# Immunisierungsinformationen (ImmunizationInformation)

https://demis.rki.de/fhir/StructureDefinition/ImmunizationInformation

Das abstrakte ImmunizationInformation-Profil profiliert direkt die HL7 Definition der Immunization-Ressource. Das Profil nimmt dabei eine Reihe von Festlegungen vor, die in allen von ihm abgeleiteten Kindprofilen zum Tragen kommen. Die Festlegungen sind so zugeschnitten, dass es sehr leicht möglich ist, die folgenden logischen Angaben zu einer Impfung kompakt in die entsprechenden Ressourcen einzubetten:

Von besonderer Bedeutung bei der Darstellung der Impfinformationen ist die Kodierung des verabreichten Impfstoffes. Für alle Kindprofile von ImmunizationInformation kann die entsprechende Information entweder mithilfe von Konzepten aus SNOMED-CT oder PZN oder einem von zwei Null-Flavors ("nicht erhoben" / "nicht ermittelbar") dargestellt werden. Einzige Ausnahme von dieser Regel bildet ImmunizationInformationCVDD: Hier kann zusätzlich ein EMA-Code zur Darstellung des verabreichten Impfstoffes herangezogen werden. In den einzelnen Kindprofilen wird für die SNOMED-Slice ein zusätzliches Binding definiert, welches die Auswahlmöglichkeit der Kodierung weiter einschränkt.

Das ImmunizationInformation-Profil bildet die Grundlage für sämtliche meldetatbestandsspezifischen ImmunizationInformation-Profile. Derzeit sind mehrere Kindprofile definiert. Mit der Unterstützung weiterer Meldetatbestände gemäß §6 Absatz 1 IfSG werden weitere Kindprofile hinzukommen.

Profilansicht

ImmunizationInformation (Immunization) |  |  | http://hl7.org/fhir/StructureDefinition/Immunization | There are no (further) constraints on this element Data type http://hl7.org/fhir/StructureDefinition/Immunization
status | S |  | Fixed Value | There are no (further) constraints on this element Element id
    Immunization.status
Fixed value
    completed
statusReason |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.statusReason
vaccineCode | S |  |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode
Short description Verabreichter Impfstoff Definition Verabreichter Impfstoff
coding | S | 1.. |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding
Slicing Unordered, Open, by system(Value)
snomed_CT | S | ..1 |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:snomed_CT
Short description SNOMED CT Definition Dieses Element beschreibt den Impfstoff als SNOMED CT® Product Code.
system | S | 1.. | Fixed Value | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:snomed_CT.system
Fixed value
    http://snomed.info/sct
code | S | 1.. |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:snomed_CT.code
pharmazentralnummer_pzn | S | ..1 |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:pharmazentralnummer_pzn
Short description Pharmazentralnummer (PZN) Definition Dieses Element beschreibt den Impfstoff als 8-stellige Pharmazentralnummer (PZN). Die PZN definiert ein Fertigarzneimittel eindeutig.
system | S | 1.. | Fixed Value | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:pharmazentralnummer_pzn.system
Fixed value
    http://fhir.de/CodeSystem/ifa/pzn
code | S | 1.. |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:pharmazentralnummer_pzn.code
nullflavor | S |  | Binding | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:nullflavor
Binding NullFlavor (required)
system | S | 1.. | Fixed Value | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:nullflavor.system
Fixed value
    http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code | S | 1.. |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.coding:nullflavor.code
text |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.vaccineCode.text
patient | S |  | Reference(https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson | https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonAnonymous) | There are no (further) constraints on this element Element id
    Immunization.patient
Short description Verweis auf die in der Meldung benannte betroffene Person. Definition Verweis auf die in der Meldung benannte betroffene Person. Hierbei handelt es sich grundsätzlich um den Verweis auf die in der Erregernachweismeldung als „subject“ referenzierte Patient Ressource. Data type Reference(https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson | https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonAnonymous)
encounter |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.encounter
occurrence[x] | S |  |  | There are no (further) constraints on this element Element id
    Immunization.occurrence[x]
Short description Datum der Impfung Definition Datum der Impfung Slicing Unordered, Closed, by $this(Type)
occurrenceDateTime |  |  | dateTime | There are no (further) constraints on this element Element id
    Immunization.occurrence[x]:occurrenceDateTime
Data type dateTime
occurrenceString |  |  | string Binding | There are no (further) constraints on this element Element id
    Immunization.occurrence[x]:occurrenceString
Data type string Binding NullFlavor (required)
recorded |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.recorded
primarySource |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.primarySource
reportOrigin |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.reportOrigin
location |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.location
manufacturer |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.manufacturer
lotNumber |  |  |  | There are no (further) constraints on this element Element id
    Immunization.lotNumber
Short description Chargenbezeichnung Definition Chargenbezeichnung
expirationDate |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.expirationDate
site |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.site
route |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.route
doseQuantity |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.doseQuantity
performer |  | ..1 |  | There are no (further) constraints on this element Element id
    Immunization.performer
Short description Verantwortliche Person für die Durchführung der Schutzimpfung Definition Verantwortliche Person für die Durchführung der Schutzimpfung
note | S |  |  | There are no (further) constraints on this element Element id
    Immunization.note
Short description Hinweis zur Impfung Definition Hinweis zur Impfung
reasonCode | S | ..1 |  | There are no (further) constraints on this element Element id
    Immunization.reasonCode
Short description Impfindikation Definition Impfindikation
coding | S | 1..1 | Binding | There are no (further) constraints on this element Element id
    Immunization.reasonCode.coding
Binding Impfindikation VaccinationIndication (extensible)
system | S | 1.. |  | There are no (further) constraints on this element Element id
    Immunization.reasonCode.coding.system
code | S | 1.. |  | There are no (further) constraints on this element Element id
    Immunization.reasonCode.coding.code
reasonReference |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.reasonReference
isSubpotent |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.isSubpotent
subpotentReason |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.subpotentReason
education |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.education
programEligibility |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.programEligibility
fundingSource |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.fundingSource
reaction |  | ..0 |  | There are no (further) constraints on this element Element id
    Immunization.reaction