "999999999"
}
],
"type": [
{
"coding": [
{
"system": "https://demis.rki.de/fhir/CodeSystem/organizationType",
"code": "laboratory",
"version": "1.4.2"
}
]
}
],
"name": "Beispiellabor GmbH"
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Device/c6ef893b-a572-495e-b91e-806957eefd1d",
"resource": {
"resourceType": "Device",
"id": "c6ef893b-a572-495e-b91e-806957eefd1d",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Software"
]
},
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "706687001",
"display": "Software (physical object)"
}
]
},
"deviceName": [
{
"type": "user-friendly-name",
"name": "MyBeispielLIS"
}
],
"manufacturer": "Softwarehersteller BSP GmbH",
"version": [
{
"value": "1.0"
}
],
"owner": {
"reference": "Organization/730d269c-109c-4b3a-86a6-408f22989aa9"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/DiagnosticReport/961e1c0e-b8ad-462d-bdb6-108481ad014d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "961e1c0e-b8ad-462d-bdb6-108481ad014d",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/DiagnosticReport"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11502-2",
"version": "2.79"
}
]
},
"basedOn": [
{
"reference": "ServiceRequest/cc06ea66-2dcf-49f5-a4c8-e363936d03e1"
}
],
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"result": [
{
"reference": "Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7"
},
{
"reference": "Observation/b5cee33d-29c6-4209-877f-9369d14f87bf"
},
{
"reference": "Observation/baf8fd45-5c3a-b1a2-e221-fee38df64cf5"
},
{
"reference": "Observation/1c3d4ca4-af8b-4142-b257-f0ec49f7c68f"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/ServiceRequest/cc06ea66-2dcf-49f5-a4c8-e363936d03e1",
"resource": {
"resourceType": "ServiceRequest",
"id": "cc06ea66-2dcf-49f5-a4c8-e363936d03e1",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest"
]
},
"status": "completed",
"intent": "order",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "168186002",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
]
},
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"insurance": [
{
"reference": "Coverage/7d31688f-8e42-4742-be37-a066376f19cb"
}
],
"specimen": [
{
"reference": "Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c",
"resource": {
"resourceType": "Patient",
"id": "43511fe3-aa5f-73fb-7e59-2313ba0ca76c",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Patient"
]
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ANON"
}
]
},
"system": "https://demis.rki.de/fhir/sid/SurveillancePatientPseudonym",
"value": "f68ae1e4b4fb59f68b6e30ac51618aa8c5e7249735517ab5344fb900484e2a47"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ANON"
}
]
},
"system": "https://demis.rki.de/fhir/sid/SurveillancePatientPseudonym",
"value": "2d00467c311c659aed5f64b3daeb61be7793ef5410545c3b69634a18c7c7b429"
}
],
"gender": "male",
"birthDate": "1983-06"
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Coverage/7d31688f-8e42-4742-be37-a066376f19cb",
"resource": {
"resourceType": "Coverage",
"id": "7d31688f-8e42-4742-be37-a066376f19cb",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Coverage"
]
},
"status": "active",
"payor": [
{
"display": "unknown"
}
],
"type": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/versicherungsart-de-basis",
"code": "GKV",
"version": "1.5.3"
}
]
},
"beneficiary": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1",
"resource": {
"resourceType": "Specimen",
"id": "3a2f563f-a155-498f-a5b2-a2959e2380a1",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Specimen"
]
},
"accessionIdentifier": {
"system": "http://www.beispiellabor.de/identifiers/specimen/accessionIdentifier",
"value": "23BLN001234"
},
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "866033003",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Blutkulturflasche aerob"
},
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"receivedTime": "2023-06-13",
"request": [
{
"reference": "ServiceRequest/CC06EA66-2DCF-49F5-A4C8-E363936D03E1"
}
],
"collection": {
"collector": {
"reference": "PractitionerRole/59bc88f9-8ef8-4a04-8c19-5e2c5065e9eb"
},
"collectedDateTime": "2023-06-10",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "52124006",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Blutstrom"
}
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/PractitionerRole/59bc88f9-8ef8-4a04-8c19-5e2c5065e9eb",
"resource": {
"resourceType": "PractitionerRole",
"id": "59bc88f9-8ef8-4a04-8c19-5e2c5065e9eb",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleInpatientOrganization"
]
},
"specialty": [
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel",
"code": "0300",
"version": "1.5.3"
}
]
}
],
"organization": {
"reference": "Organization/797f680a-9340-4dc3-94ee-4395acc30779"
},
"location": [
{
"reference": "Location/21883c9f-8da0-eb4b-4c34-1072527c1a26"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Organization/e6f3ef23-c17d-0ffb-817e-073100c35f41",
"resource": {
"resourceType": "Organization",
"id": "e6f3ef23-c17d-0ffb-817e-073100c35f41",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Hospital"
]
},
"type": [
{
"coding": [
{
"system": "https://demis.rki.de/fhir/CodeSystem/organizationType",
"code": "hospital",
"version": "1.4.2"
}
]
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
},
"system": "https://demis.rki.de/fhir/sid/InekStandortId",
"value": "770015"
}
],
"name": "Krankenhaus Wald und Wiesen Standort Mitte",
"address": [
{
"postalCode": "10123"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Location/21883c9f-8da0-eb4b-4c34-1072527c1a26",
"resource": {
"resourceType": "Location",
"id": "21883c9f-8da0-eb4b-4c34-1072527c1a26",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Ward"
]
},
"identifier": [
{
"system": "http://www.beispiellabor.de/identifiers/ward",
"value": "3A-NO"
}
],
"name": "Station 3a",
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "HU",
"version": "2014-03-26"
}
]
}
],
"managingOrganization": {
"reference": "Organization/e6f3ef23-c17d-0ffb-817e-073100c35f41"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Encounter/Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a",
"resource": {
"resourceType": "Encounter",
"id": "Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Encounter"
]
},
"type": [
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/Kontaktebene",
"code": "einrichtungskontakt",
"version": "1.5.3"
}
]
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"version": "4.0.1"
},
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"period": {
"start": "2023-05-01",
"end": "2023-05-01"
},
"serviceProvider": {
"reference": "Organization/e6f3ef23-c17d-0ffb-817e-073100c35f41"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Encounter/Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5",
"resource": {
"resourceType": "Encounter",
"id": "Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Encounter"
]
},
"type": [
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/Kontaktebene",
"code": "abteilungskontakt",
"version": "1.5.3"
}
]
}
],
"serviceType": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel",
"code": "0300",
"version": "1.5.3"
}
]
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"version": "4.0.1"
},
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"period": {
"start": "2023-05-01",
"end": "2023-05-01"
},
"partOf": {
"reference": "Encounter/Einrichtungskontakt-986b2866-1ee1-b1d0-e7f5-6f1f148c0c2a"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Encounter/Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2",
"resource": {
"resourceType": "Encounter",
"id": "Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Encounter"
]
},
"type": [
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/Kontaktebene",
"code": "versorgungsstellenkontakt",
"version": "1.5.3"
}
]
},
{
"coding": [
{
"system": "http://fhir.de/CodeSystem/kontaktart-de",
"code": "normalstationaer",
"version": "1.5.3"
}
]
}
],
"location": [
{
"physicalType": {
"coding": [
{
"code": "wa",
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type"
}
]
},
"location": {
"reference": "Location/21883c9f-8da0-eb4b-4c34-1072527c1a26"
}
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"version": "4.0.1"
},
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"period": {
"start": "2023-05-01",
"end": "2023-05-01"
},
"partOf": {
"reference": "Encounter/Abteilungskontakt-692ff5a1-839f-59a9-77f9-c36f9fbd86c5"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7",
"resource": {
"resourceType": "Observation",
"id": "e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "41852-5",
"display": "Microorganism or agent identified in Specimen",
"version": "2.79"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "56415008",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Klebsiella pneumoniae"
},
"interpretation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "10828004",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
]
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "83581000052107",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "MALDI-TOF"
},
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"issued": "2023-06-14T00:00:00.000+01:00",
"specimen": {
"reference": "Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Observation/b5cee33d-29c6-4209-877f-9369d14f87bf",
"resource": {
"resourceType": "Observation",
"id": "b5cee33d-29c6-4209-877f-9369d14f87bf",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29576-6",
"display": "Bacterial susceptibility panel",
"version": "2.79"
}
]
},
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy",
"extension": [
{
"url": "observation",
"valueReference": {
"reference": "Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7"
}
},
{
"url": "type",
"valueCode": "reflex"
}
]
}
],
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"issued": "2023-06-14T00:00:00.000+01:00",
"specimen": {
"reference": "Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1"
},
"hasMember": [
{
"reference": "Observation/baf8fd45-5c3a-b1a2-e221-fee38df64cf5"
},
{
"reference": "Observation/1c3d4ca4-af8b-4142-b257-f0ec49f7c68f"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Observation/1c3d4ca4-af8b-4142-b257-f0ec49f7c68f",
"resource": {
"resourceType": "Observation",
"id": "1c3d4ca4-af8b-4142-b257-f0ec49f7c68f",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18932-4",
"display": "Imipenem [Susceptibility]",
"version": "2.79"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1306581009",
"version": "http://snomed.info/sct/11000274103/version/20250515",
"display": "EUCAST-Kategorie 2019 - R (resistent)"
}
]
},
"interpretation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1306581009",
"version": "http://snomed.info/sct/11000274103/version/20250515",
"display": "EUCAST-Kategorie 2019 - R (resistent)"
}
]
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263696007",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Mikrodilution"
},
"referenceRange": [
{
"extension": [
{
"url": "https://demis.rki.de/fhir/ars/StructureDefinition/Norm",
"valueCodeableConcept": {
"coding": [
{
"system": "https://demis.rki.de/fhir/ars/CodeSystem/norm",
"code": "EUCAST",
"version": "1.0.0"
}
],
"text": "EUCAST (v 13.1)"
}
}
],
"text": "nur Angabe Norm"
}
],
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"issued": "2023-06-14T00:00:00.000+01:00",
"specimen": {
"reference": "Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Observation/baf8fd45-5c3a-b1a2-e221-fee38df64cf5",
"resource": {
"resourceType": "Observation",
"id": "baf8fd45-5c3a-b1a2-e221-fee38df64cf5",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18932-4",
"display": "Imipenem [Susceptibility]",
"version": "2.79"
}
]
},
"valueQuantity": {
"system": "http://unitsofmeasure.org",
"value": 5,
"code": "mg/L"
},
"interpretation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1306581009",
"version": "http://snomed.info/sct/11000274103/version/20250515",
"display": "EUCAST-Kategorie 2019 - R (resistent)"
}
]
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "263696007",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Mikrodilution"
},
"referenceRange": [
{
"extension": [
{
"url": "https://demis.rki.de/fhir/ars/StructureDefinition/Norm",
"valueCodeableConcept": {
"coding": [
{
"system": "https://demis.rki.de/fhir/ars/CodeSystem/norm",
"code": "EUCAST",
"version": "1.0.0"
}
],
"text": "EUCAST (v 13.1)"
}
}
],
"text": "nur Angabe Norm"
}
],
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"issued": "2023-06-14T00:00:00.000+01:00",
"specimen": {
"reference": "Specimen/3a2f563f-a155-498f-a5b2-a2959e2380a1"
}
}
}
]
}