CH EMS (R4)
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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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

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.

Structures: Data Type Profiles

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.

Structures: Extension Definitions

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.

Terminology: Value Sets

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).

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

IVR Codes

Code system containing concepts defined by IVR.

Example: Example Instances

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

Other

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