Outpatient - NoGrowth

Example: No microorganism found in an outpatient-treated patient.

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


Bundle
<Bundle xmlns="http://hl7.org/fhir">
<id value="BundleExample-Outpatient-NoGrowth" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Bundle" />
</meta>
<system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
<value value="2" />
</identifier>
<type value="document" />
<timestamp value="2023-06-13T17:52:31.000+01:00" />
<fullUrl value="https://demis.rki.de/fhir/ars/Composition/932e7d0c-9b14-ae1d-6228-1babcb9f11ea" />
<Composition>
<id value="932e7d0c-9b14-ae1d-6228-1babcb9f11ea" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Composition" />
</meta>
<status value="final" />
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="4241000179101" />
</coding>
</type>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<date value="2023-06-13T17:52:31.000+01:00" />
<reference value="Device/c6ef893b-a572-495e-b91e-806957eefd1d" />
</author>
<title value="Laboratory Report" />
<system value="http://loinc.org" />
<code value="11502-2" />
<display value="Laboratory report" />
</coding>
</code>
<reference value="DiagnosticReport/63831106-6d88-48b8-b11c-84a6a5ad7f7c" />
</entry>
</section>
</Composition>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Organization/730d269c-109c-4b3a-86a6-408f22989aa9" />
<Organization>
<id value="730d269c-109c-4b3a-86a6-408f22989aa9" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/DataSender" />
</meta>
<system value="https://demis.rki.de/fhir/NamingSystem/DemisParticipantId" />
<value value="999999999" />
</identifier>
<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>
<fullUrl value="https://demis.rki.de/fhir/ars/Device/c6ef893b-a572-495e-b91e-806957eefd1d" />
<Device>
<id value="c6ef893b-a572-495e-b91e-806957eefd1d" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Software" />
</meta>
<manufacturer value="Softwarehersteller BSP GmbH" />
<name value="MyBeispielLIS" />
<type value="user-friendly-name" />
</deviceName>
<system value="http://snomed.info/sct" />
<code value="706687001" />
<display value="Software (physical object)" />
</coding>
</type>
<value value="1.0" />
</version>
<reference value="Organization/730d269c-109c-4b3a-86a6-408f22989aa9" />
</owner>
</Device>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/DiagnosticReport/63831106-6d88-48b8-b11c-84a6a5ad7f7c" />
<DiagnosticReport>
<id value="63831106-6d88-48b8-b11c-84a6a5ad7f7c" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/DiagnosticReport" />
</meta>
<reference value="ServiceRequest/dc301247-a531-4d73-b897-8b25d1bc81b5" />
</basedOn>
<status value="final" />
<system value="http://loinc.org" />
<version value="2.79" />
<code value="11502-2" />
</coding>
</code>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<reference value="Observation/f72b3b42-c268-476a-9f81-97045dc60ed3" />
</result>
</DiagnosticReport>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/ServiceRequest/dc301247-a531-4d73-b897-8b25d1bc81b5" />
<ServiceRequest>
<id value="dc301247-a531-4d73-b897-8b25d1bc81b5" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest" />
</meta>
<status value="completed" />
<intent value="order" />
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="168186002" />
</coding>
</code>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="168186002" />
</coding>
</reasonCode>
<reference value="Coverage/7d31688f-8e42-4742-be37-a066376f19cb" />
</insurance>
<reference value="Specimen/156d0d82-c914-4a13-8796-9270ffa8bb52" />
</specimen>
</ServiceRequest>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
<Patient>
<id value="43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Patient" />
</meta>
<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>
<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>
<fullUrl value="https://demis.rki.de/fhir/ars/Coverage/7d31688f-8e42-4742-be37-a066376f19cb" />
<Coverage>
<id value="7d31688f-8e42-4742-be37-a066376f19cb" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Coverage" />
</meta>
<status value="active" />
<system value="http://fhir.de/CodeSystem/versicherungsart-de-basis" />
<version value="1.5.3" />
<code value="GKV" />
</coding>
</type>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</beneficiary>
<display value="unknown" />
</payor>
</Coverage>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Specimen/156d0d82-c914-4a13-8796-9270ffa8bb52" />
<Specimen>
<id value="156d0d82-c914-4a13-8796-9270ffa8bb52" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Specimen" />
</meta>
<system value="http://www.beispiellabor.de/identifiers/specimen/accessionIdentifier" />
<value value="23BLN002345" />
</accessionIdentifier>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="866032008" />
</coding>
<text value="FA-Blutkulturflasche anaerob (aus ZVK)" />
</type>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<receivedTime value="2023-06-13" />
<reference value="ServiceRequest/dc301247-a531-4d73-b897-8b25d1bc81b5" />
</request>
<reference value="PractitionerRole/90ae937e-40d2-47e6-b403-bb62978bfedd" />
</collector>
<collectedDateTime value="2023-06-10" />
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="59820001" />
</coding>
<text value="Blutstrom" />
</bodySite>
</collection>
</Specimen>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Organization/797f680a-9340-4dc3-94ee-4395acc30779" />
<Organization>
<id value="797f680a-9340-4dc3-94ee-4395acc30779" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/PhysicianOfficeOrOther" />
</meta>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="XX" />
</coding>
</type>
<system value="https://demis.rki.de/fhir/sid/InternalOrganizationId" />
<value value="23456007891" />
</identifier>
<system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
<version value="1.4.2" />
<code value="physicianOffice" />
</coding>
</type>
<postalCode value="10234" />
</address>
</Organization>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/PractitionerRole/90ae937e-40d2-47e6-b403-bb62978bfedd" />
<PractitionerRole>
<id value="90ae937e-40d2-47e6-b403-bb62978bfedd" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleOutpatientOrganization" />
</meta>
<reference value="Organization/797f680a-9340-4dc3-94ee-4395acc30779" />
</organization>
<system value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR2_ARZTNRFACHGRUPPE" />
<version value="1.03" />
<code value="01" />
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<fullUrl value="https://demis.rki.de/fhir/ars/Observation/f72b3b42-c268-476a-9f81-97045dc60ed3" />
<Observation>
<id value="f72b3b42-c268-476a-9f81-97045dc60ed3" />
<profile value="https://demis.rki.de/fhir/ars/StructureDefinition/Observation" />
</meta>
<status value="final" />
<system value="http://loinc.org" />
<version value="2.79" />
<code value="41852-5" />
</coding>
</code>
<reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
</subject>
<issued value="2023-06-14T00:00:00.000+01:00" />
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="264868006" />
</coding>
<text value="kein Wachstum" />
</valueCodeableConcept>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="260385009" />
</coding>
</interpretation>
<system value="http://snomed.info/sct" />
<version value="http://snomed.info/sct/11000274103/version/20250515" />
<code value="703725008" />
</coding>
<text value="Kultur" />
</method>
<reference value="Specimen/156d0d82-c914-4a13-8796-9270ffa8bb52" />
</specimen>
</Observation>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "BundleExample-Outpatient-NoGrowth",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Bundle"
]
},
"type": "document",
"system": "https://demis.rki.de/fhir/NamingSystem/NotificationBundleId",
"value": "2"
},
"timestamp": "2023-06-13T17:52:31.000+01:00",
"entry": [
{
"fullUrl": "https://demis.rki.de/fhir/ars/Composition/932e7d0c-9b14-ae1d-6228-1babcb9f11ea",
"resourceType": "Composition",
"id": "932e7d0c-9b14-ae1d-6228-1babcb9f11ea",
"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/11000274103/version/20250515"
}
]
},
"section": [
{
"code": {
"coding": [
{
"code": "11502-2",
"system": "http://loinc.org",
"display": "Laboratory report"
}
]
},
"entry": [
{
"reference": "DiagnosticReport/63831106-6d88-48b8-b11c-84a6a5ad7f7c"
}
]
}
],
"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",
"resourceType": "Organization",
"id": "730d269c-109c-4b3a-86a6-408f22989aa9",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/DataSender"
]
},
{
"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",
"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)"
}
]
},
{
"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/63831106-6d88-48b8-b11c-84a6a5ad7f7c",
"resourceType": "DiagnosticReport",
"id": "63831106-6d88-48b8-b11c-84a6a5ad7f7c",
"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/dc301247-a531-4d73-b897-8b25d1bc81b5"
}
],
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"result": [
{
"reference": "Observation/f72b3b42-c268-476a-9f81-97045dc60ed3"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/ServiceRequest/dc301247-a531-4d73-b897-8b25d1bc81b5",
"resourceType": "ServiceRequest",
"id": "dc301247-a531-4d73-b897-8b25d1bc81b5",
"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"
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "168186002",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
]
}
],
{
"reference": "Coverage/7d31688f-8e42-4742-be37-a066376f19cb"
}
],
{
"reference": "Specimen/156d0d82-c914-4a13-8796-9270ffa8bb52"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c",
"resourceType": "Patient",
"id": "43511fe3-aa5f-73fb-7e59-2313ba0ca76c",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Patient"
]
},
{
"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",
"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"
}
]
},
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Specimen/156d0d82-c914-4a13-8796-9270ffa8bb52",
"resourceType": "Specimen",
"id": "156d0d82-c914-4a13-8796-9270ffa8bb52",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Specimen"
]
},
"system": "http://www.beispiellabor.de/identifiers/specimen/accessionIdentifier",
"value": "23BLN002345"
},
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "866032008",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "FA-Blutkulturflasche anaerob (aus ZVK)"
},
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"receivedTime": "2023-06-13",
"request": [
{
"reference": "ServiceRequest/dc301247-a531-4d73-b897-8b25d1bc81b5"
}
],
"reference": "PractitionerRole/90ae937e-40d2-47e6-b403-bb62978bfedd"
},
"collectedDateTime": "2023-06-10",
"coding": [
{
"system": "http://snomed.info/sct",
"code": "59820001",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Blutstrom"
}
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Organization/797f680a-9340-4dc3-94ee-4395acc30779",
"resourceType": "Organization",
"id": "797f680a-9340-4dc3-94ee-4395acc30779",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/PhysicianOfficeOrOther"
]
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XX"
}
]
},
"system": "https://demis.rki.de/fhir/sid/InternalOrganizationId",
"value": "23456007891"
}
],
"type": [
{
"coding": [
{
"system": "https://demis.rki.de/fhir/CodeSystem/organizationType",
"code": "physicianOffice",
"version": "1.4.2"
}
]
}
],
"address": [
{
"postalCode": "10234"
}
]
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/PractitionerRole/90ae937e-40d2-47e6-b403-bb62978bfedd",
"resourceType": "PractitionerRole",
"id": "90ae937e-40d2-47e6-b403-bb62978bfedd",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleOutpatientOrganization"
]
},
{
"coding": [
{
"system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_BAR2_ARZTNRFACHGRUPPE",
"code": "01",
"version": "1.03"
}
]
}
],
"reference": "Organization/797f680a-9340-4dc3-94ee-4395acc30779"
}
}
},
{
"fullUrl": "https://demis.rki.de/fhir/ars/Observation/f72b3b42-c268-476a-9f81-97045dc60ed3",
"resourceType": "Observation",
"id": "f72b3b42-c268-476a-9f81-97045dc60ed3",
"meta": {
"profile": [
"https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
]
},
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "41852-5",
"version": "2.79"
}
]
},
"coding": [
{
"system": "http://snomed.info/sct",
"code": "264868006",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "kein Wachstum"
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "260385009",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
]
}
],
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "703725008",
"version": "http://snomed.info/sct/11000274103/version/20250515"
}
],
"text": "Kultur"
},
"status": "final",
"subject": {
"reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
},
"issued": "2023-06-14T00:00:00.000+01:00",
"reference": "Specimen/156d0d82-c914-4a13-8796-9270ffa8bb52"
}
}
}
]
}