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{
"resourceType": "StructureDefinition",
"id": "VaccinationInformation",
"url": "https://emiga.rki.de/fhir/case/StructureDefinition/VaccinationInformation",
"version": "0.3.0",
"name": "VaccinationInformation",
"title": "Impfung",
"status": "active",
"experimental": false,
"date": "2026-04-20",
"publisher": "Robert Koch-Institut",
"description": "Profil zur Abbildung einer durchgeführten Schutzimpfung im Kontext von Kontakt-Ereignissen oder Fällen gemäß EMIGA auf Basis der FHIR-Ressource Immunization.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Immunization",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Immunization",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Immunization",
"path": "Immunization",
"constraint": [
{
"key": "vaccination-weitere-cvd",
"severity": "error",
"human": "Die 'weitere' Codierung für den Impfstoff darf nur verwendet werden, wenn CVD als Zielkrankheit angegeben ist.",
"expression": "vaccineCode.coding.where(system != 'http://snomed.info/sct' and system != 'http://fhir.de/CodeSystem/ifa/pzn' and system != 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists() implies protocolApplied.targetDisease.coding.where(code = 'CVD').exists()",
"source": "https://emiga.rki.de/fhir/case/StructureDefinition/VaccinationInformation"
}
]
},
{
"id": "Immunization.meta",
"path": "Immunization.meta",
"mustSupport": true
},
{
"id": "Immunization.meta.extension",
"path": "Immunization.meta.extension",
"max": "0"
},
{
"id": "Immunization.meta.profile",
"path": "Immunization.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "Immunization.meta.profile:emigaprofile",
"path": "Immunization.meta.profile",
"sliceName": "emigaprofile",
"min": 0,
"max": "*",
"patternCanonical": "https://emiga.rki.de/fhir/case/StructureDefinition/VaccinationInformation"
},
{
"id": "Immunization.meta.security",
"path": "Immunization.meta.security",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open",
"description": "Slicing security attribute by coding system",
"ordered": false
},
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.meta.security:visibility",
"path": "Immunization.meta.security",
"sliceName": "visibility",
"min": 0,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://emiga.rki.de/fhir/ValueSet/CaseResourceVisibilityTypeVS"
}
},
{
"id": "Immunization.meta.security:visibility.system",
"path": "Immunization.meta.security.system",
"min": 1,
"patternUri": "https://emiga.rki.de/fhir/common/CodeSystem/ResourceVisibilityType",
"mustSupport": true
},
{
"id": "Immunization.meta.security:visibility.code",
"path": "Immunization.meta.security.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.meta.security:responsibility",
"path": "Immunization.meta.security",
"sliceName": "responsibility",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://emiga.rki.de/fhir/common/ValueSet/ResourceResponsibility"
}
},
{
"id": "Immunization.meta.security:responsibility.system",
"path": "Immunization.meta.security.system",
"min": 1,
"patternUri": "https://emiga.rki.de/fhir/common/CodeSystem/ResourceResponsibility",
"mustSupport": true
},
{
"id": "Immunization.meta.security:responsibility.code",
"path": "Immunization.meta.security.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.meta.tag",
"path": "Immunization.meta.tag",
"max": "0"
},
{
"id": "Immunization.implicitRules",
"path": "Immunization.implicitRules",
"max": "0"
},
{
"id": "Immunization.text",
"path": "Immunization.text",
"max": "0"
},
{
"id": "Immunization.contained",
"path": "Immunization.contained",
"max": "0"
},
{
"id": "Immunization.modifierExtension",
"path": "Immunization.modifierExtension",
"max": "0"
},
{
"id": "Immunization.identifier",
"path": "Immunization.identifier",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open",
"description": "slicing patient identifier by system",
"ordered": false
},
"mustSupport": true
},
{
"id": "Immunization.identifier:EmigaID",
"path": "Immunization.identifier",
"sliceName": "EmigaID",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/IdentifierEmigaID"
]
}
],
"mustSupport": true
},
{
"id": "Immunization.identifier:EmigaID.use",
"path": "Immunization.identifier.use",
"fixedCode": "official",
"mustSupport": true
},
{
"id": "Immunization.identifier:EmigaFileNumber",
"path": "Immunization.identifier",
"sliceName": "EmigaFileNumber",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/IdentifierEmigaFileNumber"
]
}
],
"mustSupport": true
},
{
"id": "Immunization.identifier:EmigaFileNumber.use",
"path": "Immunization.identifier.use",
"fixedCode": "official",
"mustSupport": true
},
{
"id": "Immunization.identifier:SurvNetFileNumber",
"path": "Immunization.identifier",
"sliceName": "SurvNetFileNumber",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/IdentifierSurvNetFileNumber"
]
}
],
"mustSupport": true
},
{
"id": "Immunization.identifier:SurvNetFileNumber.use",
"path": "Immunization.identifier.use",
"fixedCode": "temp",
"mustSupport": true
},
{
"id": "Immunization.status",
"path": "Immunization.status",
"fixedCode": "completed",
"mustSupport": true
},
{
"id": "Immunization.statusReason",
"path": "Immunization.statusReason",
"max": "0"
},
{
"id": "Immunization.vaccineCode",
"path": "Immunization.vaccineCode",
"short": "Verabreichter Impfstoff",
"definition": "Verabreichter Impfstoff",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding",
"path": "Immunization.vaccineCode.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:snomed_CT",
"path": "Immunization.vaccineCode.coding",
"sliceName": "snomed_CT",
"short": "SNOMED CT",
"definition": "Dieses Element beschreibt den Impfstoff mittels eines SNOMED CT® Produktcodes.",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:snomed_CT.system",
"path": "Immunization.vaccineCode.coding.system",
"min": 1,
"fixedUri": "http://snomed.info/sct",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:snomed_CT.code",
"path": "Immunization.vaccineCode.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:pharmazentralnummer_pzn",
"path": "Immunization.vaccineCode.coding",
"sliceName": "pharmazentralnummer_pzn",
"short": "Pharmazentralnummer (PZN)",
"definition": "Dieses Element beschreibt den Impfstoff mittels der 8-stelligen Pharmazentralnummer (PZN), die ein Fertigarzneimittel eindeutig identifiziert.",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:pharmazentralnummer_pzn.system",
"path": "Immunization.vaccineCode.coding.system",
"min": 1,
"fixedUri": "http://fhir.de/CodeSystem/ifa/pzn",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:pharmazentralnummer_pzn.code",
"path": "Immunization.vaccineCode.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:weitere",
"path": "Immunization.vaccineCode.coding",
"sliceName": "weitere",
"short": "Weitere Kodierung",
"definition": "Dieses Element beschreibt den Impfstoff mittels einer weiteren Codierung, z.B. aus einem nationalen oder lokalen Codesystem.",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:weitere.system",
"path": "Immunization.vaccineCode.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:weitere.code",
"path": "Immunization.vaccineCode.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:nullflavor",
"path": "Immunization.vaccineCode.coding",
"sliceName": "nullflavor",
"min": 0,
"max": "*",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Immunization.vaccineCode.coding:nullflavor.system",
"path": "Immunization.vaccineCode.coding.system",
"min": 1,
"fixedUri": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.coding:nullflavor.code",
"path": "Immunization.vaccineCode.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.vaccineCode.text",
"path": "Immunization.vaccineCode.text",
"max": "0"
},
{
"id": "Immunization.patient",
"path": "Immunization.patient",
"short": "Verweis auf die im Kontakt-Ereignis oder Fall benannte betroffene Person.",
"definition": "Referenz auf die im Kontakt-Ereignis oder Fall als betroffene Person benannte Patient-Ressource. In der Regel handelt es sich dabei um die als subject referenzierte Patient-Ressource.",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/AffectedPerson"
]
}
],
"mustSupport": true
},
{
"id": "Immunization.encounter",
"path": "Immunization.encounter",
"max": "0"
},
{
"id": "Immunization.occurrence[x]",
"path": "Immunization.occurrence[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"short": "Datum der Impfung",
"definition": "Datum der Impfung",
"mustSupport": true
},
{
"id": "Immunization.occurrence[x]:occurrenceDateTime",
"path": "Immunization.occurrence[x]",
"sliceName": "occurrenceDateTime",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Immunization.occurrence[x]:occurrenceString",
"path": "Immunization.occurrence[x]",
"sliceName": "occurrenceString",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"binding": {
"strength": "required",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-NullFlavor"
}
},
{
"id": "Immunization.recorded",
"path": "Immunization.recorded",
"max": "0"
},
{
"id": "Immunization.primarySource",
"path": "Immunization.primarySource",
"max": "0"
},
{
"id": "Immunization.reportOrigin",
"path": "Immunization.reportOrigin",
"max": "0"
},
{
"id": "Immunization.location",
"path": "Immunization.location",
"max": "0"
},
{
"id": "Immunization.manufacturer",
"path": "Immunization.manufacturer",
"max": "0"
},
{
"id": "Immunization.lotNumber",
"path": "Immunization.lotNumber",
"max": "0"
},
{
"id": "Immunization.expirationDate",
"path": "Immunization.expirationDate",
"max": "0"
},
{
"id": "Immunization.site",
"path": "Immunization.site",
"max": "0"
},
{
"id": "Immunization.route",
"path": "Immunization.route",
"max": "0"
},
{
"id": "Immunization.doseQuantity",
"path": "Immunization.doseQuantity",
"max": "0"
},
{
"id": "Immunization.performer",
"path": "Immunization.performer",
"max": "0"
},
{
"id": "Immunization.note",
"path": "Immunization.note",
"max": "0"
},
{
"id": "Immunization.reasonCode",
"path": "Immunization.reasonCode",
"max": "0"
},
{
"id": "Immunization.reasonReference",
"path": "Immunization.reasonReference",
"max": "0"
},
{
"id": "Immunization.isSubpotent",
"path": "Immunization.isSubpotent",
"max": "0"
},
{
"id": "Immunization.subpotentReason",
"path": "Immunization.subpotentReason",
"max": "0"
},
{
"id": "Immunization.education",
"path": "Immunization.education",
"max": "0"
},
{
"id": "Immunization.programEligibility",
"path": "Immunization.programEligibility",
"max": "0"
},
{
"id": "Immunization.fundingSource",
"path": "Immunization.fundingSource",
"max": "0"
},
{
"id": "Immunization.reaction",
"path": "Immunization.reaction",
"max": "0"
},
{
"id": "Immunization.protocolApplied",
"path": "Immunization.protocolApplied",
"mustSupport": true
},
{
"id": "Immunization.protocolApplied.targetDisease",
"path": "Immunization.protocolApplied.targetDisease",
"min": 1,
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://emiga.rki.de/fhir/case/ValueSet/VaccinationTargetDiseaseVS",
"description": "Zielkrankheit, gegen die die Schutzimpfung durchgeführt wurde."
}
},
{
"id": "Immunization.protocolApplied.targetDisease.coding",
"path": "Immunization.protocolApplied.targetDisease.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Immunization.protocolApplied.targetDisease.coding.system",
"path": "Immunization.protocolApplied.targetDisease.coding.system",
"min": 1,
"fixedUri": "https://emiga.rki.de/fhir/case/CodeSystem/CaseCategory",
"mustSupport": true
},
{
"id": "Immunization.protocolApplied.targetDisease.coding.version",
"path": "Immunization.protocolApplied.targetDisease.coding.version",
"mustSupport": true
},
{
"id": "Immunization.protocolApplied.targetDisease.coding.code",
"path": "Immunization.protocolApplied.targetDisease.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Immunization.protocolApplied.targetDisease.coding.display",
"path": "Immunization.protocolApplied.targetDisease.coding.display",
"mustSupport": true
},
{
"id": "Immunization.protocolApplied.doseNumber[x]",
"path": "Immunization.protocolApplied.doseNumber[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
},
"short": "Anzahl der verabreichten Dosen wird nicht angegeben.",
"definition": "Die Anzahl der verabreichten Dosen wird in diesem Profil nicht fachlich erhoben. Zur Erfüllung der Anforderungen des zugrunde liegenden Standardprofils ist der Wert fest auf 1 gesetzt."
},
{
"id": "Immunization.protocolApplied.doseNumber[x]:doseNumberPositiveInt",
"path": "Immunization.protocolApplied.doseNumber[x]",
"sliceName": "doseNumberPositiveInt",
"min": 0,
"max": "1",
"type": [
{
"code": "positiveInt"
}
],
"fixedPositiveInt": 1
}
]
}
}
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