Beispiel Erkrankungsmeldevorgang HBVD
<Bundle xmlns="http://hl7.org/fhir"> <id value="b5014fa5-d9b3-34b8-b045-845cfd706e83" /> <meta> <lastUpdated value="2023-04-10T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" /> <value value="b54fd54b-9978-31ae-bb23-8309f445db03" /> </identifier> <type value="document" /> <timestamp value="2023-04-10T09:50:00.000+01:00" /> <entry> <fullUrl value="https://demis.rki.de/fhir/Composition/b35e57e1-7012-36b3-b9ac-246a597114a8" /> <resource> <Composition> <id value="b35e57e1-7012-36b3-b9ac-246a597114a8" /> <meta> <lastUpdated value="2023-04-10T09:50:00.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHBVD" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="f5f0db12-0440-421f-a2b8-db447085af6f" /> </identifier> <status value="final" /> <type> <coding> <system value="http://loinc.org" /> <code value="34782-3" /> <display value="Infectious disease Note" /> </coding> </type> <category> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/notificationType" /> <code value="6.1_2" /> <display value="Meldung gemäß §6 Absatz 1, 2" /> </coding> </category> <subject> <reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> </subject> <date value="2023-04-10T02:00:00+02:00" /> <author> <reference value="PractitionerRole/80411d71-1d1b-3ec0-b19f-36cd74e51f0c" /> </author> <title value="Meldung gemäß §6 Absatz 1, 2 IfSG" /> <section> <title value="Diagnose" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" /> <code value="diagnosis" /> <display value="Diagnose" /> </coding> </code> <entry> <reference value="Condition/de66ed11-97cb-342c-9308-95feeda6e9e4" /> </entry> </section> <section> <title value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" /> <code value="generalClinAndEpiInformation" /> <display value="Meldetatbestandsübergreifende klinische und epidemiologische Angaben" /> </coding> </code> <entry> <reference value="QuestionnaireResponse/212f5523-3a5f-33dc-bbd8-9651a042acdf" /> </entry> </section> <section> <title value="Meldetatbestandsspezifische klinische und epidemiologische Angaben" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" /> <code value="specificClinAndEpiInformation" /> <display value="Meldetatbestandsspezifische klinische und epidemiologische Angaben" /> </coding> </code> <entry> <reference value="QuestionnaireResponse/6674fb25-4211-3608-8adb-6efdbd3e2d29" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/3135c898-48a3-3823-8f74-bc722eac82ac" /> <resource> <Organization> <id value="3135c898-48a3-3823-8f74-bc722eac82ac" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" /> </meta> <name value="Sankt Titania Krankenhaus" /> <address> <line value="Eisberger Straße 14" /> <city value="Berlin" /> <postalCode value="14912" /> <country value="DE" /> </address> <contact> <name> <use value="official" /> <family value="Jakobsen" /> <given value="Rosa" /> </name> </contact> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> <resource> <Patient> <id value="a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" /> </meta> <name> <use value="official" /> <family value="Sukkasem" /> <given value="Araya" /> </name> <telecom> <system value="email" /> <value value="arayasus@domain.de" /> </telecom> <gender value="female" /> <birthDate value="1989-08-24" /> <address> <extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse"> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/addressUse" /> <code value="current" /> </valueCoding> </extension> <extension url="https://demis.rki.de/fhir/StructureDefinition/FacilityAddressNotifiedPerson"> <valueReference> <reference value="Organization/3135c898-48a3-3823-8f74-bc722eac82ac" /> </valueReference> </extension> </address> <address> <extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse"> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/addressUse" /> <code value="primary" /> </valueCoding> </extension> <line value="Krielower Weg" /> <city value="Berlin" /> <postalCode value="14089" /> <country value="DE" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Condition/de66ed11-97cb-342c-9308-95feeda6e9e4" /> <resource> <Condition> <id value="de66ed11-97cb-342c-9308-95feeda6e9e4" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHBVD" /> </meta> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status" /> <code value="confirmed" /> </coding> </verificationStatus> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/notificationDiseaseCategory" /> <code value="hbvd" /> <display value="Hepatitis-B" /> </coding> </code> <subject> <reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> </subject> <onsetDateTime value="2023-04-10" /> <recordedDate value="2023-04-10" /> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="105721009:363698007=80581009" /> <display value="Oberbauchbeschwerden" /> </coding> </code> </evidence> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="707724006" /> <display value="Serumtransaminasen, erhöht" /> </coding> </code> </evidence> </Condition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/d52bfbda-6069-49b1-bb26-3f1c864a526f" /> <resource> <Organization> <id value="d52bfbda-6069-49b1-bb26-3f1c864a526f" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" /> </meta> <identifier> <system value="http://fhir.de/sid/arge-ik/iknr" /> </identifier> <type> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" /> <code value="hospital" /> </coding> </type> <name value="Sankt Titania Krankenhaus – Meldestandort" /> <telecom> <system value="phone" /> <value value="030777123490" /> <use value="work" /> </telecom> <address> <line value="Eisberger Straße 14" /> <city value="Berlin" /> <postalCode value="14912" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/80411d71-1d1b-3ec0-b19f-36cd74e51f0c" /> <resource> <PractitionerRole> <id value="80411d71-1d1b-3ec0-b19f-36cd74e51f0c" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" /> </meta> <organization> <reference value="Organization/d52bfbda-6069-49b1-bb26-3f1c864a526f" /> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/bcae34a1-42ed-49b1-8ff7-8a648b152352" /> <resource> <Organization> <id value="bcae34a1-42ed-49b1-8ff7-8a648b152352" /> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </meta> <type> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" /> <code value="hospitalLab" /> </coding> </type> <name value="Sankt Gertrauden Krankenhaus - Krankenhauslabor" /> <telecom> <system value="phone" /> <value value="0309876543211" /> <use value="work" /> </telecom> <address> <line value="Dingsweg 321" /> <city value="Berlin" /> <postalCode value="13055" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Encounter/5f620fbb-473c-3f52-b7d0-cf0042260287" /> <resource> <Encounter> <id value="5f620fbb-473c-3f52-b7d0-cf0042260287" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/Hospitalization" /> </meta> <status value="in-progress" /> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="IMP" /> <display value="inpatient encounter" /> </class> <serviceType> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/hospitalizationServiceType" /> <code value="3700" /> <display value="Sonstige Fachabteilung" /> </coding> </serviceType> <subject> <reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> </subject> <period> <start value="2020-04-10" /> </period> <serviceProvider> <reference value="Organization/3135c898-48a3-3823-8f74-bc722eac82ac" /> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/212f5523-3a5f-33dc-bbd8-9651a042acdf" /> <resource> <QuestionnaireResponse> <id value="212f5523-3a5f-33dc-bbd8-9651a042acdf" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationCommon" /> </meta> <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsCommon" /> <status value="completed" /> <subject> <reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> </subject> <item> <linkId value="isDead" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="militaryAffiliation" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/militaryAffiliation" /> <code value="noReferenceToBundeswehr" /> <display value="Kein Bezug zur BW" /> </valueCoding> </answer> </item> <item> <linkId value="labSpecimenTaken" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="labSpecimenLab" /> <answer> <valueReference> <reference value="Organization/bcae34a1-42ed-49b1-8ff7-8a648b152352" /> </valueReference> </answer> </item> </answer> </item> <item> <linkId value="hospitalized" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="hospitalizedGroup" /> <item> <linkId value="hospitalizedEncounter" /> <answer> <valueReference> <reference value="Encounter/5f620fbb-473c-3f52-b7d0-cf0042260287" /> </valueReference> </answer> </item> </item> </answer> </item> <item> <linkId value="infectProtectFacility" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="placeExposure" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="yes" /> <display value="Ja" /> </valueCoding> <item> <linkId value="placeExposureGroup" /> <item> <linkId value="placeExposureRegion" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="13000011" /> <display value="Berlin" /> </valueCoding> </answer> </item> <item> <linkId value="placeExposureHint" /> <answer> <valueString value="Wohnt mit HepB-Erkrankter Person zusammen in einer WG." /> </answer> </item> </item> </answer> </item> <item> <linkId value="organDonation" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="additionalInformation" /> <answer> <valueString value="-" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/6674fb25-4211-3608-8adb-6efdbd3e2d29" /> <resource> <QuestionnaireResponse> <id value="6674fb25-4211-3608-8adb-6efdbd3e2d29" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHBVD" /> </meta> <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHBVD" /> <status value="completed" /> <subject> <reference value="Patient/a208cd0d-20af-37fa-9ae5-330cb5f6a7a3" /> </subject> <item> <linkId value="immunization" /> <answer> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" /> <code value="no" /> <display value="Nein" /> </valueCoding> </answer> </item> <item> <linkId value="nationalityGroup" /> <item> <linkId value="nationality" /> <answer> <valueCoding> <system value="urn:iso:std:iso:3166" /> <code value="TH" /> <display value="Thailand" /> </valueCoding> </answer> </item> <item> <linkId value="countryOfBirth" /> <answer> <valueCoding> <system value="urn:iso:std:iso:3166" /> <code value="TH" /> <display value="Thailand" /> </valueCoding> </answer> </item> <item> <linkId value="yearOfEntry" /> <answer> <valueDate value="2019" /> </answer> </item> </item> <item> <linkId value="stadium" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="37871000" /> <display value="Akute Infektion" /> </valueCoding> <item> <linkId value="acute" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="NASK" /> <display value="not asked" /> </valueCoding> </answer> </item> </answer> </item> <item> <linkId value="infectionPathKind" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="409496000:704326004=(224149009:47429007=170489004)" /> <display value="Wohngemeinschaft mit Virusträger/-in" /> </valueCoding> </answer> </item> <item> <linkId value="outbreak" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="NASK" /> <display value="not asked" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> </Bundle>