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

: 2b 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 "2b-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:b4044742-ab2c-49f6-8151-0e2be5d3f923" ]
  ] ; # 
  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/2-PatientUnbekannt" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/2-Einsatz" ]
  ] ; # 
  fhir:date [ fhir:v "2016-12-10T13:40:00.000+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 "2016-12-10T13:40:00.000+01:00"^^xsd:dateTime       ]     ] ) ;
fhir:reference [ fhir:v "Practitioner/1-SaniPetraMuster" ]
  ] [
fhir:reference [ fhir:v "PractitionerRole/1-SaniPetraMuster-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>7601002156370 (SNZ)</td></tr><tr><td>augebotene Organisation</td><td>7601002156363 (Rettungsdienst Schutz &amp; Rettung Zürich)</td></tr><tr><td>Team</td><td>Petra Muster, GLN 7601003330434, Betreuerin / Hans Transportsanitäter, 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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Encounter/2-Einsatz" ]     ] [
fhir:reference [ fhir:v "Observation/2-Alarm" ]     ] [
fhir:reference [ fhir:v "Observation/2-Disposition" ]     ] [
fhir:reference [ fhir:v "Observation/2-Rollout" ]     ] [
fhir:reference [ fhir:v "Observation/2-ArrivalOnScene" ]     ] [
fhir:reference [ fhir:v "Observation/2-ArrivalPatient" ]     ] [
fhir:reference [ fhir:v "Observation/2-DepartureFromScene" ]     ] [
fhir:reference [ fhir:v "Observation/2-ArrivalAtTarget" ]     ] [
fhir:reference [ fhir:v "Observation/2b-DepartureFromTarget" ]     ] [
fhir:reference [ fhir:v "Observation/2b-OperationalReadiness" ]     ] )
  ] [
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\"><span>-</span></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\"><span>-</span></div>"^^rdf:XMLLiteral     ]
  ] [
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>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>"^^rdf:XMLLiteral     ] ;
    ( fhir:section [
fhir:title [ fhir:v "Airway" ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/2-AirwaysBefund" ]       ] )     ] [
fhir:title [ fhir:v "Disability" ] ;
      ( fhir:entry [
fhir:reference [ fhir:v "Observation/2-GCSBefund" ]       ] [
fhir:reference [ fhir:v "Observation/2-AVPUBefund" ]       ] )     ] )
  ] [
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 id=\"diagnose1\">Stroke (I63)</td></tr></tbody></table></div>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/2-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>Infusion mit 500 ml Ringer. Der Patient wird liegend in den Rettungswagen verladen.</span></div>"^^rdf:XMLLiteral     ]
  ] [
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\"><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>"^^rdf:XMLLiteral     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/2-ZustandUebergabe" ]     ] [
fhir:reference [ fhir:v "Observation/2-NACAUebergabe" ]     ] [
fhir:reference [ fhir:v "Observation/2-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     ]
  ] ) . #