Beispiel Erkrankungsmeldevorgang PKVD

<Bundle xmlns="http://hl7.org/fhir">
    <id value="e1ce2b85-9f84-3344-b6a3-8572a2942dbc" />
    <meta>
        <lastUpdated value="2023-04-06T09:50:00.000+01:00" />
        <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleDisease" />
    </meta>
    <identifier>
        <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" />
        <value value="d3efca3a-8240-3f3f-8aa6-4f5bc78aa3f5" />
    </identifier>
    <type value="document" />
    <timestamp value="2023-04-06T09:50:00.000+01:00" />
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Composition/4599f3b9-1482-3e31-a0ba-96ca2ed67736" />
        <resource>
            <Composition>
                <id value="4599f3b9-1482-3e31-a0ba-96ca2ed67736" />
                <meta>
                    <lastUpdated value="2023-04-06T09:50:00.000+01:00" />
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationDiseasePKVD" />
                </meta>
                <identifier>
                    <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" />
                    <value value="1bf6b991-8d9c-4613-9f6e-784b0be0c855" />
                </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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </subject>
                <date value="2023-04-06T02:00:00+02:00" />
                <author>
                    <reference value="PractitionerRole/46dec16b-4a8b-3387-ad8a-bcb55879070e" />
                </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/4682ed0d-2a0b-3e51-bff7-37df546c7748" />
                    </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/0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" />
                    </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/0b2f24e4-b05e-3bef-9f54-a615340d9644" />
                    </entry>
                </section>
            </Composition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
        <resource>
            <Organization>
                <id value="e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" />
                </meta>
                <name value="Fleming Krankenhaus – 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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
        <resource>
            <Patient>
                <id value="a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" />
                </meta>
                <name>
                    <use value="official" />
                    <family value="Gutierrez" />
                    <given value="Michelle" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="030 123456789" />
                </telecom>
                <telecom>
                    <system value="email" />
                    <value value="bb@hfksjfhdaksljdfhsakl.de" />
                </telecom>
                <gender value="female" />
                <birthDate value="1978-06-08" />
                <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/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
                        </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="Bertolt-Brecht-Platz 1" />
                    <city value="Berlin" />
                    <postalCode value="10117" />
                    <country value="DE" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Condition/4682ed0d-2a0b-3e51-bff7-37df546c7748" />
        <resource>
            <Condition>
                <id value="4682ed0d-2a0b-3e51-bff7-37df546c7748" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseasePKVD" />
                </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="pkvd" />
                        <display value="Pocken" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </subject>
                <onsetDateTime value="2023-03-05" />
                <recordedDate value="2023-04-06" />
                <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="95324001" />
                            <display value="Hautl&#228;sion" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="66857006" />
                            <display value="Bluthusten (H&#228;moptysen)" />
                        </coding>
                    </code>
                </evidence>
                <evidence>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="302227002" />
                            <display value="Haueinblutung, Ekchymosen" />
                        </coding>
                    </code>
                </evidence>
            </Condition>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" />
        <resource>
            <Immunization>
                <id value="a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationPKVD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="871727001" />
                        <display value="MVA-Impfstoff (Imvanex oder Jynneos; Drittgenerationsimpfstoff)" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </patient>
                <occurrenceDateTime value="2022-12-20" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Immunization/099f0a3c-4182-354f-9edc-f58cfa229eb4" />
        <resource>
            <Immunization>
                <id value="099f0a3c-4182-354f-9edc-f58cfa229eb4" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformationPKVD" />
                </meta>
                <status value="completed" />
                <vaccineCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="871727001" />
                        <display value="MVA-Impfstoff (Imvanex oder Jynneos; Drittgenerationsimpfstoff)" />
                    </coding>
                </vaccineCode>
                <patient>
                    <reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </patient>
                <occurrenceDateTime value="2023-01-18" />
                <note>
                    <text value="-" />
                </note>
            </Immunization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/0c824df6-eda0-11ed-a05b-0242ac120003" />
        <resource>
            <Organization>
                <id value="0c824df6-eda0-11ed-a05b-0242ac120003" />
                <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="Fleming Krankenhaus" />
                <telecom>
                    <system value="phone" />
                    <value value="030777123490" />
                    <use value="work" />
                </telecom>
                <address>
                    <line value="Am Alexanderplatz 42" />
                    <city value="Berlin" />
                    <postalCode value="10179" />
                    <country value="DE" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/46dec16b-4a8b-3387-ad8a-bcb55879070e" />
        <resource>
            <PractitionerRole>
                <id value="46dec16b-4a8b-3387-ad8a-bcb55879070e" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" />
                </meta>
                <organization>
                    <reference value="Organization/0c824df6-eda0-11ed-a05b-0242ac120003" />
                </organization>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Organization/13e7d8e0-eda0-11ed-a05b-0242ac120003" />
        <resource>
            <Organization>
                <id value="13e7d8e0-eda0-11ed-a05b-0242ac120003" />
                <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/Organization/ad525a02-eda3-11ed-a05b-0242ac120003" />
        <resource>
            <Organization>
                <id value="ad525a02-eda3-11ed-a05b-0242ac120003" />
                <meta>
                    <profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
                </meta>
                <type>
                    <coding>
                        <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" />
                        <code value="hospitalLab" />
                        <display value="Krankenhauslabor" />
                    </coding>
                </type>
                <name value="Fleming-Krankenhaus – Hochsicherheitslabor" />
                <address>
                    <line value="Am Alexanderplatz 42" />
                    <postalCode value="10179" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/Encounter/701cc0c1-ef69-37ea-ad1c-8e59caf72182" />
        <resource>
            <Encounter>
                <id value="701cc0c1-ef69-37ea-ad1c-8e59caf72182" />
                <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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </subject>
                <period>
                    <start value="2023-04-06" />
                </period>
                <serviceProvider>
                    <reference value="Organization/e08555a5-55ce-3eb4-81c2-5dfefdc0b985" />
                </serviceProvider>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" />
        <resource>
            <QuestionnaireResponse>
                <id value="0f91305b-c2de-3d7b-bbde-4c64e1d4ab37" />
                <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/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </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/13e7d8e0-eda0-11ed-a05b-0242ac120003" />
                                </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/701cc0c1-ef69-37ea-ad1c-8e59caf72182" />
                                    </valueReference>
                                </answer>
                            </item>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="infectProtectFacility" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="infectProtectFacilityGroup" />
                            <item>
                                <linkId value="infectProtectFacilityBegin" />
                                <answer>
                                    <valueDate value="2023-03-31" />
                                </answer>
                            </item>
                            <item>
                                <linkId value="infectProtectFacilityRole" />
                                <answer>
                                    <valueCoding>
                                        <system value="https://demis.rki.de/fhir/CodeSystem/organizationAssociation" />
                                        <code value="employment" />
                                        <display value="T&#228;tigkeit" />
                                    </valueCoding>
                                </answer>
                            </item>
                            <item>
                                <linkId value="infectProtectFacilityOrganization" />
                                <answer>
                                    <valueReference>
                                        <reference value="Organization/ad525a02-eda3-11ed-a05b-0242ac120003" />
                                    </valueReference>
                                </answer>
                            </item>
                        </item>
                    </answer>
                </item>
                <item>
                    <linkId value="placeExposure" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="no" />
                            <display value="Nein" />
                        </valueCoding>
                    </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="Laborunfall auf Arbeit mit Hochpathogenem Variolavirus." />
                    </answer>
                </item>
            </QuestionnaireResponse>
        </resource>
    </entry>
    <entry>
        <fullUrl value="https://demis.rki.de/fhir/QuestionnaireResponse/0b2f24e4-b05e-3bef-9f54-a615340d9644" />
        <resource>
            <QuestionnaireResponse>
                <id value="0b2f24e4-b05e-3bef-9f54-a615340d9644" />
                <meta>
                    <profile value="https://demis.rki.de/fhir/StructureDefinition/DiseaseInformationPKVD" />
                </meta>
                <questionnaire value="https://demis.rki.de/fhir/Questionnaire/DiseaseQuestionsPKVD" />
                <status value="completed" />
                <subject>
                    <reference value="Patient/a5188cef-b5d7-38c8-a4bd-b0fb1262e4d8" />
                </subject>
                <item>
                    <linkId value="immunization" />
                    <answer>
                        <valueCoding>
                            <system value="https://demis.rki.de/fhir/CodeSystem/yesOrNoAnswer" />
                            <code value="yes" />
                            <display value="Ja" />
                        </valueCoding>
                        <item>
                            <linkId value="immunizationRef" />
                            <answer>
                                <valueReference>
                                    <reference value="Immunization/a28dd69a-1f35-39d4-a0ed-7dc8d53766a0" />
                                </valueReference>
                            </answer>
                        </item>
                        <item>
                            <linkId value="immunizationRef" />
                            <answer>
                                <valueReference>
                                    <reference value="Immunization/099f0a3c-4182-354f-9edc-f58cfa229eb4" />
                                </valueReference>
                            </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>