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="2b-Einsatzprotokoll"/>
<meta>
<lastUpdated value="2020-04-24T15:53:22.889+00:00"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:b4044742-ab2c-49f6-8151-0e2be5d3f923"/>
</identifier>
<type value="document"/>
<timestamp value="2016-12-10T13:40:00.000+01:00"/>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Composition/2b-Einsatzprotokoll-Composition"/>
<resource>
<Composition>
<id value="2b-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:b4044742-ab2c-49f6-8151-0e2be5d3f923"/>
</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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<date value="2016-12-10T13:40:00.000+01:00"/>
<author>🔗
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time">
<valueDateTime value="2016-12-10T13:40:00.000+01:00"/>
</extension>
<reference value="Practitioner/1-SaniPetraMuster"/>
</author>
<author>🔗
<reference value="PractitionerRole/1-SaniPetraMuster-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 & 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>
</text>
<entry>🔗
<reference value="Encounter/2-Einsatz"/>
</entry>
<entry>🔗
<reference value="Observation/2-Alarm"/>
</entry>
<entry>🔗
<reference value="Observation/2-Disposition"/>
</entry>
<entry>🔗
<reference value="Observation/2-Rollout"/>
</entry>
<entry>🔗
<reference value="Observation/2-ArrivalOnScene"/>
</entry>
<entry>🔗
<reference value="Observation/2-ArrivalPatient"/>
</entry>
<entry>🔗
<reference value="Observation/2-DepartureFromScene"/>
</entry>
<entry>🔗
<reference value="Observation/2-ArrivalAtTarget"/>
</entry>
<entry>🔗
<reference value="Observation/2b-DepartureFromTarget"/>
</entry>
<entry>🔗
<reference value="Observation/2b-OperationalReadiness"/>
</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"><span>-</span></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"><span>-</span></div>
</text>
</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>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>
</text>
<section>
<title value="Airway"/>
<entry>🔗
<reference value="Observation/2-AirwaysBefund"/>
</entry>
</section>
<section>
<title value="Disability"/>
<entry>🔗
<reference value="Observation/2-GCSBefund"/>
</entry>
<entry>🔗
<reference value="Observation/2-AVPUBefund"/>
</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">Stroke (I63)</td></tr></tbody></table></div>
</text>
<entry>🔗
<reference value="Observation/2-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 mit 500 ml Ringer. Der Patient wird liegend in den Rettungswagen verladen.</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">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>
</text>
<entry>🔗
<reference value="Observation/2-ZustandUebergabe"/>
</entry>
<entry>🔗
<reference value="Observation/2-NACAUebergabe"/>
</entry>
<entry>🔗
<reference value="Observation/2-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/2-Einsatz"/>
<resource>
<Encounter>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<basedOn>🔗
<reference value="ServiceRequest/2-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>
<period>
<start value="2016-12-10"/>
</period>
<hospitalization>
<destination>🔗
<reference value="Location/1-Zielort"/>
</destination>
</hospitalization>
<location>
<location>🔗
<reference value="Location/2-Einsatzort"/>
</location>
</location>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Patient/2-PatientUnbekannt"/>
<resource>
<Patient>
<id value="2-PatientUnbekannt"/>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="urn:oid:2.16.756.5.30.1.143.20"/>
<value value="MU43221"/>
</identifier>
<gender value="male"/>
</Patient>
</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-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/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/2-AufbietendeOrganisation"/>
<resource>
<ServiceRequest>
<id value="2-AufbietendeOrganisation"/>
<contained>
<Organization>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<requester>
<reference value="#2-informant"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Location/2-Einsatzort"/>
<resource>
<Location>
<id value="2-Einsatzort"/>
<name value="Sternen Oerlikon"/>
<address>
<line value="Schaffhauserstr. 350"/>
<city value="Zürich"/>
<postalCode value="8050"/>
<country value="CH"/>
</address>
<physicalType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="74964007"/>
<display value="Other (qualifier value)"/>
</coding>
<text value="andere / anderes"/>
</physicalType>
</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/2-Alarm"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:09:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-Disposition"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:11:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-Rollout"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:13:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-ArrivalOnScene"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:17:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-ArrivalPatient"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:17:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-DepartureFromScene"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:48:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-ArrivalAtTarget"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T12:54:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Observation/2b-DepartureFromTarget"/>
<resource>
<Observation>
<id value="2b-DepartureFromTarget"/>
<status value="final"/>
<code>
<coding>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000041"/>
<display value="departure from target"/>
</coding>
<text value="Abfahrtszeit vom Zielort"/>
</code>
<subject>🔗
<reference value="Patient/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T13:25:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Observation/2b-OperationalReadiness"/>
<resource>
<Observation>
<id value="2b-OperationalReadiness"/>
<status value="final"/>
<code>
<coding>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000042"/>
<display value="operational readiness"/>
</coding>
<text value="Zeit Einsatzbereit"/>
</code>
<subject>🔗
<reference value="Patient/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<valueDateTime value="2016-12-10T13:40:00.000+01:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-AirwaysBefund"/>
<resource>
<Observation>
<id value="2-AirwaysBefund"/>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="301252002"/>
<display value="Finding of respiratory obstruction (finding)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<effectiveDateTime value="2016-12-10T12:25:00.000+01:00"/>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="23875004"/>
<display value="No pathologic diagnosis (finding)"/>
</coding>
<text value="Atemwege frei"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-GCSBefund"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<effectiveDateTime value="2016-12-10T12:25:00.000+01:00"/>
<valueQuantity>
<value value="9"/>
<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="3"/>
</extension>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000154"/>
<display value="bending"/>
</coding>
<text value="auf Schmerz Beugesynergismen"/>
</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="3"/>
</extension>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000159"/>
<display value="incoherent words"/>
</coding>
<text value="unzusammenhängende Worte"/>
</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="3"/>
</extension>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000151"/>
<display value="on request"/>
</coding>
<text value="auf Aufforderung"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-AVPUBefund"/>
<resource>
<Observation>
<id value="2-AVPUBefund"/>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11454-6"/>
<display value="Responsiveness assessment at First encounter"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<effectiveDateTime value="2016-12-10T12:25:00.000+01:00"/>
<valueCodeableConcept>
<coding>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="V"/>
<display value="Reaktion nur bei lauter Ansprache"/>
</coding>
<text value="Reaktion nur bei lauter Ansprache"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-Diagnose"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<effectiveDateTime value="2016-12-10T12:25:00.000+01:00"/>
<performer>🔗
<reference value="Practitioner/1-SaniPetraMuster"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm"/>
<code value="I63"/>
<display value="Hirninfarkt"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Observation/2-ZustandUebergabe"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-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/2-NACAUebergabe"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-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/2-GCSUebergabe"/>
<resource>
<Observation>
<id value="2-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/2-PatientUnbekannt"/>
</subject>
<encounter>🔗
<reference value="Encounter/2-Einsatz"/>
</encounter>
<effectiveDateTime value="2016-12-10T13:03:00.000+01:00"/>
<valueQuantity>
<value value="10"/>
<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="3"/>
</extension>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000154"/>
<display value="bending"/>
</coding>
<text value="auf Schmerz Beugesynergismen"/>
</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="4"/>
</extension>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000160"/>
<display value="conversational, disoriented"/>
</coding>
<text value="konversationsfähig, desorientierts"/>
</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="3"/>
</extension>
<system value="http://fhir.ch/ig/ch-ems/CodeSystem/IVR"/>
<code value="1000151"/>
<display value="on request"/>
</coding>
<text value="auf Aufforderung"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
</Bundle>