Beispiel Erkrankungsmeldevorgang MYTD

<Bundle xmlns="http://hl7.org/fhir">
    <id value="5af0a1be-996c-3344-830e-af1dbefb4756" />
    <meta>
        <lastUpdated value="2022-12-23T09:50:00.000+01:00" />
        <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
    </meta>
    <identifier>
        <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
        <value value="74dc8366-0099-3165-a385-55cf9528e404" />
    </identifier>
    <type value="document" />
    <timestamp value="2022-12-23T09:50:00.000+01:00" />
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Composition/10366f7d-4d1d-352c-ab5a-55a08e048e9f" />
        <resource>
            <Composition>
                <id value="10366f7d-4d1d-352c-ab5a-55a08e048e9f" />
                <meta>
                    <lastUpdated value="2022-12-23T09:50:00.000+01:00" />
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseaseMYTD" />
                </meta>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
                    <value value="439c062a-854b-41bd-bcd3-1731fc1ba0d2" />
                </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/b1b9c120-2963-3d82-af22-28828b011f52" />
                </subject>
                <date value="2022-12-23T01:00:00+01:00" />
                <author>
                    <reference value="PractitionerRole/41da2017-7c0b-395f-b1f3-6bff5661794d" />
                </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/5c5fcb71-bc14-3a79-b7cd-58934d6612d5" />
                    </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/88f3a841-ed61-33ad-8d6b-f6f8ca798fad" />
                    </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/2db11616-3af6-3394-98e4-379a40e489e2" />
                    </entry>
                </section>
            </Composition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Patient/b1b9c120-2963-3d82-af22-28828b011f52" />
        <resource>
            <Patient>
                <id value="b1b9c120-2963-3d82-af22-28828b011f52" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="Andersen" />
                    <given value="Mert" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="03044948433" />
                </telecom>
                <gender value="male" />
                <birthDate value="1995-10-27" />
                <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="Anna-Maria-M&#252;ller-Str. 55" />
                    <city value="Berlin" />
                    <postalCode value="13053" />
                    <country value="DE" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Condition/5c5fcb71-bc14-3a79-b7cd-58934d6612d5" />
        <resource>
            <Condition>
                <id value="5c5fcb71-bc14-3a79-b7cd-58934d6612d5" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseMYTD" />
                </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="mytd" />
                        <display value="Tuberkulose" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/b1b9c120-2963-3d82-af22-28828b011f52" />
                </subject>
                <onsetDateTime value="2022-12-17" />
                <recordedDate value="2022-12-23" />
                <note>
                    <text value="Textueller Hinweis" />
                </note>
            </Condition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/2318e707-ad88-46a6-8be2-8731c7138bc6" />
        <resource>
            <Organization>
                <id value="2318e707-ad88-46a6-8be2-8731c7138bc6" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" />
                </meta>
                <identifier>
                    <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" />
                    <value value="987653400" />
                </identifier>
                <type>
                    <coding>
                        <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
                        <code value="physicianOffice" />
                    </coding>
                </type>
                <name value="Hausarztpraxis Hausdorf" />
                <telecom>
                    <system value="phone" />
                    <value value="0308976543210" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Stadtweg 10" />
                    <city value="Berlin" />
                    <postalCode value="12142" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/41da2017-7c0b-395f-b1f3-6bff5661794d" />
        <resource>
            <PractitionerRole>
                <id value="41da2017-7c0b-395f-b1f3-6bff5661794d" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
                </meta>
                <organization>
                    <reference value="Organization/2318e707-ad88-46a6-8be2-8731c7138bc6" />
                </organization>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/eac3986c-e3ef-47c0-a5cf-d04703abd3de" />
        <resource>
            <Organization>
                <id value="eac3986c-e3ef-47c0-a5cf-d04703abd3de" />
                <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/QuestionnaireResponse/88f3a841-ed61-33ad-8d6b-f6f8ca798fad" />
        <resource>
            <QuestionnaireResponse>
                <id value="88f3a841-ed61-33ad-8d6b-f6f8ca798fad" />
                <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/b1b9c120-2963-3d82-af22-28828b011f52" />
                </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/eac3986c-e3ef-47c0-a5cf-d04703abd3de" />
                                </valueReference>
                            </answer>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="hospitalized" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="no" />
                            <display value="Nein" />
                        </valueCoding>
                    </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="2022-11-12" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureEnd" />
                                <answer>
                                    <valueDate value="2022-12-20" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureRegion" />
                                <answer>
                                    <valueCoding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="21000246" />
                                        <display value="Bangladesch" />
                                    </valueCoding>
                                </answer>
                            </item>
                            <item>
                                <linkId value="placeExposureHint" />
                                <answer>
                                    <valueString value="Facharzt im Auslandsjahr." />
                                </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="Erste Infektion war bekannt in Bangladesh nach 4 Monaten Aufenthalt" />
                    </answer>
                </item>
            </QuestionnaireResponse>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/2db11616-3af6-3394-98e4-379a40e489e2" />
        <resource>
            <QuestionnaireResponse>
                <id value="2db11616-3af6-3394-98e4-379a40e489e2" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationMYTD" />
                </meta>
                <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsMYTD" />
                <status value="completed" />
                <subject>
                    <reference value="Patient/b1b9c120-2963-3d82-af22-28828b011f52" />
                </subject>
                <item>
                    <linkId value="immunization" />
                    <answer>
                        <valueCoding>
                            <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
                            <code value="ASKU" />
                            <display value="asked but unknown" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="infectionEnvironmentSettingKind" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="74964007" />
                            <display value="andere/sonstige" />
                        </valueCoding>
                        <item>
                            <linkId value="infectionEnvironmentSettingGroup" />
                            <item>
                                <linkId value="infectionEnvironmentSettingBegin" />
                                <answer>
                                    <valueDate value="2022-11-12" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="infectionEnvironmentSettingEnd" />
                                <answer>
                                    <valueDate value="2022-12-20" />
                                </answer>
                            </item>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="nationalityGroup" />
                    <item>
                        <linkId value="nationality" />
                        <answer>
                            <valueCoding>
                                <system value="urn:iso:std:iso:3166" />
                                <code value="DE" />
                                <display value="Deutschland" />
                            </valueCoding>
                        </answer>
                    </item>
                    <item>
                        <linkId value="countryOfBirth" />
                        <answer>
                            <valueCoding>
                                <system value="urn:iso:std:iso:3166" />
                                <code value="DE" />
                                <display value="Deutschland" />
                            </valueCoding>
                        </answer>
                    </item>
                </item>
                <item>
                    <linkId value="countryOfBirthParentGroup" />
                    <item>
                        <linkId value="countryOfBirthMother" />
                        <answer>
                            <valueCoding>
                                <system value="urn:iso:std:iso:3166" />
                                <code value="DE" />
                                <display value="Deutschland" />
                            </valueCoding>
                        </answer>
                    </item>
                    <item>
                        <linkId value="countryOfBirthFather" />
                        <answer>
                            <valueCoding>
                                <system value="urn:iso:std:iso:3166" />
                                <code value="DE" />
                                <display value="Deutschland" />
                            </valueCoding>
                        </answer>
                    </item>
                </item>
                <item>
                    <linkId value="causeDiagnosis" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="11999007+308537004" />
                            <display value="&#220;berwachung gesunder Befundtr&#228;ger nach fr&#252;herer Tuberkulose" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="statusDiagnosis" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="treatment" />
                            <answer>
                                <valueCoding>
                                    <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                                    <code value="yes" />
                                    <display value="Ja" />
                                </valueCoding>
                                <item>
                                    <linkId value="treatmentBegin" />
                                    <answer>
                                        <valueDate value="2022-12-23" />
                                    </answer>
                                </item>
                                <item>
                                    <linkId value="resultOfTreatment" />
                                    <answer>
                                        <valueCoding>
                                            <system value="http://snomed.info/sct" />
                                            <code value="371001000" />
                                            <display value="Abschluss der Behandlung mit Nachweis einer negativen Kultur im letzten Behandlungsmonat und zu wenigstens einem fr&#252;heren Zeitpunkt" />
                                        </valueCoding>
                                    </answer>
                                </item>
                            </answer>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="majorSite" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="154283005" />
                            <display value="Lunge (Lungenparenchym, Tracheobronchialbaum, Kehlkopf)" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="minorSite" />
                    <answer>
                        <valueCoding>
                            <system value="http://snomed.info/sct" />
                            <code value="260413007" />
                            <display value="kein weiteres Organ betroffen" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="prevTreatment" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="statusPrevTreatment" />
                            <answer>
                                <valueCoding>
                                    <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                                    <code value="yes" />
                                    <display value="Ja" />
                                </valueCoding>
                                <item>
                                    <linkId value="prevTreatmentYear" />
                                    <answer>
                                        <valueDate value="2022" />
                                    </answer>
                                </item>
                                <item>
                                    <linkId value="resultOfPrevTreatment" />
                                    <answer>
                                        <valueCoding>
                                            <system value="http://snomed.info/sct" />
                                            <code value="182992009" />
                                            <display value="Abschluss der Behandlung ohne Nachweis einer negativen Kultur" />
                                        </valueCoding>
                                    </answer>
                                </item>
                            </answer>
                        </item>
                    </answer>
                </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>