Ressourcenmodell für Erregernachweise laut § 7 Abs. 1 IfSG
Zur Übermittlung von Erregernachweisen laut § 7 Abs. 1 IfSG ist der Erregernachweismeldevorgang zu nutzen. Dieser muss die Erregernachweismeldung sowie Angaben zum Melder, Angabe zur betroffenen Person, den Laborbericht, etc. enthalten. Er entspricht folgendem Modell:
Entsprechend folgendem Beispiel muss der Erregernachweismeldevorgang in dem Eingabeparameter ProcessNotificationRequestParameters an die Verarbeitungs-Operation übermittelt werden:
<Parameters xmlns="http://hl7.org/fhir"> <id value="ProcessNotificationRequestParameters-example" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/ProcessNotificationRequestParameters" /> </meta> <parameter> <name value="content" /> <resource> <Bundle> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleLaboratory" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" /> <value value="0de84a15-3f79-439a-a33c-a5989927cf7d" /> </identifier> <type value="document" /> <timestamp value="2020-10-05T07:37:44.979+02:00" /> <entry> <fullUrl value="https://demis.rki.de/fhir/Composition/a194b5c3-a3c5-4ceb-9087-d7fd87e1ec4e" /> <resource> <Composition> <id value="a194b5c3-a3c5-4ceb-9087-d7fd87e1ec4e" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationLaboratory" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="bc6a490d-7221-5dbf-8d00-0617359b78fb" /> </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="http://loinc.org" /> <code value="11502-2" /> <display value="Laboratory report" /> </coding> </category> <subject> <reference value="Patient/61ebe359-bfdc-4613-8bf2-c5e300945f0n17" /> </subject> <date value="2020-04-16" /> <author> <reference value="PractitionerRole/61ebe359-bfdc-4613-8bf2-c5e300945f0n18" /> </author> <title value="SARS-CoV-2-Erregernachweismeldung" /> <relatesTo> <code value="appends" /> <targetReference> <type value="Composition" /> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="bc6a490d-7221-5dbf-8d00-0617359b78fb" /> </identifier> </targetReference> </relatesTo> <section> <code> <coding> <system value="http://loinc.org" /> <code value="11502-2" /> <display value="Laboratory report" /> </coding> </code> <entry> <reference value="DiagnosticReport/61ebe359-bfdc-4613-8bf2-c5e300945f0n19" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/61ebe359-bfdc-4613-8bf2-c5e300945f0n18" /> <resource> <PractitionerRole> <id value="61ebe359-bfdc-4613-8bf2-c5e300945f0n18" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" /> </meta> <practitioner> <reference value="Practitioner/61abc359-bfdc-4613-8bf2-c5e300945f0n18" /> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Practitioner/61abc359-bfdc-4613-8bf2-c5e300945f0n18" /> <resource> <Practitioner> <id value="61abc359-bfdc-4613-8bf2-c5e300945f0n18" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/Notifier" /> </meta> <extension url="https://demis.rki.de/fhir/StructureDefinition/Salutation"> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/salutation" /> <code value="mrs" /> </valueCoding> </extension> <name> <use value="official" /> <family value="Bonheure" /> <given value="Julie" /> </name> <telecom> <extension url="https://demis.rki.de/fhir/StructureDefinition/Comment"> <valueString value="Ab 14 Uhr" /> </extension> <system value="phone" /> <value value="+49 (0)12345 - 123456" /> <use value="work" /> </telecom> </Practitioner> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Patient/61ebe359-bfdc-4613-8bf2-c5e300945f0n17" /> <resource> <Patient> <id value="61ebe359-bfdc-4613-8bf2-c5e300945f0n17" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson" /> </meta> <name> <use value="official" /> <family value="Müller" /> <given value="Karl-Heinz" /> </name> <telecom> <extension url="https://demis.rki.de/fhir/StructureDefinition/Comment"> <valueString value="Ab 14 Uhr" /> </extension> <system value="phone" /> <value value="+49 (0)12345 - 123456" /> <use value="work" /> </telecom> <gender value="male" /> <birthDate value="1974-12-25" /> <address> <extension url="https://demis.rki.de/fhir/StructureDefinition/AddressUse"> <valueCoding> <system value="https://demis.rki.de/fhir/CodeSystem/addressUse" /> <code value="ordinary" /> </valueCoding> </extension> <extension url="https://demis.rki.de/fhir/StructureDefinition/FacilityAddressNotifiedPerson"> <valueReference> <reference value="Organization/98cda07d-1fa7-47f6-ad79-e66de48d6078" /> </valueReference> </extension> </address> <contact> <relationship> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0131" /> <code value="E" /> </coding> </relationship> <name> <use value="official" /> <family value="Meier" /> <given value="Joachim" /> </name> </contact> </Patient> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/DiagnosticReport/61ebe359-bfdc-4613-8bf2-c5e300945f0n19" /> <resource> <DiagnosticReport> <id value="61ebe359-bfdc-4613-8bf2-c5e300945f0n19" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/LaboratoryReportCVDP" /> </meta> <basedOn> <type value="ServiceRequest" /> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/ServiceRequestId" /> <value value="2020-0003456" /> </identifier> </basedOn> <status value="final" /> <code> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/notificationCategory" /> <code value="cvdp" /> <display value="Severe-Acute-Respiratory-Syndrome-Coronavirus-2 (SARS-CoV-2)" /> </coding> </code> <subject> <reference value="Patient/61ebe359-bfdc-4613-8bf2-c5e300945f0n17" /> </subject> <issued value="2021-03-04T11:45:33+11:00" /> <result> <reference value="Observation/d3539a4c-9093-467a-a3e8-050594afbd59" /> </result> <conclusionCode> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/conclusionCode" /> <code value="pathogenDetected" /> </coding> </conclusionCode> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/98cda07d-1fa7-47f6-ad79-e66de48d6078" /> <resource> <Organization> <id value="98cda07d-1fa7-47f6-ad79-e66de48d6078" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonFacility" /> </meta> <type> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" /> <code value="hospital" /> </coding> </type> <name value="Krankenhaus am See" /> <telecom> <system value="phone" /> <value value="+49 (0)12345 - 123456" /> <use value="work" /> </telecom> <address> <line value="Kurzer Weg 15" /> <city value="Berlin" /> <state value="DE-BE" /> <postalCode value="10117" /> <country value="DE" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Observation/d3539a4c-9093-467a-a3e8-050594afbd59" /> <resource> <Observation> <id value="d3539a4c-9093-467a-a3e8-050594afbd59" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/PathogenDetectionCVDP" /> </meta> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> </coding> </category> <code> <coding> <system value="http://loinc.org" /> <code value="96741-4" /> <display value="SARS-CoV-2 (COVID-19) variant Sequencing Nom (Specimen)" /> </coding> </code> <subject> <reference value="Patient/61ebe359-bfdc-4613-8bf2-c5e300945f0n17" /> </subject> <valueString value="#B.1.1.7" /> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" /> <code value="POS" /> </coding> </interpretation> <note> <text value="Ich bin ein optionaler beschreibender Text ..." /> </note> <specimen> <reference value="Specimen/47d61bca-9c53-4422-bb33-3621da084bf4" /> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Specimen/47d61bca-9c53-4422-bb33-3621da084bf4" /> <resource> <Specimen> <id value="47d61bca-9c53-4422-bb33-3621da084bf4" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/SpecimenCVDP" /> </meta> <type> <coding> <system value="http://snomed.info/sct" /> <code value="309164002" /> <display value="Upper respiratory swab sample (specimen)" /> </coding> </type> <subject> <reference value="Patient/61ebe359-bfdc-4613-8bf2-c5e300945f0n17" /> </subject> <receivedTime value="2020-09-27T22:01:38+02:00" /> <collection> <collector> <reference value="PractitionerRole/xyz2f5-8384-4191-916b-10150c780453" /> </collector> <collectedDateTime value="2020-08-17T10:10:00Z" /> </collection> <processing> <extension url="https://demis.rki.de/fhir/StructureDefinition/TransactionID"> <valueString value="IGS-10001-CVDP-be8131da-9024-41a4-a53c-3ce0d6f6fe37" /> </extension> <timeDateTime value="2020-08-18T08:10:00Z" /> </processing> <note> <text value="Die Probe gehört zu einem Ausbruch." /> </note> </Specimen> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/xyz2f5-8384-4191-916b-10150c780453" /> <resource> <PractitionerRole> <id value="xyz2f5-8384-4191-916b-10150c780453" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/SubmittingRole" /> </meta> <practitioner> <reference value="Practitioner/42cdf5-8384-4191-916b-10150c780453" /> </practitioner> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Practitioner/42cdf5-8384-4191-916b-10150c780453" /> <resource> <Practitioner> <id value="42cdf5-8384-4191-916b-10150c780453" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/SubmittingPerson" /> </meta> <name> <use value="official" /> <family value="Mantle" /> <given value="Karl-Heinz" /> </name> <telecom> <system value="phone" /> <value value="+49 (0)12345 - 123456" /> <use value="work" /> </telecom> <telecom> <system value="phone" /> <value value="+49 (0)12345 - 123567" /> <use value="home" /> </telecom> <address> <use value="home" /> <line value="Erster Weg 1" /> <city value="Berlin" /> <state value="DE-BE" /> <postalCode value="10117" /> <country value="DE" /> </address> </Practitioner> </resource> </entry> </Bundle> </resource> </parameter> </Parameters>