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 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="1-Einsatzprotokoll"/>
  <meta>
    <lastUpdated value="2020-04-24T07:53:22.889+00:00"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2016-12-10T13:05:00.000+01:00"/>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Composition/1-Einsatzprotokoll-Composition"/>
    <resource>
      <Composition>
        <id value="1-Einsatzprotokoll-Composition"/>
        <language value="de-CH"/>
        <extension
                   url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient">
          <valueReference>🔗 
            <reference value="Practitioner/1-InformationRecipientSpitalarzt"/>
          </valueReference>
        </extension>
        <extension
                   url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient">
          <valueReference>🔗 
            <reference value="Organization/1-InformationRecipientUSZ"/>
          </valueReference>
        </extension>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78"/>
        </identifier>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="67796-3"/>
            <display
                     value="EMS patient care report - version 3 Document NEMSIS"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="371535009"/>
            <display value="Transfer summary report (record artifact)"/>
          </coding>
          <text value="Einsatzprotokoll Rettungsdienst"/>
        </type>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <date value="2016-12-10T13:05:00.000+01:00"/>
        <author>🔗 
          <extension
                     url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time">
            <valueDateTime value="2016-12-10T13:13:05.000+01:00"/>
          </extension>
          <reference value="Practitioner/1-SaniPetraMuster"/>
        </author>
        <author>🔗 
          <reference value="PractitionerRole/1-SaniPetraMuster-PR"/>
        </author>
        <author>🔗 
          <extension
                     url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time">
            <valueDateTime value="2016-12-10T13:13:05.000+01:00"/>
          </extension>
          <reference value="Practitioner/1-NotarztPierreUrgentiste"/>
        </author>
        <author>🔗 
          <reference value="PractitionerRole/1-NotarztPierreUrgentiste-PR"/>
        </author>
        <title value="Einsatzprotokoll Rettungsdienst"/>
        <confidentiality value="N">
          <extension
                     url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="17621005"/>
                <display value="Normal (qualifier value)"/>
              </coding>
              <text value="Normal"/>
            </valueCodeableConcept>
          </extension>
        </confidentiality>
        <attester>
          <mode value="legal"/>
          <time value="2016-12-10T13:13:05.000+01:00"/>
          <party>🔗 
            <reference value="Practitioner/1-SaniPetraMuster"/>
          </party>
        </attester>
        <custodian>🔗 
          <reference value="Organization/1-Rettungsdienst"/>
        </custodian>
        <section>
          <title value="Einsatz"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100001"/>
              <display value="intervention"/>
            </coding>
            <text value="Einsatz"/>
          </code>
          <text>
            <status value="generated"/>
            <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>Zürich, Waldrand (47.392115, 8.553192)</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">12.22</th><th id="departurefromscene">12.48</th><th id="arrivalattarget">12.54</th><th id="departurefromtarget">-</th><th id="operationalreadiness">-</th></tr></tbody></table></div>
          </text>
          <entry>🔗 
            <reference value="Encounter/1-Einsatz"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-Alarm"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-Disposition"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-Rollout"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-ArrivalOnScene"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-ArrivalPatient"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-DepartureFromScene"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-ArrivalAtTarget"/>
          </entry>
        </section>
        <section>
          <title value="Administrativ"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100003"/>
              <display value="administrative"/>
            </coding>
            <text value="Administrativ"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Person/Organsiation</th></tr><tr><td>Ehefrau</td><td>Erika Müller</td></tr></tbody></table></div>
          </text>
        </section>
        <section>
          <title value="Vorbehandlung"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100004"/>
              <display value="pretreatment"/>
            </coding>
            <text value="Vorbehandlung"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><span>-</span></div>
          </text>
        </section>
        <section>
          <title value="Anamnese"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100005"/>
              <display value="anamnesis"/>
            </coding>
            <text value="Anamnese"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Geschehen</th></tr><tr><td id="anamnesis">Hat sich beim Spazieren im Wald schlecht gefühlt und ist abgesessen.</td></tr></tbody></table><table><tbody><tr><th>Symptome</th></tr><tr><td id="symptom">Starke Schmerzen in der Brust und im linken Oberarm verspürt</td></tr></tbody></table><h4>Allergien</h4><ul><li>Baumpollen</li><li>bekannte Unverträglichkeitsreaktion auf einzelne Medikamente</li></ul><h4>preMedication</h4><ul><li>Aspirin cardio 100, 1 Tbl/Tag</li></ul><h4>Medizinische Vorgeschichte</h4><ul><li>Herzvorfall vor 4 Jahren, behandelt im Triemli, seit dem Aspirin cardio</li></ul><h4>Weitere</h4><ul><li>Seit dem Frühstück um ca.08:00 Uhr hat er nichts mehr gegessen</li><li>Thomas Müller hat keine Patientenverfügung erstellt</li><li>es sind keine anderen medizinische Probleme bekannt</li></ul></div>
          </text>
          <entry>🔗 
            <reference value="Observation/1-Anamnese"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-Symptome"/>
          </entry>
        </section>
        <section>
          <title value="Befund"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100006"/>
              <display value="findings"/>
            </coding>
            <text value="Befund"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><p>Blutdruck 120/80 mmHg gemessen am rechten Arm / Schmerz 5</p><table><tbody><tr><th>GCS</th></tr><tr><td id="gcs1">Total 15 (Augenöffnung spontan 4/ verbale Antwort orientiert 5/ motor. Reaktion befolgt Antweisungen 6) um 12:25</td></tr></tbody></table></div>
          </text>
          <section>
            <title value="Disability"/>
            <entry>🔗 
              <reference value="Observation/1-GCSBefund"/>
            </entry>
          </section>
        </section>
        <section>
          <title value="Diagnosen"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100007"/>
              <display value="diagnosis"/>
            </coding>
            <text value="Diagnosen"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><tbody><tr><th>Verdachtsdiagnose</th></tr><tr><td id="diagnose1">akuten transmuralen Myokardinfarkts der Vorderwand, ACS/STEMI VW</td></tr></tbody></table></div>
          </text>
          <entry>🔗 
            <reference value="Observation/1-Diagnose"/>
          </entry>
        </section>
        <section>
          <title value="Massnahmen"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100008"/>
              <display value="measures"/>
            </coding>
            <text value="Massnahmen"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><span>Infusion gelegt und verabreichen ihm um 12:30 eine erste Dosis von 2 Hüben Nitrolingual-Spray</span></div>
          </text>
        </section>
        <section>
          <title value="Todesfall"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100009"/>
              <display value="death"/>
            </coding>
            <text value="Todesfall"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><span>-</span></div>
          </text>
        </section>
        <section>
          <title value="Transport"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100010"/>
              <display value="transport"/>
            </coding>
            <text value="Transport"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><span>Fahrt mit Sondersignal ins USZ.</span></div>
          </text>
        </section>
        <section>
          <title value="Übergabe"/>
          <code>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1100011"/>
              <display value="handover"/>
            </coding>
            <text value="Übergabe"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><p>Schmerz 4</p><table><tbody><tr><th>GCS</th></tr><tr><td id="gcs2">15(4/5/6) um 13.03</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 Wertsachenbeutel mit Portemonaie, Handy, Uhr, Schlüssel, Bargel sowie Wertsachenverzeichnis</p></div>
          </text>
          <entry>🔗 
            <reference value="Observation/1-ZustandUebergabe"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-NACAUebergabe"/>
          </entry>
          <entry>🔗 
            <reference value="Observation/1-GCSUebergabe"/>
          </entry>
        </section>
        <section>
          <title value="Kommentar"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48767-8"/>
              <display value="Annotation comment [Interpretation] Narrative"/>
            </coding>
            <text value="Kommentar"/>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><span>-</span></div>
          </text>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Encounter/1-Einsatz"/>
    <resource>
      <Encounter>
        <id value="1-Einsatz"/>
        <identifier>
          <type>
            <coding>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="MN"/>
              <display value="Mission number"/>
            </coding>
            <text value="Einsatznummer"/>
          </type>
          <system value="urn:oid:2.16.756.5.30.1.9999999999.1"/>
          <value value="S12345678"/>
        </identifier>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="EMER"/>
          <display value="emergency"/>
        </class>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <basedOn>🔗 
          <reference value="ServiceRequest/1-AufbietendeOrganisation"/>
        </basedOn>
        <participant>
          <extension
                     url="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="133932002"/>
                <display value="Caregiver (person)"/>
              </coding>
              <text value="Betreuer"/>
            </valueCodeableConcept>
          </extension>
          <individual>🔗 
            <reference value="Practitioner/1-TeamMemberPetraMuster"/>
          </individual>
        </participant>
        <participant>
          <extension
                     url="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="133932002"/>
                <display value="Caregiver (person)"/>
              </coding>
              <text value="Betreuer"/>
            </valueCodeableConcept>
          </extension>
          <individual>🔗 
            <reference
                       value="Practitioner/1-TeamMemberHansTransportsanitaeter"/>
          </individual>
        </participant>
        <participant>
          <extension
                     url="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="309343006"/>
                <display value="Physician (occupation)"/>
              </coding>
              <text value="Ärztin / Arzt"/>
            </valueCodeableConcept>
          </extension>
          <individual>🔗 
            <reference value="Practitioner/1-TeamMemberPierreUrgentiste"/>
          </individual>
        </participant>
        <period>
          <start value="2016-12-10"/>
        </period>
        <hospitalization>
          <destination>🔗 
            <reference value="Location/1-Zielort"/>
          </destination>
        </hospitalization>
        <location>
          <location>🔗 
            <reference value="Location/1-Einsatzort"/>
          </location>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Patient/1-ThomasMueller"/>
    <resource>
      <Patient>
        <id value="1-ThomasMueller"/>
        <extension
                   url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin">
          <valueAddress>
            <city value="Musterdorf"/>
            <state value="ZH"/>
          </valueAddress>
        </extension>
        <identifier>
          <system value="urn:oid:2.16.756.5.32"/>
          <value value="7562295883070"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="urn:oid:2.16.756.5.30.1.9999999999.2"/>
          <value value="762354"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Müller">
            <extension
                       url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name">
              <valueCode value="officialName"/>
            </extension>
          </family>
          <given value="Thomas">
            <extension
                       url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname">
              <valueCode value="officialFirstName"/>
            </extension>
          </given>
        </name>
        <gender value="male"/>
        <birthDate value="1961-10-01"/>
        <address>
          <use value="home"/>
          <line value="Bahnhofstrasse">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
              <valueString value="1"/>
            </extension>
          </line>
          <city value="Zürich"/>
          <postalCode value="8003"/>
          <country value="Schweiz">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding">
              <valueCoding>
                <system value="urn:iso:std:iso:3166"/>
                <code value="CH"/>
              </valueCoding>
            </extension>
          </country>
        </address>
        <contact>
          <extension
                     url="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-personrole">
            <valueCodeableConcept>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="74964007"/>
                <display value="Other (qualifier value)"/>
              </coding>
              <text value="Ehefrau"/>
            </valueCodeableConcept>
          </extension>
          <relationship>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="thirdParty"/>
            </coding>
          </relationship>
          <name>
            <family value="Müller"/>
            <given value="Erika"/>
          </name>
        </contact>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Coverage/1-CoverageThomasMueller"/>
    <resource>
      <Coverage>
        <id value="1-CoverageThomasMueller"/>
        <contained>
          <Organization>
            <id value="kpt"/>
            <name value="KPT"/>
          </Organization>
        </contained>
        <identifier>
          <system value="urn:oid:2.16.756.5.30.1.123.100.1.1.1"/>
          <value value="80756003760012390001"/>
        </identifier>
        <status value="active"/>
        <beneficiary>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </beneficiary>
        <payor>
          <reference value="#kpt"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Practitioner/1-InformationRecipientSpitalarzt"/>
    <resource>
      <Practitioner>
        <id value="1-InformationRecipientSpitalarzt"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000404268"/>
        </identifier>
        <name>
          <family value="Claude"/>
          <given value="Spitalarzt"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Organization/1-InformationRecipientUSZ"/>
    <resource>
      <Organization>
        <id value="1-InformationRecipientUSZ"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601002155939"/>
        </identifier>
        <name value="USZ"/>
        <address>
          <line value="Rämistrasse 100"/>
          <city value="Zürich"/>
          <postalCode value="8091"/>
          <country value="CH"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Practitioner/1-SaniPetraMuster"/>
    <resource>
      <Practitioner>
        <id value="1-SaniPetraMuster"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601003330434"/>
        </identifier>
        <name>
          <family value="Muster"/>
          <given value="Petra"/>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="397897005"/>
              <display value="Paramedic (occupation)"/>
            </coding>
            <text value="Rettungssanitäter/in HF"/>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/PractitionerRole/1-SaniPetraMuster-PR"/>
    <resource>
      <PractitionerRole>
        <id value="1-SaniPetraMuster-PR"/>
        <practitioner>🔗 
          <reference value="Practitioner/1-SaniPetraMuster"/>
        </practitioner>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="133932002"/>
            <display value="Caregiver (person)"/>
          </coding>
          <text value="Betreuer"/>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Practitioner/1-NotarztPierreUrgentiste"/>
    <resource>
      <Practitioner>
        <id value="1-NotarztPierreUrgentiste"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000028105"/>
        </identifier>
        <name>
          <family value="Urgentiste"/>
          <given value="Pierre"/>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="309294001"/>
              <display value="Emergency department physician (occupation)"/>
            </coding>
            <text value="Notarzt/Notärztin SGNOR"/>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/PractitionerRole/1-NotarztPierreUrgentiste-PR"/>
    <resource>
      <PractitionerRole>
        <id value="1-NotarztPierreUrgentiste-PR"/>
        <practitioner>🔗 
          <reference value="Practitioner/1-NotarztPierreUrgentiste"/>
        </practitioner>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="309343006"/>
            <display value="Physician (occupation)"/>
          </coding>
          <text value="Ärztin / Arzt"/>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Practitioner/1-TeamMemberPetraMuster"/>
    <resource>
      <Practitioner>
        <id value="1-TeamMemberPetraMuster"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601003330434"/>
          <assigner>🔗 
            <reference value="Organization/1-TeamRettungsdienst"/>
          </assigner>
        </identifier>
        <name>
          <family value="Muster"/>
          <given value="Petra"/>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="397897005"/>
              <display value="Paramedic (occupation)"/>
            </coding>
            <text value="Rettungssanitäter/in HF"/>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Practitioner/1-TeamMemberHansTransportsanitaeter"/>
    <resource>
      <Practitioner>
        <id value="1-TeamMemberHansTransportsanitaeter"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000211804"/>
          <assigner>🔗 
            <reference value="Organization/1-TeamRettungsdienst"/>
          </assigner>
        </identifier>
        <name>
          <family value="Transportsanitäter"/>
          <given value="Hans"/>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="159738005"/>
              <display value="Ambulanceman (occupation)"/>
            </coding>
            <text value="Transportsanitäter/in FA"/>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Practitioner/1-TeamMemberPierreUrgentiste"/>
    <resource>
      <Practitioner>
        <id value="1-TeamMemberPierreUrgentiste"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601000028105"/>
          <assigner>🔗 
            <reference value="Organization/1-TeamRettungsdienst"/>
          </assigner>
        </identifier>
        <name>
          <family value="Urgentiste"/>
          <given value="Pierre"/>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="309294001"/>
              <display value="Emergency department physician (occupation)"/>
            </coding>
            <text value="Notarzt/Notärztin SGNOR"/>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Organization/1-Rettungsdienst"/>
    <resource>
      <Organization>
        <id value="1-Rettungsdienst"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601002156363"/>
        </identifier>
        <name value="Rettungsdienst Schutz und Rettung Zürich"/>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/Organization/1-TeamRettungsdienst"/>
    <resource>
      <Organization>
        <id value="1-TeamRettungsdienst"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601002156363"/>
        </identifier>
        <name value="Rettungsdienst Schutz und Rettung Zürich"/>
        <address>
          <line value="Bahnhofquai 3, Amtshaus I"/>
          <city value="Zürich"/>
          <postalCode value="8001"/>
          <country value="CH"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://test.fhir.ch/r4/ServiceRequest/1-AufbietendeOrganisation"/>
    <resource>
      <ServiceRequest>
        <id value="1-AufbietendeOrganisation"/>
        <contained>
          <Organization>
            <id value="1-informant"/>
            <identifier>
              <system value="urn:oid:2.51.1.3"/>
              <value value="7601002156370"/>
            </identifier>
            <name value="SNZ"/>
          </Organization>
        </contained>
        <status value="completed"/>
        <intent value="order"/>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <requester>
          <reference value="#1-informant"/>
        </requester>
        <insurance>🔗 
          <reference value="Coverage/1-CoverageThomasMueller"/>
        </insurance>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Location/1-Einsatzort"/>
    <resource>
      <Location>
        <id value="1-Einsatzort"/>
        <name value="Waldrand"/>
        <address>
          <city value="Zürich"/>
          <postalCode value="8044"/>
          <country value="CH"/>
        </address>
        <physicalType>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="257710009"/>
            <display value="Street (environment)"/>
          </coding>
          <text value="Strasse / öffentlicher Raum"/>
        </physicalType>
        <position>
          <longitude value="8.553192"/>
          <latitude value="47.392115"/>
        </position>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Location/1-Zielort"/>
    <resource>
      <Location>
        <id value="1-Zielort"/>
        <identifier>
          <system value="urn:oid:2.51.1.3"/>
          <value value="7601002155939"/>
        </identifier>
        <name value="Universitätsspital Zürich, Notfall"/>
        <address>
          <line value="Rämistrasse 100"/>
          <city value="Zürich"/>
          <postalCode value="8091"/>
          <country value="Switzerland"/>
        </address>
        <physicalType>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="22232009"/>
            <display value="Hospital (environment)"/>
          </coding>
          <text value="Spital"/>
        </physicalType>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-Alarm"/>
    <resource>
      <Observation>
        <id value="1-Alarm"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000033"/>
            <display value="alarm"/>
          </coding>
          <text value="Alarmierungszeit"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:09:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-Disposition"/>
    <resource>
      <Observation>
        <id value="1-Disposition"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000034"/>
            <display value="disposition"/>
          </coding>
          <text value="Dispositionszeit"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:11:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-Rollout"/>
    <resource>
      <Observation>
        <id value="1-Rollout"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000035"/>
            <display value="rollout"/>
          </coding>
          <text value="Ausrückzeit"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:13:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-ArrivalOnScene"/>
    <resource>
      <Observation>
        <id value="1-ArrivalOnScene"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000036"/>
            <display value="arrival on scene"/>
          </coding>
          <text value="Ankunftszeit am Einsatzort"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:17:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-ArrivalPatient"/>
    <resource>
      <Observation>
        <id value="1-ArrivalPatient"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000037"/>
            <display value="arrival patient"/>
          </coding>
          <text value="Ankunftszeit beim Patienten"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:22:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-DepartureFromScene"/>
    <resource>
      <Observation>
        <id value="1-DepartureFromScene"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000038"/>
            <display value="departure from scene"/>
          </coding>
          <text value="Abfahrtszeit vom Einsatzort"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:48:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-ArrivalAtTarget"/>
    <resource>
      <Observation>
        <id value="1-ArrivalAtTarget"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="1000039"/>
            <display value="arrival at target"/>
          </coding>
          <text value="Ankunftszeit am Zielort"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueDateTime value="2016-12-10T12:54:00.000+01:00"/>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-Anamnese"/>
    <resource>
      <Observation>
        <id value="1-Anamnese"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="272379006"/>
            <display value="Event (event)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="261665006"/>
            <display value="Unknown"/>
          </coding>
          <text
                value="Hat sich beim Spazieren im Wald schlecht gefühlt und ist abgesessen."/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-Symptome"/>
    <resource>
      <Observation>
        <id value="1-Symptome"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="404684003"/>
            <display value="Clinical finding (finding)"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueCodeableConcept>
          <text
                value="Starke Schmerzen in der Brust und im linken Oberarm verspürt"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-GCSBefund"/>
    <resource>
      <Observation>
        <id value="1-GCSBefund"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="9269-2"/>
            <display value="Glasgow coma score total"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <effectiveDateTime value="2016-12-10T12:25:00.000+01:00"/>
        <valueQuantity>
          <value value="15"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9268-4"/>
              <display value="Glasgow coma score motor"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
                <valueDecimal value="6"/>
              </extension>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1000157"/>
              <display value="take orders"/>
            </coding>
            <text value="befolgt Aufforderungen"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9270-0"/>
              <display value="Glasgow coma score verbal"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
                <valueDecimal value="5"/>
              </extension>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1000161"/>
              <display value="conversational, oriented"/>
            </coding>
            <text value="konversationsfähig, orientiert"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9267-6"/>
              <display value="Glasgow coma score eye opening"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
                <valueDecimal value="4"/>
              </extension>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1000152"/>
              <display value="spontaneous"/>
            </coding>
            <text value="spontan"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-Diagnose"/>
    <resource>
      <Observation>
        <id value="1-Diagnose"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="2931005"/>
            <display
                     value="Probable diagnosis (contextual qualifier) (qualifier value)"/>
          </coding>
          <text value="Verdachtsdiagnose"/>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <effectiveDateTime value="2016-12-10T12:25:00.000+01:00"/>
        <performer>🔗 
          <reference value="Practitioner/1-NotarztPierreUrgentiste"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm"/>
            <code value="I21.0"/>
            <display
                     value="ST elevation (STEMI) myocardial infarction of anterior wall"/>
          </coding>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-ZustandUebergabe"/>
    <resource>
      <Observation>
        <id value="1-ZustandUebergabe"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="75527-2"/>
            <display value="Vital status at discharge"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385425000"/>
            <display value="Improved (qualifier value)"/>
          </coding>
          <text value="verbessert"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-NACAUebergabe"/>
    <resource>
      <Observation>
        <id value="1-NACAUebergabe"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="88076-5"/>
            <display value="Injury severity score NACA"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <valueCodeableConcept>
          <coding>
            <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
            <code value="III"/>
            <display value="mässige bis schwere Störung"/>
          </coding>
          <text value="mässige bis schwere Störung"/>
        </valueCodeableConcept>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://test.fhir.ch/r4/Observation/1-GCSUebergabe"/>
    <resource>
      <Observation>
        <id value="1-GCSUebergabe"/>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="9269-2"/>
            <display value="Glasgow coma score total"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/1-ThomasMueller"/>
        </subject>
        <encounter>🔗 
          <reference value="Encounter/1-Einsatz"/>
        </encounter>
        <effectiveDateTime value="2016-12-10T13:03:00.000+01:00"/>
        <valueQuantity>
          <value value="15"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9268-4"/>
              <display value="Glasgow coma score motor"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
                <valueDecimal value="6"/>
              </extension>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1000157"/>
              <display value="take orders"/>
            </coding>
            <text value="befolgt Aufforderungen"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9270-0"/>
              <display value="Glasgow coma score verbal"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
                <valueDecimal value="5"/>
              </extension>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1000161"/>
              <display value="conversational, oriented"/>
            </coding>
            <text value="konversationsfähig, orientiert"/>
          </valueCodeableConcept>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="9267-6"/>
              <display value="Glasgow coma score eye opening"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
                <valueDecimal value="4"/>
              </extension>
              <system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
              <code value="1000152"/>
              <display value="spontaneous"/>
            </coding>
            <text value="spontan"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
  </entry>
</Bundle>