1 Einsatzprotokoll - TTL Representation - CH EMS (R4) v2.1.0-ci-build

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
: 1 Einsatzprotokoll - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "1-Einsatzprotokoll-Composition"] ; # 
  fhir:language [ fhir:v "de-CH"] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78" ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:67796-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "67796-3" ] ;
fhir:display [ fhir:v "EMS patient care report - version 3 Document NEMSIS" ]     ] [
a sct:371535009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371535009" ] ;
fhir:display [ fhir:v "Transfer summary report (record artifact)" ]     ] ) ;
fhir:text [ fhir:v "Einsatzprotokoll Rettungsdienst" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/1-ThomasMueller" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/1-Einsatz" ]
  ] ; # 
  fhir:date [ fhir:v "2016-12-10T13:05:00.000+01:00"^^xsd:dateTime] ; # 
  fhir:author ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time"^^xsd:anyURI ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2016-12-10T13:13:05.000+01:00"^^xsd:dateTime       ]     ] ) ;
fhir:reference [ fhir:v "Practitioner/1-SaniPetraMuster" ]
  ] [
fhir:reference [ fhir:v "PractitionerRole/1-SaniPetraMuster-PR" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time"^^xsd:anyURI ] ;
fhir:value [
a fhir:dateTime ;
fhir:v "2016-12-10T13:13:05.000+01:00"^^xsd:dateTime       ]     ] ) ;
fhir:reference [ fhir:v "Practitioner/1-NotarztPierreUrgentiste" ]
  ] [
fhir:reference [ fhir:v "PractitionerRole/1-NotarztPierreUrgentiste-PR" ]
  ] ) ; # 
  fhir:title [ fhir:v "Einsatzprotokoll Rettungsdienst"] ; # 
  fhir:confidentiality [
fhir:v "N" ;
    ( fhir:extension [
fhir:url [ fhir:v "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:17621005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "17621005" ] ;
fhir:display [ fhir:v "Normal (qualifier value)" ]         ] ) ;
fhir:text [ fhir:v "Normal" ]       ]     ] )
  ] ; # 
  fhir:attester ( [
fhir:mode [ fhir:v "legal" ] ;
fhir:time [ fhir:v "2016-12-10T13:13:05.000+01:00"^^xsd:dateTime ] ;
fhir:party [
fhir:reference [ fhir:v "Practitioner/1-SaniPetraMuster" ]     ]
  ] ) ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/1-Rettungsdienst" ]
  ] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Einsatz" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100001" ] ;
fhir:display [ fhir:v "intervention" ]       ] ) ;
fhir:text [ fhir:v "Einsatz" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Encounter/1-Einsatz" ]     ] [
fhir:reference [ fhir:v "Observation/1-Alarm" ]     ] [
fhir:reference [ fhir:v "Observation/1-Disposition" ]     ] [
fhir:reference [ fhir:v "Observation/1-Rollout" ]     ] [
fhir:reference [ fhir:v "Observation/1-ArrivalOnScene" ]     ] [
fhir:reference [ fhir:v "Observation/1-ArrivalPatient" ]     ] [
fhir:reference [ fhir:v "Observation/1-DepartureFromScene" ]     ] [
fhir:reference [ fhir:v "Observation/1-ArrivalAtTarget" ]     ] [
fhir:reference [ fhir:v "Procedure/1-Transport" ]     ] [
fhir:reference [ fhir:v "Location/1-Rettungswagen" ]     ] )
  ] [
fhir:title [ fhir:v "Administrativ" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100003" ] ;
fhir:display [ fhir:v "administrative" ]       ] ) ;
fhir:text [ fhir:v "Administrativ" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Vorbehandlung" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100004" ] ;
fhir:display [ fhir:v "pretreatment" ]       ] ) ;
fhir:text [ fhir:v "Vorbehandlung" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Anamnese" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100005" ] ;
fhir:display [ fhir:v "anamnesis" ]       ] ) ;
fhir:text [ fhir:v "Anamnese" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/1-Anamnese" ]     ] [
fhir:reference [ fhir:v "Observation/1-Symptome" ]     ] [
fhir:reference [ fhir:v "AllergyIntolerance/1-Baumpollen" ]     ] [
fhir:reference [ fhir:v "AllergyIntolerance/1-Medikamente" ]     ] [
fhir:reference [ fhir:v "MedicationStatement/1-AspirinCardio" ]     ] )
  ] [
fhir:title [ fhir:v "Befund" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100006" ] ;
fhir:display [ fhir:v "findings" ]       ] ) ;
fhir:text [ fhir:v "Befund" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ] ;
    ( fhir:section [
fhir:title [ fhir:v "Circulation" ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/1-Blutdruck" ]       ] )     ] [
fhir:title [ fhir:v "Disability" ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/1-GCSBefund" ]       ] )     ] )
  ] [
fhir:title [ fhir:v "Diagnosen" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100007" ] ;
fhir:display [ fhir:v "diagnosis" ]       ] ) ;
fhir:text [ fhir:v "Diagnosen" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/1-Diagnose" ]     ] )
  ] [
fhir:title [ fhir:v "Massnahmen" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100008" ] ;
fhir:display [ fhir:v "measures" ]       ] ) ;
fhir:text [ fhir:v "Massnahmen" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "MedicationAdministration/1-Infusion" ]     ] [
fhir:reference [ fhir:v "MedicationAdministration/1-Spray" ]     ] )
  ] [
fhir:title [ fhir:v "Todesfall" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100009" ] ;
fhir:display [ fhir:v "death" ]       ] ) ;
fhir:text [ fhir:v "Todesfall" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Transport" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100010" ] ;
fhir:display [ fhir:v "transport" ]       ] ) ;
fhir:text [ fhir:v "Transport" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>Fahrt mit Sondersignal ins USZ.</span></div>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Übergabe" ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://fhir.ch/ig/ch-ems/CodeSystem/IVR"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100011" ] ;
fhir:display [ fhir:v "handover" ]       ] ) ;
fhir:text [ fhir:v "Übergabe" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/1-ZustandUebergabe" ]     ] [
fhir:reference [ fhir:v "Observation/1-NACAUebergabe" ]     ] [
fhir:reference [ fhir:v "Observation/1-GCSUebergabe" ]     ] [
fhir:reference [ fhir:v "Practitioner/1-InformationRecipientSpitalarzt" ]     ] [
fhir:reference [ fhir:v "Organization/1-InformationRecipientUSZ" ]     ] )
  ] [
fhir:title [ fhir:v "Kommentar" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48767-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48767-8" ] ;
fhir:display [ fhir:v "Annotation comment [Interpretation] Narrative" ]       ] ) ;
fhir:text [ fhir:v "Kommentar" ]     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"^^rdf:XMLLiteral     ]
  ] ) . #
IG © 2020+ IVR Interverband für Rettungswesen. Package ch.fhir.ig.ch-ems#2.1.0-ci-build based on FHIR 4.0.1. Generated 2025-09-01
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