CH EMS (R4)
2.1.0-ci-build - ci-build
CH EMS (R4)
2.1.0-ci-build - ci-build
CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-ems/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "1-Einsatzprotokoll",
"meta" : {
"lastUpdated" : "2020-04-24T07:53:22.889+00:00"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78"
},
"type" : "document",
"timestamp" : "2016-12-10T13:05:00.000+01:00",
"entry" : [
{
"fullUrl" : "http://test.fhir.ch/r4/Composition/1-Einsatzprotokoll-Composition",
"resource" : {
"resourceType" : "Composition",
"id" : "1-Einsatzprotokoll-Composition",
"language" : "de-CH",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "67796-3",
"display" : "EMS patient care report - version 3 Document NEMSIS"
},
{
"system" : "http://snomed.info/sct",
"code" : "371535009",
"display" : "Transfer summary report (record artifact)"
}
],
"text" : "Einsatzprotokoll Rettungsdienst"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"date" : "2016-12-10T13:05:00.000+01:00",
"author" : [
{
🔗 "extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
"valueDateTime" : "2016-12-10T13:13:05.000+01:00"
}
],
"reference" : "Practitioner/1-SaniPetraMuster"
},
{
🔗 "reference" : "PractitionerRole/1-SaniPetraMuster-PR"
},
{
🔗 "extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
"valueDateTime" : "2016-12-10T13:13:05.000+01:00"
}
],
"reference" : "Practitioner/1-NotarztPierreUrgentiste"
},
{
🔗 "reference" : "PractitionerRole/1-NotarztPierreUrgentiste-PR"
}
],
"title" : "Einsatzprotokoll Rettungsdienst",
"confidentiality" : "N",
"_confidentiality" : {
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "17621005",
"display" : "Normal (qualifier value)"
}
],
"text" : "Normal"
}
}
]
},
"attester" : [
{
"mode" : "legal",
"time" : "2016-12-10T13:13:05.000+01:00",
"party" : {
🔗 "reference" : "Practitioner/1-SaniPetraMuster"
}
}
],
"custodian" : {
🔗 "reference" : "Organization/1-Rettungsdienst"
},
"section" : [
{
"title" : "Einsatz",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100001",
"display" : "intervention"
}
],
"text" : "Einsatz"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tbody><tr><th>Einsatz</th></tr><tr><td>Einsatzdatum:</td><td>10.12.2016</td></tr><tr><td>Einsatznummer:</td><td>S12345678</td></tr><tr><td>Aufbietende Organisation:</td><td>SNZ (GLN 7601002156370)</td></tr><tr><td>Aufgebotene Organisation:</td><td>Rettungsdienst Schutz und Rettung Zürich (GLN 7601002156363)</td></tr><tr><td>Teammitglieder:</td><td>Petra Muster (Rettungssanitäterin), Hans Transportsanitäter (Transportsanitäter), Pierre Urgentiste (Notarzt)</td></tr><tr><td>Einsatzort:</td><td>Zürich, Waldrand (47.392115, 8.553192)</td></tr><tr><td>Zielort:</td><td>Universitätsspital Zürich, Notfall</td></tr></tbody></table><table><tbody><tr><th>Alarmierungszeit:</th><th>Dispositionszeit:</th><th>Ausrückzeit:</th><th>Ankunftszeit am Einsatzort:</th><th>Ankunftszeit beim Patienten:</th><th>Abfahrtszeit vom Einsatzort:</th><th>Ankunftszeit am Zielort:</th></tr><tr><th>12:09</th><th>12:11</th><th>12:13</th><th>12:17</th><th>12:22</th><th>12:48</th><th>12:54</th></tr></tbody></table></div>"
},
"entry" : [
{
🔗 "reference" : "Encounter/1-Einsatz"
},
{
🔗 "reference" : "Observation/1-Alarm"
},
{
🔗 "reference" : "Observation/1-Disposition"
},
{
🔗 "reference" : "Observation/1-Rollout"
},
{
🔗 "reference" : "Observation/1-ArrivalOnScene"
},
{
🔗 "reference" : "Observation/1-ArrivalPatient"
},
{
🔗 "reference" : "Observation/1-DepartureFromScene"
},
{
🔗 "reference" : "Observation/1-ArrivalAtTarget"
},
{
🔗 "reference" : "Procedure/1-Transport"
},
{
🔗 "reference" : "Location/1-Rettungswagen"
}
]
},
{
"title" : "Administrativ",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100003",
"display" : "administrative"
}
],
"text" : "Administrativ"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tbody><tr><th>Beteiligte Person</th></tr><tr><td>Ehefrau:</td><td>Erika Müller</td></tr></tbody></table></div>"
}
},
{
"title" : "Vorbehandlung",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100004",
"display" : "pretreatment"
}
],
"text" : "Vorbehandlung"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
},
{
"title" : "Anamnese",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100005",
"display" : "anamnesis"
}
],
"text" : "Anamnese"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tbody><tr><th>Ereignis:</th></tr><tr><td>Hat sich beim Spazieren im Wald schlecht gefühlt und ist abgesessen.</td></tr></tbody></table><table><tbody><tr><th>Symptome:</th></tr><tr><td>Starke Schmerzen in der Brust und im linken Oberarm verspürt.</td></tr></tbody></table><h4>Allergien / Unverträglichkeiten:</h4><ul><li>Allergisch auf Baumpollen</li><li>bekannte Unverträglichkeitsreaktion auf einzelne Medikamente</li></ul><h4>Bestehende Medikation</h4><ul><li>Aspirin Cardio 100 (1 Tbl./Tag)</li></ul><h4>Medizinische Vorgeschichte:</h4><ul><li>Herzvorfall vor vier Jahren, der im Triemlispital in Zürich behandelt wurde</li></ul><h4>Weiteres:</h4><ul><li>Seit dem Frühstück um ca. 8 Uhr hat er nichts mehr gegessen</li><li>Thomas Müller hat keine Patientenverfügung erstellt</li><li>Es sind keine anderen medizinischen Probleme bekannt</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/1-Anamnese"
},
{
🔗 "reference" : "Observation/1-Symptome"
},
{
🔗 "reference" : "AllergyIntolerance/1-Baumpollen"
},
{
🔗 "reference" : "AllergyIntolerance/1-Medikamente"
},
{
🔗 "reference" : "MedicationStatement/1-AspirinCardio"
}
]
},
{
"title" : "Befund",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100006",
"display" : "findings"
}
],
"text" : "Befund"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Zeitpunkt des Befundes: 12:25</p><table><tbody><tr><th>Blutdruck:</th><th>GCS:</th><th>Weiteres:</th></tr><tr><td>120/80 mmHg, gemessen am rechten Arm</td><td>Total 15: Augenöffnung spontan (4), verbale Antwort orientiert (5), motorische Reaktion befolgt Antweisungen (6)</td><td>Schmerz: 5</td></tr></tbody></table></div>"
},
"section" : [
{
"title" : "Circulation",
"entry" : [
{
🔗 "reference" : "Observation/1-Blutdruck"
}
]
},
{
"title" : "Disability",
"entry" : [
{
🔗 "reference" : "Observation/1-GCSBefund"
}
]
}
]
},
{
"title" : "Diagnosen",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100007",
"display" : "diagnosis"
}
],
"text" : "Diagnosen"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tbody><tr><th>Verdachtsdiagnose:</th></tr><tr><td>Akuter transmuraler Myokardinfarkt der Vorderwand (ACS/STEMI VW)</td></tr></tbody></table></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/1-Diagnose"
}
]
},
{
"title" : "Massnahmen",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100008",
"display" : "measures"
}
],
"text" : "Massnahmen"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>Sofortige Infusion gelegt und Verabreichung einer ersten Dosis von 2 Hüben Nitrolingual-Spray um 12:30.</span></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationAdministration/1-Infusion"
},
{
🔗 "reference" : "MedicationAdministration/1-Spray"
}
]
},
{
"title" : "Todesfall",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100009",
"display" : "death"
}
],
"text" : "Todesfall"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
},
{
"title" : "Transport",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100010",
"display" : "transport"
}
],
"text" : "Transport"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>Fahrt mit Sondersignal ins USZ.</span></div>"
}
},
{
"title" : "Übergabe",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100011",
"display" : "handover"
}
],
"text" : "Übergabe"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tbody><tr><th>GCS:</th><th>NACA:</th><th>Zustand:</th><th>Weiteres:</th></tr><tr><td>Total 15: Augenöffnung spontan (4), verbale Antwort orientiert (5), motorische Reaktion befolgt Antweisungen (6)</td><td>III</td><td>Zustand des Patienten hat sich im Verlaufe des Einsatzes verbessert</td><td>Schmerz: 4</td></tr></tbody></table><p>Übergabe an USZ mit Wertsachenbeutel mit Portemonnaie, Handy, Uhr, Schlüssel, Bargeld sowie Wertsachenverzeichnis.</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/1-ZustandUebergabe"
},
{
🔗 "reference" : "Observation/1-NACAUebergabe"
},
{
🔗 "reference" : "Observation/1-GCSUebergabe"
},
{
🔗 "reference" : "Practitioner/1-InformationRecipientSpitalarzt"
},
{
🔗 "reference" : "Organization/1-InformationRecipientUSZ"
}
]
},
{
"title" : "Kommentar",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48767-8",
"display" : "Annotation comment [Interpretation] Narrative"
}
],
"text" : "Kommentar"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Encounter/1-Einsatz",
"resource" : {
"resourceType" : "Encounter",
"id" : "1-Einsatz",
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000127",
"display" : "wallet"
}
]
}
},
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "74964007",
"display" : "Other"
}
],
"text" : "Handy"
}
},
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000128",
"display" : "wrist watch"
}
]
}
},
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "74964007",
"display" : "Other"
}
],
"text" : "Schlüssel"
}
},
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "74964007",
"display" : "Other"
}
],
"text" : "Bargeld"
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "MN",
"display" : "Mission number"
}
],
"text" : "Einsatznummer"
},
"system" : "http://example.com",
"value" : "S12345678"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER",
"display" : "emergency"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/1-AufbietendeOrganisation"
}
],
"participant" : [
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Caregiver (person)"
}
],
"text" : "Betreuer"
}
}
],
"individual" : {
🔗 "reference" : "Practitioner/1-TeamMemberPetraMuster"
}
},
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Caregiver (person)"
}
],
"text" : "Betreuer"
}
}
],
"individual" : {
🔗 "reference" : "Practitioner/1-TeamMemberHansTransportsanitaeter"
}
},
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Physician (occupation)"
}
],
"text" : "Ärztin / Arzt"
}
}
],
"individual" : {
🔗 "reference" : "Practitioner/1-TeamMemberPierreUrgentiste"
}
}
],
"period" : {
"start" : "2016-12-10"
},
"hospitalization" : {
"destination" : {
🔗 "reference" : "Location/1-Zielort"
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/1-Einsatzort"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Patient/1-ThomasMueller",
"resource" : {
"resourceType" : "Patient",
"id" : "1-ThomasMueller",
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin",
"valueAddress" : {
"city" : "Musterdorf",
"state" : "ZH"
}
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.32",
"value" : "7562295883070"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "http://example.com",
"value" : "762354"
}
],
"name" : [
{
"use" : "official",
"family" : "Müller",
"_family" : {
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name",
"valueCode" : "officialName"
}
]
},
"given" : [
"Thomas"
],
"_given" : [
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname",
"valueCode" : "officialFirstName"
}
]
}
]
}
],
"gender" : "male",
"birthDate" : "1961-10-01",
"address" : [
{
"use" : "home",
"line" : [
"Bahnhofstrasse"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "1"
}
]
}
],
"city" : "Zürich",
"postalCode" : "8003",
"country" : "Schweiz",
"_country" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
"valueCoding" : {
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
}
]
}
}
],
"contact" : [
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-personrole",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "74964007",
"display" : "Other (qualifier value)"
}
],
"text" : "Ehefrau"
}
}
],
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "thirdParty"
}
]
}
],
"name" : {
"family" : "Müller",
"given" : [
"Erika"
]
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Coverage/1-CoverageThomasMueller",
"resource" : {
"resourceType" : "Coverage",
"id" : "1-CoverageThomasMueller",
"contained" : [
{
"resourceType" : "Organization",
"id" : "kpt",
"name" : "KPT"
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1",
"value" : "80756003760012390001"
}
],
"status" : "active",
"beneficiary" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"payor" : [
{
"reference" : "#kpt"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-InformationRecipientSpitalarzt",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-InformationRecipientSpitalarzt",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000404268"
}
],
"name" : [
{
"family" : "Claude",
"given" : [
"Spitalarzt"
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/1-InformationRecipientUSZ",
"resource" : {
"resourceType" : "Organization",
"id" : "1-InformationRecipientUSZ",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002155939"
}
],
"name" : "USZ",
"address" : [
{
"line" : [
"Rämistrasse 100"
],
"city" : "Zürich",
"postalCode" : "8091",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-SaniPetraMuster",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-SaniPetraMuster",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601003330434"
}
],
"name" : [
{
"family" : "Muster",
"given" : [
"Petra"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397897005",
"display" : "Paramedic (occupation)"
}
],
"text" : "Rettungssanitäter/in HF"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/1-SaniPetraMuster-PR",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "1-SaniPetraMuster-PR",
"practitioner" : {
🔗 "reference" : "Practitioner/1-SaniPetraMuster"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Caregiver (person)"
}
],
"text" : "Betreuer"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-NotarztPierreUrgentiste",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-NotarztPierreUrgentiste",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000028105"
}
],
"name" : [
{
"family" : "Urgentiste",
"given" : [
"Pierre"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309294001",
"display" : "Emergency department physician (occupation)"
}
],
"text" : "Notarzt/Notärztin SGNOR"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/1-NotarztPierreUrgentiste-PR",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "1-NotarztPierreUrgentiste-PR",
"practitioner" : {
🔗 "reference" : "Practitioner/1-NotarztPierreUrgentiste"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Physician (occupation)"
}
],
"text" : "Ärztin / Arzt"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberPetraMuster",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-TeamMemberPetraMuster",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601003330434",
"assigner" : {
🔗 "reference" : "Organization/1-TeamRettungsdienst"
}
}
],
"name" : [
{
"family" : "Muster",
"given" : [
"Petra"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397897005",
"display" : "Paramedic (occupation)"
}
],
"text" : "Rettungssanitäter/in HF"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberHansTransportsanitaeter",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-TeamMemberHansTransportsanitaeter",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000211804",
"assigner" : {
🔗 "reference" : "Organization/1-TeamRettungsdienst"
}
}
],
"name" : [
{
"family" : "Transportsanitäter",
"given" : [
"Hans"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "159738005",
"display" : "Ambulanceman (occupation)"
}
],
"text" : "Transportsanitäter/in FA"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberPierreUrgentiste",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-TeamMemberPierreUrgentiste",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000028105",
"assigner" : {
🔗 "reference" : "Organization/1-TeamRettungsdienst"
}
}
],
"name" : [
{
"family" : "Urgentiste",
"given" : [
"Pierre"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "309294001",
"display" : "Emergency department physician (occupation)"
}
],
"text" : "Notarzt/Notärztin SGNOR"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/1-Rettungsdienst",
"resource" : {
"resourceType" : "Organization",
"id" : "1-Rettungsdienst",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002156363"
}
],
"name" : "Rettungsdienst Schutz und Rettung Zürich"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/1-TeamRettungsdienst",
"resource" : {
"resourceType" : "Organization",
"id" : "1-TeamRettungsdienst",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002156363"
}
],
"name" : "Rettungsdienst Schutz und Rettung Zürich",
"address" : [
{
"line" : [
"Bahnhofquai 3, Amtshaus I"
],
"city" : "Zürich",
"postalCode" : "8001",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/1-AufbietendeOrganisation",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "1-AufbietendeOrganisation",
"contained" : [
{
"resourceType" : "Organization",
"id" : "1-requesting",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002156370"
}
],
"name" : "SNZ"
}
],
"status" : "completed",
"intent" : "order",
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"requester" : {
"reference" : "#1-requesting"
},
"insurance" : [
{
🔗 "reference" : "Coverage/1-CoverageThomasMueller"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Location/1-Einsatzort",
"resource" : {
"resourceType" : "Location",
"id" : "1-Einsatzort",
"name" : "Waldrand",
"address" : {
"city" : "Zürich",
"postalCode" : "8044",
"country" : "CH"
},
"physicalType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "257710009",
"display" : "Street (environment)"
}
],
"text" : "Strasse / öffentlicher Raum"
},
"position" : {
"longitude" : 8.553192,
"latitude" : 47.392115
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Location/1-Zielort",
"resource" : {
"resourceType" : "Location",
"id" : "1-Zielort",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002155939"
}
],
"name" : "Universitätsspital Zürich, Notfall",
"address" : {
"line" : [
"Rämistrasse 100"
],
"city" : "Zürich",
"postalCode" : "8091",
"country" : "Switzerland"
},
"physicalType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "22232009",
"display" : "Hospital (environment)"
}
],
"text" : "Spital"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-Alarm",
"resource" : {
"resourceType" : "Observation",
"id" : "1-Alarm",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000033",
"display" : "alarm"
}
],
"text" : "Alarmierungszeit"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:09:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-Disposition",
"resource" : {
"resourceType" : "Observation",
"id" : "1-Disposition",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000034",
"display" : "disposition"
}
],
"text" : "Dispositionszeit"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:11:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-Rollout",
"resource" : {
"resourceType" : "Observation",
"id" : "1-Rollout",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000035",
"display" : "rollout"
}
],
"text" : "Ausrückzeit"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:13:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-ArrivalOnScene",
"resource" : {
"resourceType" : "Observation",
"id" : "1-ArrivalOnScene",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000036",
"display" : "arrival on scene"
}
],
"text" : "Ankunftszeit am Einsatzort"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:17:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-ArrivalPatient",
"resource" : {
"resourceType" : "Observation",
"id" : "1-ArrivalPatient",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000037",
"display" : "arrival patient"
}
],
"text" : "Ankunftszeit beim Patienten"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:22:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-DepartureFromScene",
"resource" : {
"resourceType" : "Observation",
"id" : "1-DepartureFromScene",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000038",
"display" : "departure from scene"
}
],
"text" : "Abfahrtszeit vom Einsatzort"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:48:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-ArrivalAtTarget",
"resource" : {
"resourceType" : "Observation",
"id" : "1-ArrivalAtTarget",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000039",
"display" : "arrival at target"
}
],
"text" : "Ankunftszeit am Zielort"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueDateTime" : "2016-12-10T12:54:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-Anamnese",
"resource" : {
"resourceType" : "Observation",
"id" : "1-Anamnese",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "272379006",
"display" : "Event (event)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261665006",
"display" : "Unknown"
}
],
"text" : "Hat sich beim Spazieren im Wald schlecht gefühlt und ist abgesessen."
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-Symptome",
"resource" : {
"resourceType" : "Observation",
"id" : "1-Symptome",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "404684003",
"display" : "Clinical finding (finding)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueCodeableConcept" : {
"text" : "Starke Schmerzen in der Brust und im linken Oberarm verspürt."
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-GCSBefund",
"resource" : {
"resourceType" : "Observation",
"id" : "1-GCSBefund",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9269-2",
"display" : "Glasgow coma score total"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"effectiveDateTime" : "2016-12-10T12:25:00.000+01:00",
"valueQuantity" : {
"value" : 15,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9268-4",
"display" : "Glasgow coma score motor"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 6
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000157",
"display" : "take orders"
}
],
"text" : "befolgt Aufforderungen"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9270-0",
"display" : "Glasgow coma score verbal"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 5
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000161",
"display" : "conversational, oriented"
}
],
"text" : "konversationsfähig, orientiert"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9267-6",
"display" : "Glasgow coma score eye opening"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 4
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000152",
"display" : "spontaneous"
}
],
"text" : "spontan"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-Diagnose",
"resource" : {
"resourceType" : "Observation",
"id" : "1-Diagnose",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2931005",
"display" : "Probable diagnosis (contextual qualifier) (qualifier value)"
}
],
"text" : "Verdachtsdiagnose"
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"effectiveDateTime" : "2016-12-10T12:25:00.000+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/1-NotarztPierreUrgentiste"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"code" : "I21.0",
"display" : "ST elevation (STEMI) myocardial infarction of anterior wall"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-ZustandUebergabe",
"resource" : {
"resourceType" : "Observation",
"id" : "1-ZustandUebergabe",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75527-2",
"display" : "Vital status at discharge"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385425000",
"display" : "Improved (qualifier value)"
}
],
"text" : "verbessert"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-NACAUebergabe",
"resource" : {
"resourceType" : "Observation",
"id" : "1-NACAUebergabe",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88076-5",
"display" : "Injury severity score NACA"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "III",
"display" : "mässige bis schwere Störung"
}
],
"text" : "mässige bis schwere Störung"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/1-GCSUebergabe",
"resource" : {
"resourceType" : "Observation",
"id" : "1-GCSUebergabe",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9269-2",
"display" : "Glasgow coma score total"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1-ThomasMueller"
},
"encounter" : {
🔗 "reference" : "Encounter/1-Einsatz"
},
"effectiveDateTime" : "2016-12-10T13:03:00.000+01:00",
"valueQuantity" : {
"value" : 15,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9268-4",
"display" : "Glasgow coma score motor"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 6
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000157",
"display" : "take orders"
}
],
"text" : "befolgt Aufforderungen"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9270-0",
"display" : "Glasgow coma score verbal"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 5
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000161",
"display" : "conversational, oriented"
}
],
"text" : "konversationsfähig, orientiert"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9267-6",
"display" : "Glasgow coma score eye opening"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 4
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000152",
"display" : "spontaneous"
}
],
"text" : "spontan"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Location/1-Rettungswagen",
"resource" : {
"resourceType" : "Location",
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