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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
      }
    ]
  }
}

name : VaccinationInformation

{

}