{
"description": null,
"_filename": "KBVPRMIOVaccinationObservationImmunizationStatus.json",
"package_name": "KBV.MIO.Impfpass",
"date": "2020-05-19",
"derivation": "constraint",
"publisher": "Kassenärztliche Bundesvereinigung (KBV)",
"fhirVersion": "4.0.1",
"name": "KBV_PR_MIO_Vaccination_Observation_Immunization_Status",
"abstract": false,
"copyright": "Copyright © [2020], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.00.000",
"status": "active",
"id": "24abe542-da5a-40c8-94b2-16b49e2ef9d8",
"kind": "resource",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Observation_Immunization_Status",
"version": "1.00.000",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"short": "Titer",
"comment": "In der Regel werden für die meisten Impfungen bzw. impfpräventablen Erkrankungen keine Titerbestimmungen empfohlen - wenn diese jedoch angezeigt sind und durchgeführt werden, kann hier dokumentiert werden, welcher Titer bestimmt wurde und ob die Immunität anzunehmen ist.",
"constraint": [ {
"key": "issued",
"human": "Das Untersuchungsdatum muss mindestens 8 Stellen haben",
"source": "Observation",
"severity": "error",
"expression": "issued.toString().length()>=8"
} ],
"definition": "In diesem Profil können Ergebnisse von Titer-Untersuchungen/Antikörper-Bestimmungen von impfpräventablen Erkrankungen dokumentiert werden, vor allem zur Kontrolle des Impferfolgs. Dafür wird dokumentiert, welche Titer-Bestimmung durchgeführt wurde, ob überhaupt eine Nachweisbarkeit gegeben ist und ob sich aus dem bestimmten Wert eine Immunität ableiten lässt."
}, {
"id": "Observation.id",
"min": 1,
"path": "Observation.id"
}, {
"id": "Observation.meta",
"min": 1,
"path": "Observation.meta"
}, {
"id": "Observation.meta.versionId",
"max": "0",
"path": "Observation.meta.versionId"
}, {
"id": "Observation.meta.lastUpdated",
"max": "0",
"path": "Observation.meta.lastUpdated"
}, {
"id": "Observation.meta.source",
"max": "0",
"path": "Observation.meta.source"
}, {
"id": "Observation.meta.profile",
"max": "1",
"min": 1,
"path": "Observation.meta.profile",
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Observation_Immunization_Status|1.00.000"
}, {
"id": "Observation.meta.security",
"max": "0",
"path": "Observation.meta.security"
}, {
"id": "Observation.meta.tag",
"max": "0",
"path": "Observation.meta.tag"
}, {
"id": "Observation.implicitRules",
"max": "0",
"path": "Observation.implicitRules"
}, {
"id": "Observation.language",
"max": "0",
"path": "Observation.language"
}, {
"id": "Observation.text",
"min": 1,
"path": "Observation.text"
}, {
"id": "Observation.contained",
"max": "0",
"path": "Observation.contained"
}, {
"id": "Observation.identifier",
"max": "0",
"path": "Observation.identifier"
}, {
"id": "Observation.basedOn",
"max": "0",
"path": "Observation.basedOn"
}, {
"id": "Observation.partOf",
"max": "0",
"path": "Observation.partOf"
}, {
"id": "Observation.status",
"path": "Observation.status",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "default: final"
} ],
"fixedCode": "final"
}, {
"id": "Observation.category",
"max": "0",
"path": "Observation.category"
}, {
"id": "Observation.code.coding",
"max": "2",
"min": 1,
"path": "Observation.code.coding",
"slicing": {
"rules": "closed",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:snomedCT",
"max": "1",
"min": 1,
"path": "Observation.code.coding",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_Lab_ImmuneReaction_Test_Presence_Snomed"
},
"sliceName": "snomedCT"
}, {
"id": "Observation.code.coding:snomedCT.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:snomedCT.version",
"min": 1,
"path": "Observation.code.coding.version"
}, {
"id": "Observation.code.coding:snomedCT.code",
"min": 1,
"path": "Observation.code.coding.code"
}, {
"id": "Observation.code.coding:snomedCT.display",
"min": 1,
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.code.coding:loinc",
"max": "1",
"path": "Observation.code.coding",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_Lab_ImmuneReaction_Test_Presence"
},
"sliceName": "loinc"
}, {
"id": "Observation.code.coding:loinc.system",
"min": 1,
"path": "Observation.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.code.coding:loinc.version",
"min": 1,
"path": "Observation.code.coding.version"
}, {
"id": "Observation.code.coding:loinc.code",
"min": 1,
"path": "Observation.code.coding.code"
}, {
"id": "Observation.code.coding:loinc.display",
"min": 1,
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.code.text",
"min": 1,
"path": "Observation.code.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden, also in diesem Fall den Displaynamen des Targetsystems aus https://fhir.kbv.de/ConceptMap/KBV_CM_MIO_Vaccination_Lab_ImmuneReaction_Test_Presence_German"
}, {
"id": "Observation.subject",
"min": 1,
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Patient|1.00.000" ]
} ],
"mustSupport": true
}, {
"id": "Observation.subject.reference",
"min": 1,
"path": "Observation.subject.reference"
}, {
"id": "Observation.subject.type",
"max": "0",
"path": "Observation.subject.type"
}, {
"id": "Observation.subject.identifier",
"max": "0",
"path": "Observation.subject.identifier"
}, {
"id": "Observation.subject.display",
"max": "0",
"path": "Observation.subject.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.focus",
"max": "0",
"path": "Observation.focus"
}, {
"id": "Observation.encounter",
"max": "0",
"path": "Observation.encounter"
}, {
"id": "Observation.effective[x]",
"max": "0",
"path": "Observation.effective[x]"
}, {
"id": "Observation.issued",
"min": 1,
"path": "Observation.issued",
"short": "Datum der Untersuchung",
"mapping": [ {
"map": "Titer.Datum der Untersuchung",
"identity": "MIO-Impfpass"
} ],
"definition": "Dieses Element beschreibt das Datum, wann die Laboruntersuchung des Titers durchgeführt wurde.",
"mustSupport": true
}, {
"id": "Observation.performer",
"max": "1",
"path": "Observation.performer",
"type": [ {
"code": "Reference",
"targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Practitioner|1.00.000" ]
} ],
"mapping": [ {
"map": "Titer.Eintragende Person",
"identity": "MIO-Impfpass"
} ],
"mustSupport": true
}, {
"id": "Observation.performer.extension",
"path": "Observation.performer.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.performer.extension:function",
"path": "Observation.performer.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/event-performerFunction" ]
} ],
"sliceName": "function",
"mustSupport": true
}, {
"id": "Observation.performer.extension:function.value[x]:valueCodeableConcept",
"path": "Observation.performer.extension.value[x]",
"sliceName": "valueCodeableConcept"
}, {
"id": "Observation.performer.extension:function.value[x]:valueCodeableConcept.coding",
"max": "1",
"min": 1,
"path": "Observation.performer.extension.value[x].coding"
}, {
"id": "Observation.performer.extension:function.value[x]:valueCodeableConcept.coding.system",
"min": 1,
"path": "Observation.performer.extension.value[x].coding.system"
}, {
"id": "Observation.performer.extension:function.value[x]:valueCodeableConcept.coding.code",
"min": 1,
"path": "Observation.performer.extension.value[x].coding.code"
}, {
"id": "Observation.performer.extension:function.value[x]:valueCodeableConcept.text",
"max": "0",
"path": "Observation.performer.extension.value[x].text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.performer.reference",
"min": 1,
"path": "Observation.performer.reference",
"mustSupport": true
}, {
"id": "Observation.performer.type",
"max": "0",
"path": "Observation.performer.type"
}, {
"id": "Observation.performer.identifier",
"max": "0",
"path": "Observation.performer.identifier"
}, {
"id": "Observation.performer.display",
"max": "0",
"path": "Observation.performer.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.value[x]",
"max": "0",
"path": "Observation.value[x]"
}, {
"id": "Observation.dataAbsentReason",
"max": "0",
"path": "Observation.dataAbsentReason"
}, {
"path": "Observation.interpretation",
"min": 1,
"definition": "Die Nachweisbarkeit beschreibt das Erreichen der Nachweisgrenze und damit das Ergebnis des Tests. Das Ergebnis ist im Sinne von Positiv/Negativ anzugeben, dazu ist ein Code der LOINC Answer-List zu verwenden. Das Ergebnis erlaubt noch keine Aussage über die Immunität.",
"short": "Nachweisbarkeit",
"mapping": [ {
"map": "Titer.Immunität",
"identity": "MIO-Impfpass"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_Lab_Titer_Immunity"
},
"max": "1",
"id": "Observation.interpretation"
}, {
"id": "Observation.interpretation.coding",
"max": "1",
"min": 1,
"path": "Observation.interpretation.coding",
"mustSupport": true
}, {
"id": "Observation.interpretation.coding.system",
"min": 1,
"path": "Observation.interpretation.coding.system"
}, {
"id": "Observation.interpretation.coding.version",
"min": 1,
"path": "Observation.interpretation.coding.version"
}, {
"id": "Observation.interpretation.coding.code",
"min": 1,
"path": "Observation.interpretation.coding.code"
}, {
"id": "Observation.interpretation.coding.display",
"min": 1,
"path": "Observation.interpretation.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Observation.interpretation.coding.userSelected",
"max": "0",
"path": "Observation.interpretation.coding.userSelected"
}, {
"id": "Observation.interpretation.text",
"min": 1,
"path": "Observation.interpretation.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Snomed-Codes aus der Conceptmap eingetragen werden, also in diesem Fall den Displaynamen des Targetsystems aus https://fhir.kbv.de/ConceptMap/KBV_CM_MIO_Vaccination_Lab_Titer_Immunity_German",
"mustSupport": true
}, {
"id": "Observation.note",
"max": "1",
"path": "Observation.note",
"short": "Ergänzende Angaben zur Titerbestimmung",
"mapping": [ {
"map": "Titer.Ergänzende Angaben zur Titerbestimmung",
"identity": "MIO-Impfpass"
} ],
"definition": "Ergänzende Angaben zur Titerbestimmung",
"mustSupport": true
}, {
"id": "Observation.note.author[x]",
"max": "0",
"path": "Observation.note.author[x]"
}, {
"id": "Observation.note.time",
"max": "0",
"path": "Observation.note.time"
}, {
"id": "Observation.bodySite",
"max": "0",
"path": "Observation.bodySite"
}, {
"id": "Observation.method",
"max": "0",
"path": "Observation.method"
}, {
"id": "Observation.specimen",
"max": "0",
"path": "Observation.specimen"
}, {
"id": "Observation.device",
"max": "0",
"path": "Observation.device"
}, {
"id": "Observation.referenceRange",
"max": "0",
"path": "Observation.referenceRange"
}, {
"id": "Observation.hasMember",
"max": "0",
"path": "Observation.hasMember"
}, {
"id": "Observation.derivedFrom",
"max": "0",
"path": "Observation.derivedFrom"
}, {
"id": "Observation.component",
"max": "0",
"path": "Observation.component"
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}