CH EMS (R4)
2.1.0-ci-build - ci-build
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
{
"resourceType" : "Bundle",
"id" : "2b-Einsatzprotokoll",
"meta" : {
"lastUpdated" : "2020-04-24T15:53:22.889+00:00"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:b4044742-ab2c-49f6-8151-0e2be5d3f923"
},
"type" : "document",
"timestamp" : "2016-12-10T13:40:00.000+01:00",
"entry" : [
{
"fullUrl" : "http://test.fhir.ch/r4/Composition/2b-Einsatzprotokoll-Composition",
"resource" : {
"resourceType" : "Composition",
"id" : "2b-Einsatzprotokoll-Composition",
"language" : "de-CH",
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient",
"valueReference" : {
🔗 "reference" : "Practitioner/1-InformationRecipientSpitalarzt"
}
},
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient",
"valueReference" : {
🔗 "reference" : "Organization/1-InformationRecipientUSZ"
}
}
],
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:b4044742-ab2c-49f6-8151-0e2be5d3f923"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "67796-3",
"display" : "EMS patient care report - version 3 Document NEMSIS"
},
{
"system" : "http://snomed.info/sct",
"code" : "371535009",
"display" : "Transfer summary report (record artifact)"
}
],
"text" : "Einsatzprotokoll Rettungsdienst"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"date" : "2016-12-10T13:40:00.000+01:00",
"author" : [
{
🔗 "extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
"valueDateTime" : "2016-12-10T13:40:00.000+01:00"
}
],
"reference" : "Practitioner/1-SaniPetraMuster"
},
{
🔗 "reference" : "PractitionerRole/1-SaniPetraMuster-PR"
}
],
"title" : "Einsatzprotokoll Rettungsdienst",
"confidentiality" : "N",
"_confidentiality" : {
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "17621005",
"display" : "Normal (qualifier value)"
}
],
"text" : "Normal"
}
}
]
},
"attester" : [
{
"mode" : "legal",
"time" : "2016-12-10T13:13:05.000+01:00",
"party" : {
🔗 "reference" : "Practitioner/1-SaniPetraMuster"
}
}
],
"custodian" : {
🔗 "reference" : "Organization/1-Rettungsdienst"
},
"section" : [
{
"title" : "Einsatz",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100001",
"display" : "intervention"
}
],
"text" : "Einsatz"
},
"text" : {
"status" : "generated",
"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 & 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>"
},
"entry" : [
{
🔗 "reference" : "Encounter/2-Einsatz"
},
{
🔗 "reference" : "Observation/2-Alarm"
},
{
🔗 "reference" : "Observation/2-Disposition"
},
{
🔗 "reference" : "Observation/2-Rollout"
},
{
🔗 "reference" : "Observation/2-ArrivalOnScene"
},
{
🔗 "reference" : "Observation/2-ArrivalPatient"
},
{
🔗 "reference" : "Observation/2-DepartureFromScene"
},
{
🔗 "reference" : "Observation/2-ArrivalAtTarget"
},
{
🔗 "reference" : "Observation/2b-DepartureFromTarget"
},
{
🔗 "reference" : "Observation/2b-OperationalReadiness"
}
]
},
{
"title" : "Administrativ",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100003",
"display" : "administrative"
}
],
"text" : "Administrativ"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
},
{
"title" : "Vorbehandlung",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100004",
"display" : "pretreatment"
}
],
"text" : "Vorbehandlung"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
},
{
"title" : "Anamnese",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100005",
"display" : "anamnesis"
}
],
"text" : "Anamnese"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
},
{
"title" : "Befund",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100006",
"display" : "findings"
}
],
"text" : "Befund"
},
"text" : {
"status" : "generated",
"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>"
},
"section" : [
{
"title" : "Airway",
"entry" : [
{
🔗 "reference" : "Observation/2-AirwaysBefund"
}
]
},
{
"title" : "Disability",
"entry" : [
{
🔗 "reference" : "Observation/2-GCSBefund"
},
{
🔗 "reference" : "Observation/2-AVPUBefund"
}
]
}
]
},
{
"title" : "Diagnosen",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100007",
"display" : "diagnosis"
}
],
"text" : "Diagnosen"
},
"text" : {
"status" : "generated",
"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>"
},
"entry" : [
{
🔗 "reference" : "Observation/2-Diagnose"
}
]
},
{
"title" : "Massnahmen",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100008",
"display" : "measures"
}
],
"text" : "Massnahmen"
},
"text" : {
"status" : "generated",
"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>"
}
},
{
"title" : "Todesfall",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100009",
"display" : "death"
}
],
"text" : "Todesfall"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
},
{
"title" : "Transport",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100010",
"display" : "transport"
}
],
"text" : "Transport"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>Fahrt mit Sondersignal ins USZ.</span></div>"
}
},
{
"title" : "Übergabe",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1100011",
"display" : "handover"
}
],
"text" : "Übergabe"
},
"text" : {
"status" : "generated",
"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>"
},
"entry" : [
{
🔗 "reference" : "Observation/2-ZustandUebergabe"
},
{
🔗 "reference" : "Observation/2-NACAUebergabe"
},
{
🔗 "reference" : "Observation/2-GCSUebergabe"
}
]
},
{
"title" : "Kommentar",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48767-8",
"display" : "Annotation comment [Interpretation] Narrative"
}
],
"text" : "Kommentar"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><span>-</span></div>"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Encounter/2-Einsatz",
"resource" : {
"resourceType" : "Encounter",
"id" : "2-Einsatz",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "MN",
"display" : "Mission number"
}
],
"text" : "Einsatznummer"
},
"system" : "urn:oid:2.16.756.5.30.1.9999999999.1",
"value" : "S12345678"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER",
"display" : "emergency"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/2-AufbietendeOrganisation"
}
],
"participant" : [
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Caregiver (person)"
}
],
"text" : "Betreuer"
}
}
],
"individual" : {
🔗 "reference" : "Practitioner/1-TeamMemberPetraMuster"
}
},
{
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Caregiver (person)"
}
],
"text" : "Betreuer"
}
}
],
"individual" : {
🔗 "reference" : "Practitioner/1-TeamMemberHansTransportsanitaeter"
}
}
],
"period" : {
"start" : "2016-12-10"
},
"hospitalization" : {
"destination" : {
🔗 "reference" : "Location/1-Zielort"
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/2-Einsatzort"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Patient/2-PatientUnbekannt",
"resource" : {
"resourceType" : "Patient",
"id" : "2-PatientUnbekannt",
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "urn:oid:2.16.756.5.30.1.143.20",
"value" : "MU43221"
}
],
"gender" : "male"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-InformationRecipientSpitalarzt",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-InformationRecipientSpitalarzt",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000404268"
}
],
"name" : [
{
"family" : "Claude",
"given" : [
"Spitalarzt"
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/1-InformationRecipientUSZ",
"resource" : {
"resourceType" : "Organization",
"id" : "1-InformationRecipientUSZ",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002155939"
}
],
"name" : "USZ",
"address" : [
{
"line" : [
"Rämistrasse 100"
],
"city" : "Zürich",
"postalCode" : "8091",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-SaniPetraMuster",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-SaniPetraMuster",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601003330434"
}
],
"name" : [
{
"family" : "Muster",
"given" : [
"Petra"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397897005",
"display" : "Paramedic (occupation)"
}
],
"text" : "Rettungssanitäter/in HF"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/1-SaniPetraMuster-PR",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "1-SaniPetraMuster-PR",
"practitioner" : {
🔗 "reference" : "Practitioner/1-SaniPetraMuster"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "133932002",
"display" : "Caregiver (person)"
}
],
"text" : "Betreuer"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberPetraMuster",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-TeamMemberPetraMuster",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601003330434",
"assigner" : {
🔗 "reference" : "Organization/1-TeamRettungsdienst"
}
}
],
"name" : [
{
"family" : "Muster",
"given" : [
"Petra"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "397897005",
"display" : "Paramedic (occupation)"
}
],
"text" : "Rettungssanitäter/in HF"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberHansTransportsanitaeter",
"resource" : {
"resourceType" : "Practitioner",
"id" : "1-TeamMemberHansTransportsanitaeter",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000211804",
"assigner" : {
🔗 "reference" : "Organization/1-TeamRettungsdienst"
}
}
],
"name" : [
{
"family" : "Transportsanitäter",
"given" : [
"Hans"
]
}
],
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "159738005",
"display" : "Ambulanceman (occupation)"
}
],
"text" : "Transportsanitäter/in FA"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/1-Rettungsdienst",
"resource" : {
"resourceType" : "Organization",
"id" : "1-Rettungsdienst",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002156363"
}
],
"name" : "Rettungsdienst Schutz und Rettung Zürich"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/1-TeamRettungsdienst",
"resource" : {
"resourceType" : "Organization",
"id" : "1-TeamRettungsdienst",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002156363"
}
],
"name" : "Rettungsdienst Schutz und Rettung Zürich",
"address" : [
{
"line" : [
"Bahnhofquai 3, Amtshaus I"
],
"city" : "Zürich",
"postalCode" : "8001",
"country" : "CH"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/2-AufbietendeOrganisation",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "2-AufbietendeOrganisation",
"contained" : [
{
"resourceType" : "Organization",
"id" : "2-informant",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002156370"
}
],
"name" : "SNZ"
}
],
"status" : "completed",
"intent" : "order",
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"requester" : {
"reference" : "#2-informant"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Location/2-Einsatzort",
"resource" : {
"resourceType" : "Location",
"id" : "2-Einsatzort",
"name" : "Sternen Oerlikon",
"address" : {
"line" : [
"Schaffhauserstr. 350"
],
"city" : "Zürich",
"postalCode" : "8050",
"country" : "CH"
},
"physicalType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "74964007",
"display" : "Other (qualifier value)"
}
],
"text" : "andere / anderes"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Location/1-Zielort",
"resource" : {
"resourceType" : "Location",
"id" : "1-Zielort",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601002155939"
}
],
"name" : "Universitätsspital Zürich, Notfall",
"address" : {
"line" : [
"Rämistrasse 100"
],
"city" : "Zürich",
"postalCode" : "8091",
"country" : "Switzerland"
},
"physicalType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "22232009",
"display" : "Hospital (environment)"
}
],
"text" : "Spital"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-Alarm",
"resource" : {
"resourceType" : "Observation",
"id" : "2-Alarm",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000033",
"display" : "alarm"
}
],
"text" : "Alarmierungszeit"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:09:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-Disposition",
"resource" : {
"resourceType" : "Observation",
"id" : "2-Disposition",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000034",
"display" : "disposition"
}
],
"text" : "Dispositionszeit"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:11:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-Rollout",
"resource" : {
"resourceType" : "Observation",
"id" : "2-Rollout",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000035",
"display" : "rollout"
}
],
"text" : "Ausrückzeit"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:13:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-ArrivalOnScene",
"resource" : {
"resourceType" : "Observation",
"id" : "2-ArrivalOnScene",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000036",
"display" : "arrival on scene"
}
],
"text" : "Ankunftszeit am Einsatzort"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:17:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-ArrivalPatient",
"resource" : {
"resourceType" : "Observation",
"id" : "2-ArrivalPatient",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000037",
"display" : "arrival patient"
}
],
"text" : "Ankunftszeit beim Patienten"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:17:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-DepartureFromScene",
"resource" : {
"resourceType" : "Observation",
"id" : "2-DepartureFromScene",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000038",
"display" : "departure from scene"
}
],
"text" : "Abfahrtszeit vom Einsatzort"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:48:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-ArrivalAtTarget",
"resource" : {
"resourceType" : "Observation",
"id" : "2-ArrivalAtTarget",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000039",
"display" : "arrival at target"
}
],
"text" : "Ankunftszeit am Zielort"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T12:54:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2b-DepartureFromTarget",
"resource" : {
"resourceType" : "Observation",
"id" : "2b-DepartureFromTarget",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000041",
"display" : "departure from target"
}
],
"text" : "Abfahrtszeit vom Zielort"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T13:25:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2b-OperationalReadiness",
"resource" : {
"resourceType" : "Observation",
"id" : "2b-OperationalReadiness",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000042",
"display" : "operational readiness"
}
],
"text" : "Zeit Einsatzbereit"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueDateTime" : "2016-12-10T13:40:00.000+01:00"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-AirwaysBefund",
"resource" : {
"resourceType" : "Observation",
"id" : "2-AirwaysBefund",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "301252002",
"display" : "Finding of respiratory obstruction (finding)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"effectiveDateTime" : "2016-12-10T12:25:00.000+01:00",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "23875004",
"display" : "No pathologic diagnosis (finding)"
}
],
"text" : "Atemwege frei"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-GCSBefund",
"resource" : {
"resourceType" : "Observation",
"id" : "2-GCSBefund",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9269-2",
"display" : "Glasgow coma score total"
}
]
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"effectiveDateTime" : "2016-12-10T12:25:00.000+01:00",
"valueQuantity" : {
"value" : 9,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9268-4",
"display" : "Glasgow coma score motor"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000154",
"display" : "bending"
}
],
"text" : "auf Schmerz Beugesynergismen"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9270-0",
"display" : "Glasgow coma score verbal"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000159",
"display" : "incoherent words"
}
],
"text" : "unzusammenhängende Worte"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9267-6",
"display" : "Glasgow coma score eye opening"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000151",
"display" : "on request"
}
],
"text" : "auf Aufforderung"
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-AVPUBefund",
"resource" : {
"resourceType" : "Observation",
"id" : "2-AVPUBefund",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11454-6",
"display" : "Responsiveness assessment at First encounter"
}
]
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"effectiveDateTime" : "2016-12-10T12:25:00.000+01:00",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "V",
"display" : "Reaktion nur bei lauter Ansprache"
}
],
"text" : "Reaktion nur bei lauter Ansprache"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-Diagnose",
"resource" : {
"resourceType" : "Observation",
"id" : "2-Diagnose",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2931005",
"display" : "Probable diagnosis (contextual qualifier) (qualifier value)"
}
],
"text" : "Verdachtsdiagnose"
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"effectiveDateTime" : "2016-12-10T12:25:00.000+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/1-SaniPetraMuster"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"code" : "I63",
"display" : "Hirninfarkt"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-ZustandUebergabe",
"resource" : {
"resourceType" : "Observation",
"id" : "2-ZustandUebergabe",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75527-2",
"display" : "Vital status at discharge"
}
]
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385425000",
"display" : "Improved (qualifier value)"
}
],
"text" : "verbessert"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-NACAUebergabe",
"resource" : {
"resourceType" : "Observation",
"id" : "2-NACAUebergabe",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88076-5",
"display" : "Injury severity score NACA"
}
]
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "III",
"display" : "mässige bis schwere Störung"
}
],
"text" : "mässige bis schwere Störung"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/2-GCSUebergabe",
"resource" : {
"resourceType" : "Observation",
"id" : "2-GCSUebergabe",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9269-2",
"display" : "Glasgow coma score total"
}
]
},
"subject" : {
🔗 "reference" : "Patient/2-PatientUnbekannt"
},
"encounter" : {
🔗 "reference" : "Encounter/2-Einsatz"
},
"effectiveDateTime" : "2016-12-10T13:03:00.000+01:00",
"valueQuantity" : {
"value" : 10,
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9268-4",
"display" : "Glasgow coma score motor"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000154",
"display" : "bending"
}
],
"text" : "auf Schmerz Beugesynergismen"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9270-0",
"display" : "Glasgow coma score verbal"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000160",
"display" : "conversational, disoriented"
}
],
"text" : "konversationsfähig, desorientierts"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "9267-6",
"display" : "Glasgow coma score eye opening"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code" : "1000151",
"display" : "on request"
}
],
"text" : "auf Aufforderung"
}
}
]
}
}
]
}