CH EMS (R4)
2.1.0-ci-build - ci-build
CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-ems/ and changes regularly. See the Directory of published versions
<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>
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</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 & 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>