<Immunization xmlns="http://hl7.org/fhir">
  <id value="4890c87a-e6f2-4037-9905-aeaff944a3cb" />
  <meta>
    <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Record_Addendum|1.1.0" />
  </meta>
  <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_Vaccination_Entry_Type">
    <valueCodeableConcept>
      <coding>
        <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_Vaccination_Technical_Entry_Type" />
        <code value="End" />
        <display value="Eintrag nur digital" />
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_Vaccination_Attester_Addendum">
    <extension url="mode">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/composition-attestation-mode" />
          <code value="legal" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="party">
      <valueReference>
        <reference value="urn:uuid:0d38b9ea-6125-43d8-a8d5-0ec03fe91996" />
      </valueReference>
    </extension>
  </extension>
  <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_Vaccination_Enterer">
    <extension url="mode">
      <valueCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" />
          <code value="ENT" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="party">
      <valueReference>
        <reference value="urn:uuid:ebefcfca-7168-40e5-8918-7af38c7f10c9" />
      </valueReference>
    </extension>
  </extension>
  <status value="completed" />
  <vaccineCode>
    <text value="Pockenimpfstoff" />
  </vaccineCode>
  <patient>
    <reference value="urn:uuid:7eb1aef1-a24e-42e0-926d-904470d044dc" />
  </patient>
  <occurrenceDateTime value="2019-12-23" />
  <primarySource value="false" />
  <reportOrigin>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/immunization-origin" />
      <code value="recall" />
    </coding>
    <text value="Eltern/Patienten Erinnerung" />
  </reportOrigin>
  <protocolApplied>
    <targetDisease>
      <coding>
        <system value="http://snomed.info/sct" />
        <version value="http://snomed.info/sct/900000000000207008/version/20210131" />
        <code value="67924001" />
        <display value="Smallpox (disorder)">
          <extension url="https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German">
            <extension url="content">
              <valueString value="Pocken" />
            </extension>
          </extension>
        </display>
      </coding>
    </targetDisease>
    <doseNumberString>
      <extension url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
        <valueCode value="unknown" />
      </extension>
    </doseNumberString>
  </protocolApplied>
</Immunization>