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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define constraints on FHIR resources for systems conforming to this implementation guide.
CH EMS AllergyIntolerance |
This profile constrains the AllergyIntolerance resource for representing the allergies and intolerances. |
CH EMS Composition |
This profile constrains the Composition resource for representing the first entry in the CH EMS Document. |
CH EMS Coverage |
This profile constrains the Coverage resource for representing the insurance information of the patient. |
CH EMS Device |
This profile constrains the Device resource for representing aids and their owner. |
CH EMS Document |
This profile constrains the Bundle resource for representing the emergency medical service protocol. |
CH EMS Encounter |
This profile constrains the Encounter resource for representing the mission with its details. |
CH EMS Location: Ambulance |
This profile constrains the Location resource for representing the ambulance with its type. |
CH EMS Location: Location and Destination |
This profile constrains the Location resource for representing the location and the destination of the mission, either as physical location (address) or geographic location (position). |
CH EMS Medication |
This profile constrains the Medication resource for representing the medication for the purpose of making statements about use and administering. |
CH EMS MedicationAdministration |
This profile constrains the MedicationAdministration resource for representing a administration of a medication to a patient. |
CH EMS MedicationStatement |
This profile constrains the MedicationStatement resource for representing a record of a medication that is being consumed by a patient. |
CH EMS Observation (Base) |
This profile constrains the Observation resource to define the requirements for all specialized CH EMS Observation profiles. |
CH EMS Observation: AVPU |
This profile constrains the Observation resource for representing the level of responsiveness according the AVPU (alert, voice, pain, unresponsive) scheme. |
CH EMS Observation: Airways |
This profile constrains the Observation resource for representing the findings of the airways. |
CH EMS Observation: Anamnesis Event |
This profile constrains the Observation resource for representing the anamnestic event description. |
CH EMS Observation: Anamnesis Symptom |
This profile constrains the Observation resource for representing the anamnestic symptom description. |
CH EMS Observation: Blood Pressure |
This profile constrains the Observation resource for representing the blood pressure (systolic and diastolic), incl. method. |
CH EMS Observation: Breathing |
This profile constrains the Observation resource for representing the findings of the breathing. |
CH EMS Observation: Cardiac Arrest |
This profile constrains the Observation resource for representing or a cardiac arrest. |
CH EMS Observation: Cold Exposure |
This profile constrains the Observation resource for representing the degree of frostbite through cold exposure. |
CH EMS Observation: Condition Change |
This profile constrains the Observation resource for representing the change of condition when the patient is handed over. |
CH EMS Observation: Death Manner |
This profile constrains the Observation resource for representing the manner of death. |
CH EMS Observation: Diagnosis |
This profile constrains the Observation resource for representing the diagnosis; as a probable diagnosis, differential diagnosis, etc. |
CH EMS Observation: GCS |
This profile constrains the Observation resource for representing the GCS (Glasgow Coma Scale). |
CH EMS Observation: Heart Rate |
This profile constrains the Observation resource for representing the heart rate, incl. interpretation and method. |
CH EMS Observation: Heat Exposure |
This profile constrains the Observation resource for representing the degree of burn through heat exposure. |
CH EMS Observation: Mission Time Status |
This profile constrains the Observation resource for representing the various mission times with their specific status, e.g. alarm, arrival at patient, handover patient. |
CH EMS Observation: NACA |
This profile constrains the Observation resource for representing the injury severity using the NACA score. |
CH EMS Observation: Pupil Shape |
This profile constrains the Observation resource for representing the pupil shape. |
CH EMS Observation: Pupil Size |
This profile constrains the Observation resource for representing the size of the pupil. |
CH EMS Observation: Status Priority |
This profile constrains the Observation resource for representing the status of the priority (green, yellow, red). |
CH EMS Observation: Stroke/FAST |
This profile constrains the Observation resource for representing the FAST (face, arm, speech, time) test in the context of a stroke examination. |
CH EMS Organization |
This profile constrains the Organization resource for representing organizations involved in the emergency chain, e.g. emergency services. |
CH EMS Patient |
This profile constrains the Patient resource for representing patient information and information about any participants involved. |
CH EMS Practitioner |
This profile constrains the Practitioner resource for representing practitioners involved in the emergency chain, e.g. paramedic (in training), transport paramedic, emergency doctor. |
CH EMS PractitionerRole |
This profile constrains the PractitionerRole resource for representing practitioners involved with the roles they perform, e.g. physician, caregiver. |
CH EMS Procedure (Base) |
This profile constrains the Procedure resource to define the requirements for all specialized CH EMS Procedure profiles. |
CH EMS Procedure: Airways |
This profile constrains the Procedure resource for representing the airways procedures. |
CH EMS Procedure: Breathing |
This profile constrains the Procedure resource for representing the breathing procedures. |
CH EMS Procedure: Precautions Infection |
This profile constrains the Procedure resource for representing the precautions personnel when infectious mission/transport. |
CH EMS Procedure: Pretreatment |
This profile constrains the Procedure resource for representing the pretreatment procedures. |
CH EMS Procedure: Transportation |
This profile constrains the Procedure resource for representing the details of patient positioning and the used recovery aids. |
CH EMS Procedure: Wound Treatment |
This profile constrains the Procedure resource for representing the treatment of a wound. |
CH EMS ServiceRequest |
This profile constrains the ServiceRequest resource for representing the requesting organization and further mission details. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
CH EMS CodeableConcept |
This profile constrains the CodeableConcept data type. |
CH EMS Coding |
This profile constrains the Coding data type. |
CH EMS Quantity |
This profile constrains the Quantity data type. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
CH EMS Extension: Disinfection |
Extension to define the disinfection of the ambulance. |
CH EMS Extension: Emergency Doctor System |
Extension to define the system (residental, pick-up, rendez-vous) with the emergency doctor. |
CH EMS Extension: Identification |
Extension to define the medium and the source for the identification of the patient. |
CH EMS Extension: Laterality |
Extension to define the side of the affected body region. |
CH EMS Extension: Owner |
Extension to define the owner of a device (e.g. aid). |
CH EMS Extension: Performer |
Extension to define the performer of the pretreatment. |
CH EMS Extension: Person Role |
Extension to define the role of the involved participant. |
CH EMS Extension: Team Role |
Extension to define the role of the team member. |
CH EMS Extension: Urgency Adequate |
Extension to define if the urgency (of SNZ) was adequate. |
CH EMS Extension: Valuables Patient |
Extension to define the valuables of a patient. |
CH EMS Extension: Violence |
Extension to define possible violence against emergency services team. |
These define sets of codes used by systems conforming to this implementation guide.
IVR Ambulance Type |
List of possible rescue devices. |
IVR Blood Pressure Method |
List of methods for measuring the blood pressure. |
IVR Cold Exposure |
List of possible degrees of frostbite. |
IVR Death Manner |
List of possible causes of death. |
IVR Diagnosis |
List of diagnosis. |
IVR Diagnosis Type |
List of types of diagnosis. |
IVR Emergency Doctor System |
List of types of emergency doctor systems. |
IVR Event |
List of types of emergency events. |
IVR Eye Form |
List of shapes of the pupils. |
IVR Findings Airway |
List of findings on the condition of the airways. |
IVR Formation |
List of the formation of rescue personnel. |
IVR GCS Eye Opening |
List of GCS observations of the eye opening. |
IVR GCS Motoric Response |
List of GCS observations of the motoric response. |
IVR GCS Verbal Response |
List of GCS observations of the verbal response. |
IVR Heat Exposure |
List of degrees of burning. |
IVR Hospital Priority |
List of priorities for hospital admission. |
IVR Identification Medium |
List of identification medium. |
IVR Identification Source |
List of persons who identified the patient. |
IVR Infection Transport Precaution Personnel |
List of precautions to be taken by staff when transporting infected persons. |
IVR Intensity |
List of pulse strengths. |
IVR Laterality |
List of laterality codes |
IVR Location Type |
List of types of event locations. |
IVR Mission Time Role |
List of defined status times. |
IVR Mission Type |
List of types of the missions. |
IVR NACA |
List of NACA score states. |
IVR Offender |
List of types of attackers on the rescue staff. |
IVR Owner |
List of owners of tools. |
IVR Person Role |
List of roles of other persons involved in the event or in connection with the patient. |
IVR Pretreatment |
List of types of persons who performed pretreatment. |
IVR Pretreatment Type |
List of types of pretreatment. |
IVR Procedure Airway Type |
List of procedures for securing the airway. |
IVR Pulse Method |
List of methods for assessing heart function. |
IVR Pulse Result |
List of pulse findings. |
IVR Recovery Aid |
List of tools used during the rescue and transportation of the patient. |
IVR Respiration Observation |
List of findings in the assessment of breathing. |
IVR Result |
List of effects of procedures on the patient. |
IVR Size |
List of the size of an object compared to normal. |
IVR Symptom |
List of symptoms of a patient. |
IVR Team Role |
List of the crew member's role. |
IVR Transport Bedding |
List of possible positions of the patient during the mission. |
IVR Transport Reason |
List of triggers for a mission. |
IVR Transport Unit Disinfection |
List of methods for cleaning and disinfecting the rescue device. |
IVR Urgency |
List of the mission's priorities. |
IVR Urgency Adequate |
List of assessments of the priority of the mission set by the emergency call center. |
IVR Valuables Type |
List of types of the patient's valuables. |
IVR Ventilation |
List of types of artificial respiration. |
IVR Vigilanz (AVPU) |
List of the states of vigilance of a patient (AVPU). |
IVR Violence Form |
List of types of violence against ambulance personnel. |
IVR Violence Result |
List of the consequences of violence against emergency service personnel. |
IVR Wound Treatment |
List of wound treatment types. |
IVR Yes/No/Unknown |
List of answers (yes/no/unknown). |
These define new code systems used by systems conforming to this implementation guide.
IVR Codes |
Code system containing concepts defined by IVR. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
1 Alarm |
Example for CH EMS Observation: Mission Time Status |
1 Anamnese |
Example for CH EMS Observation: Anamnesis Event |
1 Arrival Patient |
Example for CH EMS Observation: Mission Time Status |
1 Arrival at target |
Example for CH EMS Observation: Mission Time Status |
1 Arrival on scene |
Example for CH EMS Observation: Mission Time Status |
1 Aufbietende Organisation |
Example for CH EMS ServiceRequest - SNZ as requesting organization (as contained organization resource) |
1 Coverage Thomas Müller |
Example for CH EMS Coverage - with insurance (as contained organization) and insurance card number |
1 Departure from scene |
Example for CH EMS Observation: Mission Time Status |
1 Diagnose |
Example for CH EMS Observation: Diagnosis - STEMI as probable diagnosis |
1 Disposition |
Example for CH EMS Observation: Mission Time Status |
1 Einsatz |
Example for CH EMS Encounter - the mission with its details |
1 Einsatzort |
Example for CH EMS Location: Location and Destination - mission location with address and position (coordinates) |
1 Einsatzprotokoll |
Example for CH EMS Document - Use case 1 at patient handover (EPR conform) |
1 Einsatzprotokoll |
Example for CH EMS Composition |
1 GCS Befund |
Example for CH EMS Observation: GCS - total score 15 (motor 6, verbal 5, eye opening 4) |
1 GCS Uebergabe |
Example for CH EMS Observation: GCS - total score 15 (motor 6, verbal 5, eye opening 4) |
1 NACA Uebergabe |
Example for CH EMS Observation: NACA - III |
1 Notarzt |
Example for CH EMS Practitioner - emergency doctor with GLN |
1 Practitioner Rettungssanitaeter in Ausbildung |
Example for CH EMS Practitioner - paramedic in training without GLN (and therefore not EPR conform) |
1 PractitionerRole Notarzt |
Example for CH EMS PractitionerRole - emergency doctor with his role physician |
1 PractitionerRole Rettungssanitaeterin |
Example for CH EMS PractitionerRole - paramedic with her role caregiver |
1 Rettungsdienst |
Example for CH EMS Organization - SRZ as requested emergency service |
1 Rettungssanitaeterin |
Example for CH EMS Practitioner - paramedic with GLN |
1 Rollout |
Example for CH EMS Observation: Mission Time Status |
1 Symptom |
Example for CH EMS Observation: Anamnesis Symptom |
1 Team Rettungsdienst |
Example for CH EMS Organization - SRZ as emergency service team |
1 Teammitglied Hans Transportsanitäter |
Example for CH EMS Practitioner - transport paramedic with GLN as team member |
1 Teammitglied Petra Muster |
Example for CH EMS Practitioner - paramedic with GLN as team member |
1 Teammitglied Pierre Urgentiste |
Example for CH EMS Practitioner - emergency doctor with GLN as team member |
1 Thomas Müller |
Example for CH EMS Patient - with detailed information and his wife as involved participant |
1 Zielort |
Example for CH EMS Location: Location and Destination - destination of the mission with address |
1 Zustand Uebergabe |
Example for CH EMS Observation: Condition Change - improved at handover |
120/80 mmHg |
Example for CH EMS Observation: Blood Pressure - with value and method |
1b Departure from target |
Example for CH EMS Observation: Mission Time Status |
1b Einsatzprotokoll |
Example for CH EMS Document - Use case 1 at operational readiness (EPR conform) |
1b Einsatzprotokoll |
Example for CH EMS Composition |
1b Operational readiness |
Example for CH EMS Observation: Mission Time Status |
2 AVPU Befund |
Example for CH EMS Observation: AVPU - level of responsiveness (AVPU) = V |
2 Airways Befund |
Example for CH EMS Observation: Airways - no finding |
2 Alarm |
Example for CH EMS Observation: Mission Time Status |
2 Arrival Patient |
Example for CH EMS Observation: Mission Time Status |
2 Arrival at target |
Example for CH EMS Observation: Mission Time Status |
2 Arrival on scene |
Example for CH EMS Observation: Mission Time Status |
2 Aufbietende Organisation |
Example for CH EMS ServiceRequest - SNZ as requesting organization (as contained organization resource) |
2 Departure from scene |
Example for CH EMS Observation: Mission Time Status |
2 Diagnose |
Example for CH EMS Observation: Diagnosis - stroke as probable diagnosis |
2 Disposition |
Example for CH EMS Observation: Mission Time Status |
2 Einsatz |
Example for CH EMS Encounter - the mission with its details |
2 Einsatzort |
Example for CH EMS Location: Location and Destination - mission location with address |
2 Einsatzprotokoll |
Example for CH EMS Document - Use case 2 at patient handover (not EPR conform because of unknown patient) |
2 Einsatzprotokoll |
Example for CH EMS Composition |
2 GCS Befund |
Example for CH EMS Observation: GCS - total score 9 (motor 3, verbal 3, eye opening 3) |
2 GCS Uebergabe |
Example for CH EMS Observation: GCS - total score 10 (motor 3, verbal 4, eye opening 3) |
2 NACA Uebergabe |
Example for CH EMS Observation: NACA - III |
2 Patient unbekannt |
Example for CH EMS Patient - not EPR conform because of missing name and date of birth |
2 Rollout |
Example for CH EMS Observation: Mission Time Status |
2 Zustand Uebergabe |
Example for CH EMS Observation: Condition Change - improved at handover |
2b Departure from target |
Example for CH EMS Observation: Mission Time Status |
2b Einsatzprotokoll |
Example for CH EMS Document - Use case 2 at operational readiness (not EPR conform because of unknown patient) |
2b Einsatzprotokoll |
Example for CH EMS Composition |
2b Operational readiness |
Example for CH EMS Observation: Mission Time Status |
Administration Fentanyl |
Example for CH EMS MedicationAdministration |
Allergy Grass Pollen |
Example for CH EMS AllergyIntolerance - allergy to grass pollen |
Blood Pressure without value |
Example for CH EMS Observation: Heart Rate - without value (data absent reason) and with method |
Bradycardia |
Example for CH EMS Observation: Heart Rate - without value (data absent reason), with interpretation and method |
Cardiac Arrest Befund |
Example for CH EMS Observation: Cardiac Arrest - yes |
Dyspnea |
Example for CH EMS Observation: Breathing |
Example Encounter |
Example for CH EMS Encounter - the mission (primary mission) with its details (e.g. pick-up emergency doctor, with siren (but not adequate/necessary), valuables patient, violence) |
Example Patient |
Example for CH EMS Patient |
Helicopter Ambulance |
Example for CH EMS Location: Ambulance |
Intubation |
Example for CH EMS Procedure: Airways |
Natural Death |
Example for CH EMS Observation: Death Manner |
Normal Pupil Size |
Example for CH EMS Observation: Pupil Size |
Patch |
Example for CH EMS Procedure: Wound Treatment |
Pupil Round |
Example for CH EMS Observation: Pupil Shape |
Second-degree Burn |
Example for CH EMS Observation: Heat Exposure |
Second-degree Frostbite |
Example for CH EMS Observation: Cold Exposure |
Status Priorität Übergabe |
Example for CH EMS Observation: Status Priority - yellow at handover |
Stroke Befund |
Example for CH EMS Observation: Stroke/FAST - face drooping right, arm weakness no, speech unknown at 12:25 on 10th December 2016 |
Surgial Face Mask |
Example for CH EMS Procedure: Precautions Infection |
Tachycardia |
Example for CH EMS Observation: Heart Rate - with value, interpretation and method |
Taking Triatec |
Example for CH EMS MedicationStatement |
Transportation |
Example for CH EMS Procedure: Transportation - laying with spine board and vacuum pillow |
Ventilated |
Example for CH EMS Procedure: Breathing |
Ventilator |
Example for CH EMS Device |
Vorbehandlung |
Example for CH EMS Procedure: Pretreatment |
These are resources that are used within this implementation guide that do not fit into one of the other categories.
1 Spitalarzt as information recipient |
Example for CH EMS Practitioner - hospital doctor as information recipient at handover |
1 USZ as information recipient |
Example for CH EMS Organization - USZ as information recipient at handover |