Ressourcenmodell für Erregernachweise nach § 7 Abs. 4 IfSG
Zur Übermittlung von Erregernachweisen nach § 7 Abs. 4 IfSG sind entsprechend der Erregernachweismeldevorgang (negativ), die Erregernachweismeldung (negativ) sowie die betroffene Person (anonym) zu nutzen. Siehe dazu auch Szenario 7 im Lifecyclemanagment.
Beispiel:
<Bundle xmlns="http://hl7.org/fhir"> <meta> <lastUpdated value="2021-03-04T20:16:01.000+01:00" /> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationBundleLaboratoryNegative" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationBundleId" /> <value value="a5e00874-bb26-45ac-8eea-0bde76456703" /> </identifier> <type value="document" /> <timestamp value="2021-03-04T20:16:01.000+01:00" /> <entry> <fullUrl value="https://demis.rki.de/fhir/Composition/bfa5c3e9-13e7-45b0-a845-f28b3e7afa6d" /> <resource> <Composition> <id value="bfa5c3e9-13e7-45b0-a845-f28b3e7afa6d" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotificationLaboratoryNegative" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="e8d8cc43-32c2-4f93-8eaf-b2f3e6deb2a9" /> </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/c9201e8c-0425-4fb4-89c3-95f2405f290a" /> </subject> <date value="2021-03-04T20:16:00+01:00" /> <author> <reference value="PractitionerRole/318914e5-314b-4a6d-9044-e94a288fa795" /> </author> <title value="Erregernachweismeldung" /> <relatesTo> <code value="appends" /> <targetReference> <type value="Composition" /> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/NotificationId" /> <value value="12345" /> </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/5d3a54e0-0af5-4e61-a917-c1e0f063af4b" /> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Patient/c9201e8c-0425-4fb4-89c3-95f2405f290a" /> <resource> <Patient> <id value="c9201e8c-0425-4fb4-89c3-95f2405f290a" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonAnonymous" /> </meta> <gender value="female" /> <birthDate value="1950-02" /> <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> <country value="204" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/318914e5-314b-4a6d-9044-e94a288fa795" /> <resource> <PractitionerRole> <id value="318914e5-314b-4a6d-9044-e94a288fa795" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierRole" /> </meta> <organization> <reference value="Organization/ec6e6fc0-4b0f-4fc6-b638-eaf85d1308ef" /> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/ec6e6fc0-4b0f-4fc6-b638-eaf85d1308ef" /> <resource> <Organization> <id value="ec6e6fc0-4b0f-4fc6-b638-eaf85d1308ef" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/NotifierFacility" /> </meta> <identifier> <system value="https://demis.rki.de/fhir/NamingSystem/DemisLaboratoryId" /> <value value="13589" /> </identifier> <identifier> <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" /> <value value="98765430" /> </identifier> <type> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/organizationType" /> <code value="laboratory" /> <display value="Erregerdiagnostische Untersuchungsstelle" /> </coding> </type> <name value="Primärlabor" /> <telecom> <system value="phone" /> <value value="0309876543210" /> <use value="work" /> </telecom> <address> <line value="Dingsweg 321" /> <city value="Berlin" /> <postalCode value="13055" /> <country value="20422" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/PractitionerRole/c2063949-baae-4c60-a099-13b905d2f29f" /> <resource> <PractitionerRole> <id value="c2063949-baae-4c60-a099-13b905d2f29f" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/SubmittingRole" /> </meta> <organization> <reference value="Organization/a8448a13-a425-4738-b837-acf6d06d4a5c" /> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Organization/a8448a13-a425-4738-b837-acf6d06d4a5c" /> <resource> <Organization> <id value="a8448a13-a425-4738-b837-acf6d06d4a5c" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/SubmittingFacility" /> </meta> <identifier> <system value="https://fhir.kbv.de/NamingSystem/KBV_NS_Base_BSNR" /> <value value="135896780" /> </identifier> <name value="Einsendepraxis ABC" /> <telecom> <system value="phone" /> <value value="030 1358967890" /> <use value="work" /> </telecom> <address> <line value="Teststr. 123" /> <city value="Berlin" /> <postalCode value="13589" /> <country value="20422" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/DiagnosticReport/5d3a54e0-0af5-4e61-a917-c1e0f063af4b" /> <resource> <DiagnosticReport> <id value="5d3a54e0-0af5-4e61-a917-c1e0f063af4b" /> <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="2021-000672922" /> </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/c9201e8c-0425-4fb4-89c3-95f2405f290a" /> </subject> <issued value="2021-03-04T20:15:00.000+01:00" /> <result> <reference value="Observation/4cf6dbcb-07b4-4794-bbd3-c052a1d67135" /> </result> <conclusion value="Ich bin die textuelle Conclusion ..." /> <conclusionCode> <coding> <system value="https://demis.rki.de/fhir/CodeSystem/conclusionCode" /> <code value="pathogenDetected" /> <display value="Meldepflichtiger Erreger nachgewiesen" /> </coding> </conclusionCode> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Observation/4cf6dbcb-07b4-4794-bbd3-c052a1d67135" /> <resource> <Observation> <id value="4cf6dbcb-07b4-4794-bbd3-c052a1d67135" /> <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="94660-8" /> <display value="SARS-CoV-2 (COVID-19) RNA [Presence] in Serum or Plasma by NAA with probe detection" /> </coding> </code> <subject> <reference value="Patient/c9201e8c-0425-4fb4-89c3-95f2405f290a" /> </subject> <valueCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="LA11882-0" /> <display value="Detected" /> </coding> </valueCodeableConcept> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" /> <code value="NEG" /> <display value="Negative" /> </coding> </interpretation> <note> <text value="Nette Zusatzinformation …" /> </note> <method> <coding> <system value="http://snomed.info/sct" /> <code value="398545005" /> <display value="Nucleic acid assay (procedure)" /> </coding> </method> <specimen> <reference value="Specimen/5497b5f4-2994-4c8c-a94e-e37ad111e220" /> </specimen> </Observation> </resource> </entry> <entry> <fullUrl value="https://demis.rki.de/fhir/Specimen/5497b5f4-2994-4c8c-a94e-e37ad111e220" /> <resource> <Specimen> <id value="5497b5f4-2994-4c8c-a94e-e37ad111e220" /> <meta> <profile value="https://demis.rki.de/fhir/StructureDefinition/SpecimenCVDP" /> </meta> <status value="available" /> <type> <coding> <system value="http://snomed.info/sct" /> <code value="309164002" /> <display value="Upper respiratory swab sample (specimen)" /> </coding> </type> <subject> <reference value="Patient/c9201e8c-0425-4fb4-89c3-95f2405f290a" /> </subject> <receivedTime value="2021-03-04T15:40:00+01:00" /> <collection> <collector> <reference value="PractitionerRole/c2063949-baae-4c60-a099-13b905d2f29f" /> </collector> <collectedDateTime value="2021-03-04T09:50:00+01:00" /> </collection> <note> <text value="Ich bin eine interessante Zusatzinformation ..." /> </note> </Specimen> </resource> </entry> </Bundle>