{
  "resourceType" : "Bundle",
  "id" : "ChEkmBundleInvasivePneumococcalDisease",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:1301332d-6012-443f-9690-929132b2e155"
  },
  "type" : "document",
  "timestamp" : "2026-01-27T11:30:00+02:00",
  "entry" : [{
    "fullUrl" : "http://test.fhir.ch/r4/Composition/ChEkmCompositionExample-InvasivePneumococcalDisease",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "ChEkmCompositionExample-InvasivePneumococcalDisease",
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "722143004",
          "display" : "Infectious disease diagnostic study note"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "423876004",
          "display" : "Clinical report"
        }]
      }],
      "subject" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "encounter" : {
        "reference" : "Encounter/ChEkmEncounterExample-InvasivePneumococcalDisease"
      },
      "date" : "2026-01-27",
      "author" : [{
        "reference" : "PractitionerRole/ChEkmPractitionerRoleBrokerExample"
      }],
      "title" : "Meldung zum klinischen Befund Infektionskrankheit",
      "section" : [{
        "title" : "Diagnosis section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29308-4"
          }]
        },
        "entry" : [{
          "reference" : "Condition/ChEkmConditionExample-InvasivePneumococcalDisease"
        }]
      },
      {
        "title" : "Laboratory section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2"
          }]
        },
        "entry" : [{
          "reference" : "ServiceRequest/ChEkmServiceRequestExampleInvasivePneumococcalDisease"
        }]
      },
      {
        "title" : "Hospitalisation section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "46240-8"
          }]
        },
        "entry" : [{
          "reference" : "Encounter/ChEkmEncounterExample-InvasivePneumococcalDisease"
        }]
      },
      {
        "title" : "Immunization section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11369-6"
          }]
        },
        "entry" : [{
          "reference" : "Immunization/ChEkmImmunizationExample-Pneumococcal1"
        },
        {
          "reference" : "Immunization/ChEkmImmunizationExample-Pneumococcal2"
        }]
      },
      {
        "title" : "Risk factors section",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "46467-7"
          }]
        },
        "entry" : [{
          "reference" : "Condition/ChEkmConditionExample-Immunosuppression"
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Patient/ChEkmPatientInitialsExample",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "ChEkmPatientInitialsExample",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "urn:iso:std:iso:3166",
              "code" : "CH"
            }]
          }
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
        "valueAddress" : {
          "country" : "NL",
          "_country" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
              "valueCoding" : {
                "system" : "urn:iso:std:iso:3166",
                "code" : "NL"
              }
            }]
          }
        }
      }],
      "identifier" : [{
        "system" : "urn:oid:2.16.756.5.32",
        "value" : "7561234567897"
      }],
      "name" : [{
        "family" : "M",
        "given" : ["B"]
      }],
      "gender" : "male",
      "birthDate" : "2000-01-01",
      "address" : [{
        "use" : "home",
        "city" : "Liebefeld",
        "state" : "BE",
        "postalCode" : "3097",
        "country" : "CH",
        "_country" : {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
            "valueCoding" : {
              "system" : "urn:iso:std:iso:3166",
              "code" : "CH"
            }
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/ChEkmPractitionerRoleBrokerExample",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "ChEkmPractitionerRoleBrokerExample",
      "practitioner" : {
        "reference" : "Practitioner/ChEkmPractitionerBrokerExample"
      },
      "organization" : {
        "reference" : "Organization/ChEkmOrganizationBrokerExample"
      }
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Practitioner/ChEkmPractitionerBrokerExample",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "ChEkmPractitionerBrokerExample",
      "name" : [{
        "family" : "Giacometti",
        "given" : ["Monika"]
      }],
      "telecom" : [{
        "system" : "email",
        "value" : "input@output.org"
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Organization/ChEkmOrganizationBrokerExample",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ChEkmOrganizationBrokerExample",
      "identifier" : [{
        "system" : "urn:oid:2.51.1.3",
        "value" : "7601000435333"
      },
      {
        "system" : "urn:oid:2.16.756.5.45",
        "value" : "A99085500"
      }],
      "name" : "DataSan AG",
      "telecom" : [{
        "system" : "phone",
        "value" : "+35 43 654 43 32"
      },
      {
        "system" : "email",
        "value" : "input@output.org"
      }],
      "address" : [{
        "line" : ["Bitstrasse 128"],
        "city" : "Gatiburg",
        "postalCode" : "1010"
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Condition/ChEkmConditionExample-InvasivePneumococcalDisease",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "ChEkmConditionExample-InvasivePneumococcalDisease",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "encounter-diagnosis"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "406617004",
          "display" : "Invasive Streptococcus pneumoniae disease (disorder)"
        }]
      },
      "subject" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "onsetDateTime" : "2026-01-27",
      "evidence" : [{
        "code" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "91302008",
            "display" : "Sepsis (disorder)"
          }]
        }]
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Encounter/ChEkmEncounterExample-InvasivePneumococcalDisease",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "ChEkmEncounterExample-InvasivePneumococcalDisease",
      "status" : "unknown",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP",
        "display" : "inpatient encounter"
      },
      "subject" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "period" : {
        "start" : "2026-01-19"
      },
      "reasonReference" : [{
        "reference" : "Condition/ChEkmConditionExample-InvasivePneumococcalDisease"
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/ChEkmServiceRequestExampleInvasivePneumococcalDisease",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "ChEkmServiceRequestExampleInvasivePneumococcalDisease",
      "status" : "completed",
      "intent" : "order",
      "subject" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "performer" : [{
        "reference" : "Organization/ChEkmOrganizationLabExample"
      }],
      "specimen" : [{
        "reference" : "Specimen/ChEkmSpecimenExampleInvasivePneumococcalDisease"
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Specimen/ChEkmSpecimenExampleInvasivePneumococcalDisease",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "ChEkmSpecimenExampleInvasivePneumococcalDisease",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "119297000",
          "display" : "Blood specimen (specimen)"
        }]
      },
      "subject" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "collection" : {
        "collectedDateTime" : "2026-01-27"
      }
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Organization/ChEkmOrganizationLabExample",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ChEkmOrganizationLabExample",
      "identifier" : [{
        "system" : "urn:oid:2.51.1.3",
        "value" : "7601000435111"
      },
      {
        "system" : "urn:oid:2.16.756.5.45",
        "value" : "A99082200"
      }],
      "name" : "LabSan GmbH",
      "telecom" : [{
        "system" : "phone",
        "value" : "+36 87 987 65 43"
      },
      {
        "system" : "email",
        "value" : "patho@automation.org"
      }],
      "address" : [{
        "line" : ["Petriweg 88"],
        "city" : "Rumplikon",
        "postalCode" : "7575"
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Immunization/ChEkmImmunizationExample-Pneumococcal1",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "ChEkmImmunizationExample-Pneumococcal1",
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
          "code" : "60129"
        }]
      },
      "patient" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "occurrenceDateTime" : "2000-03-01",
      "protocolApplied" : [{
        "targetDisease" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "16814004",
            "display" : "Pneumococcal infectious disease"
          }]
        }],
        "doseNumberPositiveInt" : 1
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Immunization/ChEkmImmunizationExample-Pneumococcal2",
    "resource" : {
      "resourceType" : "Immunization",
      "id" : "ChEkmImmunizationExample-Pneumococcal2",
      "status" : "completed",
      "vaccineCode" : {
        "coding" : [{
          "system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
          "code" : "60129"
        }]
      },
      "patient" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      },
      "occurrenceDateTime" : "2000-05-01",
      "protocolApplied" : [{
        "targetDisease" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "16814004",
            "display" : "Pneumococcal infectious disease"
          }]
        }],
        "doseNumberPositiveInt" : 2
      }]
    }
  },
  {
    "fullUrl" : "http://test.fhir.ch/r4/Condition/ChEkmConditionExample-Immunosuppression",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "ChEkmConditionExample-Immunosuppression",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "problem-list-item"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "38013005",
          "display" : "Immunosuppression (finding)"
        }]
      },
      "subject" : {
        "reference" : "Patient/ChEkmPatientInitialsExample"
      }
    }
  }]
}