Beispiel Erkrankungsmeldevorgang HTVD

<Bundle xmlns="http://hl7.org/fhir">
    <id value="743a77de-3313-3151-a714-ad40ecb3e174" />
    <meta>
        <lastUpdated value="2023-04-15T09:50:00.000+01:00" />
        <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
    </meta>
    <identifier>
        <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
        <value value="166dc81e-5634-3d36-bc1b-07e512627e0b" />
    </identifier>
    <type value="document" />
    <timestamp value="2023-04-15T09:50:00.000+01:00" />
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Composition/35e07351-d5b3-3e24-97a7-addfe5210c41" />
        <resource>
            <Composition>
                <id value="35e07351-d5b3-3e24-97a7-addfe5210c41" />
                <meta>
                    <lastUpdated value="2023-04-15T09:50:00.000+01:00" />
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseHTVD" />
                </meta>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
                    <value value="71617205-ea01-4ace-a476-f7a788548af6" />
                </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 gem&#228;&#223; &#167;6 Absatz 1, 2" />
                    </coding>
                </category>
                <subject>
                    <reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                </subject>
                <date value="2023-04-15T02:00:00+02:00" />
                <author>
                    <reference value="PractitionerRole/878575ea-87d6-37f6-a064-3da576c7ea4f" />
                </author>
                <title value="Meldung gem&#228;&#223; &#167;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/c51ffefd-2da7-3b0b-b6a9-7e5b069141d0" />
                    </entry>
                </section>
                <section>
                    <title value="Meldetatbestands&#252;bergreifende klinische und epidemiologische Angaben" />
                    <code>
                        <coding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/sectionCode" />
                            <code value="generalClinAndEpiInformation" />
                            <display value="Meldetatbestands&#252;bergreifende klinische und epidemiologische Angaben" />
                        </coding>
                    </code>
                    <entry>
                        <reference value="QuestionnaireResponse/976abd9f-9c13-38b7-85de-2e1e51a9c1ea" />
                    </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/17a5339d-f142-3388-bc3f-fc8e16ba7076" />
                    </entry>
                </section>
            </Composition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
        <resource>
            <Organization>
                <id value="8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
                </meta>
                <name value="Martin Luther Hospital - Meldezentrale" />
                <address>
                    <line value="Havelchaussee. 93" />
                    <city value="Berlin" />
                    <postalCode value="13597" />
                    <country value="DE" />
                </address>
                <contact>
                    <name>
                        <use value="official" />
                        <family value="Neudorf" />
                        <given value="Lea" />
                    </name>
                </contact>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
        <resource>
            <Patient>
                <id value="ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="Brenner" />
                    <given value="Simon" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="0305561478433" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="mr.brenner@domain.de" />
                </telecom>
                <gender value="male" />
                <birthDate value="2000-02-01" />
                <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/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
                        </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="Uhlandstr. 118" />
                    <city value="Berlin" />
                    <postalCode value="10717" />
                    <country value="DE" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Condition/c51ffefd-2da7-3b0b-b6a9-7e5b069141d0" />
        <resource>
            <Condition>
                <id value="c51ffefd-2da7-3b0b-b6a9-7e5b069141d0" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseHTVD" />
                </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="htvd" />
                        <display value="Hantavirus-Erkrankung" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                </subject>
                <onsetDateTime value="2023-04-15" />
                <recordedDate value="2023-04-15" />
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="386661006" />
                            <display value="Fieber" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="74474003" />
                            <display value="Blutung gastrointestinal" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="302227002" />
                            <display value="Hauteinblutung, Ekchymosen" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="60046008:42752001=166778002" />
                            <display value="Anzeichen f&#252;r Plasmaaustritt (Pleuraerguss)" />
                        </coding>
                    </code>
                </evidence>
            </Condition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/abe66c33-e3d2-4671-b592-4cd89d387218" />
        <resource>
            <Organization>
                <id value="abe66c33-e3d2-4671-b592-4cd89d387218" />
                <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="Martin Luther Hospital - Meldestandort" />
                <telecom>
                    <system value="phone" />
                    <value value="030777123490" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Havelchaussee 93" />
                    <city value="Berlin" />
                    <postalCode value="13597" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/878575ea-87d6-37f6-a064-3da576c7ea4f" />
        <resource>
            <PractitionerRole>
                <id value="878575ea-87d6-37f6-a064-3da576c7ea4f" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
                </meta>
                <organization>
                    <reference value="Organization/abe66c33-e3d2-4671-b592-4cd89d387218" />
                </organization>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/00129cb3-edc3-402d-9cab-0099e0a7ed3a" />
        <resource>
            <Organization>
                <id value="00129cb3-edc3-402d-9cab-0099e0a7ed3a" />
                <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/18a4e04e-6e70-3e35-8a88-74ff24ac5b63" />
        <resource>
            <Encounter>
                <id value="18a4e04e-6e70-3e35-8a88-74ff24ac5b63" />
                <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="0152" />
                        <display value="Schwerpunkt Infektionskrankheiten" />
                    </coding>
                </serviceType>
                <subject>
                    <reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                </subject>
                <period>
                    <start value="2020-04-15" />
                </period>
                <serviceProvider>
                    <reference value="Organization/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
                </serviceProvider>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Encounter/b1ab1b52-2cc8-3a52-bdbc-ae05aa50deff" />
        <resource>
            <Encounter>
                <id value="b1ab1b52-2cc8-3a52-bdbc-ae05aa50deff" />
                <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="3600" />
                        <display value="Intensivmedizin" />
                    </coding>
                </serviceType>
                <subject>
                    <reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                </subject>
                <period>
                    <start value="2023-04-15" />
                </period>
                <serviceProvider>
                    <reference value="Organization/8781d896-c2c9-3e0c-abd3-081c10fd85a3" />
                </serviceProvider>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/976abd9f-9c13-38b7-85de-2e1e51a9c1ea" />
        <resource>
            <QuestionnaireResponse>
                <id value="976abd9f-9c13-38b7-85de-2e1e51a9c1ea" />
                <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/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                </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/00129cb3-edc3-402d-9cab-0099e0a7ed3a" />
                                </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/18a4e04e-6e70-3e35-8a88-74ff24ac5b63" />
                                    </valueReference>
                                </answer>
                            </item>
                        </item>
                        <item>
                            <linkId value="hospitalizedGroup" />
                            <item>
                                <linkId value="hospitalizedEncounter" />
                                <answer>
                                    <valueReference>
                                        <reference value="Encounter/b1ab1b52-2cc8-3a52-bdbc-ae05aa50deff" />
                                    </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="placeExposureBegin" />
                                <answer>
                                    <valueDate value="2023-02-10" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureEnd" />
                                <answer>
                                    <valueDate value="2023-04-10" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureRegion" />
                                <answer>
                                    <valueCoding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="11008315" />
                                        <display value="LK Breisgau-Hochschwarzwald" />
                                    </valueCoding>
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureHint" />
                                <answer>
                                    <valueString value="Im Rahmen der Ausbildung, viel Zeit im Wald." />
                                </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>
            </QuestionnaireResponse>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/17a5339d-f142-3388-bc3f-fc8e16ba7076" />
        <resource>
            <QuestionnaireResponse>
                <id value="17a5339d-f142-3388-bc3f-fc8e16ba7076" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationHTVD" />
                </meta>
                <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsHTVD" />
                <status value="completed" />
                <subject>
                    <reference value="Patient/ee1a8f25-3792-3f6d-9979-03fcb77976d7" />
                </subject>
                <item>
                    <linkId value="infectionRiskKindGroup" />
                    <item>
                        <linkId value="infectionRiskKindJob" />
                        <answer>
                            <valueCoding>
                                <system value="http://snomed.info/sct" />
                                <code value="34484007" />
                                <display value="F&#246;rster/-in, Waldarbeiter /-in" />
                            </valueCoding>
                        </answer>
                    </item>
                </item>
                <item>
                    <linkId value="outbreak" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="no" />
                            <display value="Nein" />
                        </valueCoding>
                    </answer>
                </item>
            </QuestionnaireResponse>
        </resource>
    </entry>
</Bundle>