CH EMS (R4)
1.9.0-cibuild - ci-build
CH EMS (R4)
1.9.0-cibuild - 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 1.9.0-cibuild 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
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<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><p class="res-header-id"><b>Generated Narrative: Composition 2b-Einsatzprotokoll-Composition</b></p><a name="2b-Einsatzprotokoll-Composition"> </a><a name="hc2b-Einsatzprotokoll-Composition"> </a><a name="2b-Einsatzprotokoll-Composition-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-ems-composition.html">CH EMS Composition Profile</a></p></div><p><b>EPR Information Recipient</b>: <a href="Practitioner-1-InformationRecipientSpezialarzt.html">Practitioner Spezialarzt Hans </a></p><p><b>EPR Information Recipient</b>: <a href="Organization-1-InformationRecipientUSZ.html">Organization USZ</a></p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
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Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:b4044742-ab2c-49f6-8151-0e2be5d3f923</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 67796-3}, {http://snomed.info/sct 371535009}">EMS Patient Care Report</span></p><p><b>encounter</b>: <a href="Encounter-2-Einsatz.html">Encounter: identifier = urn:oid:2.16.756.5.30.1.9999999999.1#S12345678; status = finished; class = emergency (ActCode#EMER); period = 2016-12-10 --> (ongoing)</a></p><p><b>date</b>: 2016-12-10 12:40:00+0100</p><p><b>author</b>: </p><ul><li><a href="Practitioner-1-SaniPetraMuster.html">Practitioner Petra Muster </a></li><li><a href="PractitionerRole-1-SaniPetraMuster-PR.html">PractitionerRole Caregiver</a></li></ul><p><b>title</b>: Einsatzprotokoll Rettungsdienst</p><p><b>confidentiality</b>: normal</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td>2016-12-10 12:13:05+0100</td><td><a href="Practitioner-1-SaniPetraMuster.html">Practitioner Petra Muster </a></td></tr></table><p><b>custodian</b>: <a href="Organization-1-Rettungsdienst.html">Organization Rettungsdienst Schutz und Rettung Zürich</a></p></div>
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<subject>🔗
<reference value="Patient/2-PatientUnbekannt"/>
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<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
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<date value="2016-12-10T12:40:00.000+01:00"/>
<author>🔗
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<title value="Einsatzprotokoll Rettungsdienst"/>
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<title value="Einsatz"/>
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<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>7601002156370 (SNZ)</td></tr><tr><td>augebotene Organisation</td><td>7601002156363 (Rettungsdienst Schutz & Rettung Zürich)</td></tr><tr><td>Team</td><td>Petra Muster, GLN 7601003330434, Betreuerin / Hans Beispiel, GLN 7601000028105, Betreuer</td></tr><tr><td>Einsatzort</td><td>wird 8050 Zürich, Sternen Oerlikon, Schaffhauserstr. 350</td></tr><tr><td>Zielort</td><td>USZ Notfall</td></tr></tbody></table><table><tbody><tr><th>Alarm</th><th>Status DP</th><th>Status 1</th><th>Status 2</th><th>Kontakt Patient</th><th>Status 3</th><th>Status 4</th><th>Status 5</th><th>Status 6</th></tr><tr><th id="alarm">12.09</th><th id="disposition">12.11</th><th id="rollout">12.13</th><th id="arrivalonscene">12.17</th><th id="arrivalpatient">12.18</th><th id="departurefromscene">12.48</th><th id="arrivalattarget">12.54</th><th id="departurefromtarget">13.25</th><th id="operationalreadiness">13.40</th></tr></tbody></table></div>
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<reference value="Observation/2-Disposition"/>
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<reference value="Observation/2-Rollout"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><p>Breathing: Der Patient hat eine unauffällige Spontanatmung</p><p>Cardiology: Sein Puls ist tastbar, es liegt kein Herz-Kreislaufstillstand vor; Frequenz 84/Minute, Blutdruck 170/90, gemessen am rechten Arm</p><p>Temperatur 37.2 °C, die Augen zeigen eine deutliche Anisokorie vor</p><table><tbody><tr><th>Airways</th><td id="airways">Die Atemwege sind nicht verlegt</td></tr><tr><th>GCS</th><td id="gcs1">Total 9 Augenöffnung bei Ansprache (3), gibt Einzelworte von sich (3), Dekortikationsstarre (3)</td></tr><tr><th>AVPU</th><td id="avpu">V (=reagiert auf laute Ansprache)</td></tr></tbody></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><p>Schmerz 4</p><table><tbody><tr><th>GCS</th></tr><tr><td id="gcs2">Total 10 Augenöffnung bei Ansprache (3), Konversationsfähig aber desorientiert (4), Dekortikationsstarre (3)</td></tr><tr><th>NACA</th></tr><tr><td id="naca">NACA: III</td></tr><tr><th>Zustand</th></tr><tr><td id="statusdischarge">der Zustand des Patienten hat sich im Verlauf des Einsatzes verbessert</td></tr></tbody></table><p>Übergabe an USZ Effekten sowie Wertsachenverzeichnis</p></div>
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