Inpatient - Klebsiella Pneumoniae mit Resistenz

Beispiel Fund von Klebsiella pneumoniae eines stationär aufgenommenen Patienten, inklusive Empfindlichkeitstestung.

Es ist als technisches Beispiel zu verstehen, zur Veranschaulichung der FHIR-Spezifikation.


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="http://www.beispiellabor.de/identifiers/bundle/identifier" />
        <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>
            </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="1.1.0" />
                        <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="2.78" />
                        <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/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/900000000000207008/version/20241001" />
                        <code value="168186002" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c" />
                </subject>
                <encounter>
                    <reference value="Encounter/Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2" />
                </encounter>
                <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>
                    <system value="https://demis.rki.de/fhir/NamingSystem/CommonPatientPseudonym" />
                    <value value="urn:uuid:fb28bf26-12ae-8f02-85c4-5c6d8b7f6a05" />
                </identifier>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/CommonPatientPseudonym" />
                    <value value="urn:uuid:9a05f2d9-02d5-bb7c-3d46-cac3d7e59991" />
                </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="1.5.0" />
                        <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/900000000000207008/version/20241001" />
                        <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>
                    <collectedDateTime value="2023-06-10" />
                    <bodySite>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <version value="http://snomed.info/sct/900000000000207008/version/20241001" />
                            <code value="52124006" />
                        </coding>
                        <text value="Blutstrom" />
                    </bodySite>
                </collection>
            </Specimen>
        </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>
                    <system value="https://demis.rki.de/fhir/NamingSystem/InekStandortId" />
                    <value value="770015" />
                </identifier>
                <type>
                    <coding>
                        <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
                        <version value="1.1.0" />
                        <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="1.5.0" />
                        <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="1.5.0" />
                        <code value="abteilungskontakt" />
                    </coding>
                </type>
                <serviceType>
                    <coding>
                        <system value="http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel" />
                        <version value="1.5.0" />
                        <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="1.5.0" />
                        <code value="versorgungsstellenkontakt" />
                    </coding>
                </type>
                <type>
                    <coding>
                        <system value="http://fhir.de/CodeSystem/kontaktart-de" />
                        <version value="1.5.0" />
                        <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>
                </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="2.78" />
                        <code value="41852-5" />
                    </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/900000000000207008/version/20241001" />
                        <code value="56415008" />
                    </coding>
                    <text value="Klebsiella penumoniae" />
                </valueCodeableConcept>
                <interpretation>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <version value="http://snomed.info/sct/900000000000207008/version/20241001" />
                        <code value="10828004" />
                    </coding>
                </interpretation>
                <method>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <version value="http://snomed.info/sct/900000000000207008/version/20241001" />
                        <code value="1306402001" />
                    </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/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>
                <extension url="https://demis.rki.de/fhir/ars/StructureDefinition/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="2.78" />
                        <code value="18932-4" />
                    </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/900000000000207008/version/20241001" />
                        <code value="30714006" />
                    </coding>
                </valueCodeableConcept>
                <interpretation>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <version value="http://snomed.info/sct/900000000000207008/version/20241001" />
                        <code value="30714006" />
                    </coding>
                </interpretation>
                <method>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <version value="http://snomed.info/sct/900000000000207008/version/20241001" />
                        <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>
                <extension url="https://demis.rki.de/fhir/ars/StructureDefinition/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="2.78" />
                        <code value="18932-4" />
                    </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/900000000000207008/version/20241001" />
                        <code value="30714006" />
                    </coding>
                </interpretation>
                <method>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <version value="http://snomed.info/sct/900000000000207008/version/20241001" />
                        <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": "http://www.beispiellabor.de/identifiers/bundle/identifier",
        "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"
                            }
                        ]
                    }
                ],
                "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": "1.1.0"
                            }
                        ]
                    }
                ],
                "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": "2.78"
                        }
                    ]
                },
                "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/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/900000000000207008/version/20241001"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
                },
                "encounter": {
                    "reference": "Encounter/Versorgungsstellenkontakt-b4b4e29c-2d86-28f5-bd15-d31818d64dc2"
                },
                "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":  [
                    {
                        "system": "https://demis.rki.de/fhir/NamingSystem/CommonPatientPseudonym",
                        "value": "urn:uuid:fb28bf26-12ae-8f02-85c4-5c6d8b7f6a05"
                    },
                    {
                        "system": "https://demis.rki.de/fhir/NamingSystem/CommonPatientPseudonym",
                        "value": "urn:uuid:9a05f2d9-02d5-bb7c-3d46-cac3d7e59991"
                    }
                ],
                "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": "1.5.0"
                        }
                    ]
                },
                "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/900000000000207008/version/20241001"
                        }
                    ],
                    "text": "Blutkulturflasche aerob"
                },
                "subject": {
                    "reference": "Patient/43511fe3-aa5f-73fb-7e59-2313ba0ca76c"
                },
                "receivedTime": "2023-06-13",
                "request":  [
                    {
                        "reference": "ServiceRequest/CC06EA66-2DCF-49F5-A4C8-E363936D03E1"
                    }
                ],
                "collection": {
                    "collectedDateTime": "2023-06-10",
                    "bodySite": {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "52124006",
                                "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                            }
                        ],
                        "text": "Blutstrom"
                    }
                }
            }
        },
        {
            "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": "1.1.0"
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://demis.rki.de/fhir/NamingSystem/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": "1.5.0"
                            }
                        ]
                    }
                ],
                "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": "1.5.0"
                            }
                        ]
                    }
                ],
                "serviceType": {
                    "coding":  [
                        {
                            "system": "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel",
                            "code": "0300",
                            "version": "1.5.0"
                        }
                    ]
                },
                "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": "1.5.0"
                            }
                        ]
                    },
                    {
                        "coding":  [
                            {
                                "system": "http://fhir.de/CodeSystem/kontaktart-de",
                                "code": "normalstationaer",
                                "version": "1.5.0"
                            }
                        ]
                    }
                ],
                "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"
                },
                "location":  [
                    {
                        "location": {
                            "reference": "Location/21883c9f-8da0-eb4b-4c34-1072527c1a26"
                        }
                    }
                ],
                "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",
                            "version": "2.78"
                        }
                    ]
                },
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "56415008",
                            "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                        }
                    ],
                    "text": "Klebsiella penumoniae"
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "10828004",
                                "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                            }
                        ]
                    }
                ],
                "method": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1306402001",
                            "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                        }
                    ],
                    "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/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",
                            "version": "2.78"
                        }
                    ]
                },
                "extension":  [
                    {
                        "url": "https://demis.rki.de/fhir/ars/StructureDefinition/TriggeredBy",
                        "extension":  [
                            {
                                "url": "observation",
                                "valueReference": {
                                    "reference": "Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7"
                                }
                            },
                            {
                                "url": "type",
                                "valueCode": "reflex"
                            }
                        ]
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "30714006",
                            "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                        }
                    ]
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "30714006",
                                "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                            }
                        ]
                    }
                ],
                "method": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "263696007",
                            "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                        }
                    ],
                    "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",
                            "version": "2.78"
                        }
                    ]
                },
                "extension":  [
                    {
                        "url": "https://demis.rki.de/fhir/ars/StructureDefinition/TriggeredBy",
                        "extension":  [
                            {
                                "url": "observation",
                                "valueReference": {
                                    "reference": "Observation/e5b6d4eb-e055-468a-4d03-96c5fcd9ddf7"
                                }
                            },
                            {
                                "url": "type",
                                "valueCode": "reflex"
                            }
                        ]
                    }
                ],
                "valueQuantity": {
                    "system": "http://unitsofmeasure.org",
                    "value": 5,
                    "code": "mg/L"
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "30714006",
                                "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                            }
                        ]
                    }
                ],
                "method": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "263696007",
                            "version": "http://snomed.info/sct/900000000000207008/version/20241001"
                        }
                    ],
                    "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"
                }
            }
        }
    ]
}