CH EMS (R4)
2.1.0-ci-build - ci-build Switzerland flag

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

Logical Model

The logical model represents the Emergency Medical Services protocol as an abstract data model. Each section of the model includes a Model Map that defines how its data elements are mapped to the FHIR document structure.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EMSProtocol 0..* Base Einsatzprotokoll für Rettungsdienste
... mission 1..1 BackboneElement Einsatz
.... date 1..1 date Einsatzdatum
.... number 1..1 Identifier Einsatznummer SNZ (Sanitätsnotrufzentrale)
.... type 0..1 CodeableConcept Einsatzart
Binding: IVR Mission Type (extensible): IVR VS (IVR)
.... transportReason 0..* CodeableConcept Transportgrund
Binding: IVR Transport Reason (extensible): IVR VS (IVR)
.... urgency 0..1 CodeableConcept Dringlichkeit
Binding: IVR Urgency (extensible): IVR VS (IVR)
..... adequacy 0..1 CodeableConcept Angemessenheit der Dringlichkeit
Binding: IVR Urgency Adequate (extensible): IVR VS (SCT & IVR)
.... requestingOrganisation 1..1 BackboneElement Aufbietende Organisation
..... name 1..1 string Name
..... gln 1..1 Identifier GLN (Global Location Number)
.... respondingOrganisation 1..1 BackboneElement Aufgebotene Organisation
..... name 1..1 string Name
..... gln 1..1 Identifier GLN (Global Location Number)
..... team 1..1 BackboneElement Einsatzteam
...... name 1..1 string Name
...... gln 1..1 Identifier GLN (Global Location Number) der aufgebotenen Organisation
...... member 0..* BackboneElement Teammitglied
....... role 1..1 CodeableConcept Rolle
Binding: IVR Team Role (extensible): IVR VS (SCT & IVR)
....... name 0..1 HumanName Name
........ firstName 0..1 string Vorname
........ lastName 0..1 string Nachname
....... gln 0..1 Identifier Persönliche GLN (Global Location Number)
....... formation 0..* CodeableConcept Ausbildung
Binding: IVR Formation (extensible): IVR VS (SCT & IVR)
.... location 0..1 BackboneElement Einsatzort
..... address 0..1 Address Adresse
...... street 0..1 string Strasse
...... zipCode 0..1 string PLZ
...... city 0..1 string Ort
..... position 0..1 BackboneElement Koordinaten
...... longitude 1..1 decimal Längengrad
...... latitude 1..1 decimal Breitengrad
..... name 0..1 string Ortsname
..... type 0..1 CodeableConcept Ortstyp
Binding: IVR Location Type (extensible): IVR VS (SCT & IVR)
.... destination 0..1 BackboneElement Zielort
..... address 0..1 Address Adresse
...... street 0..1 string Strasse
...... zipCode 0..1 string PLZ
...... city 0..1 string Ort
..... position 0..1 BackboneElement Koordinaten
...... longitude 1..1 decimal Längengrad
...... latitude 1..1 decimal Breitengrad
..... name 0..1 string Ortsname
..... type 0..1 CodeableConcept Ortstyp
Binding: IVR Location Type (extensible): IVR VS (SCT & IVR)
..... gln 0..1 Identifier GLN (Global Location Number)
.... statusTime 0..* BackboneElement Statuszeit
..... time 1..1 dateTime Zeitpunkt
..... meaning 1..1 CodeableConcept Bedeutung der Statuszeit
Binding: IVR Mission Time Role (extensible): IVR VS (IVR)
.... valuablesPatient 0..* CodeableConcept Wertsachen Patient
Binding: IVR Valuables Type (extensible): IVR VS (SCT & IVR)
.... emergencyDoctorSystem 0..1 CodeableConcept Notarzt/Notärtzin System
Binding: IVR Emergency Doctor System (extensible): IVR VS (SCT & IVR)
.... violence 0..1 BackboneElement Gewalt gegen Rettungskräfte
..... offender 0..* CodeableConcept Tatperson
Binding: IVR Offender (extensible): IVR VS (SCT & IVR)
..... form 0..* CodeableConcept Form der Gewalt
Binding: IVR Violence Form (extensible): IVR VS (SCT & IVR)
..... result 0..* CodeableConcept Folgen der Gewalt
Binding: IVR Violence Result (extensible): IVR VS (SCT & IVR)
.... precautionsInfection 0..* CodeableConcept Vorsichtsmassnahme für das Personal bei infektiösen Einsätzen/Transporten
Binding: IVR Infection Transport Precaution Personnel (extensible): IVR VS (SCT & IVR)
.... transportation 0..1 BackboneElement Transport
..... bedding 0..1 CodeableConcept Lagerung
Binding: IVR Transport Bedding (extensible): IVR VS (SCT & IVR)
..... recoveryAid 0..* CodeableConcept Bergungshilfsmittel
Binding: IVR Recovery Aid (extensible): IVR VS (SCT & IVR)
.... ambulance 0..* BackboneElement Ambulanz
..... type 0..1 CodeableConcept Typ
Binding: IVR Ambulance Type (extensible): IVR VS (SCT)
..... disinfection 0..1 CodeableConcept Desinfektion
Binding: IVR Transport Unit Disinfection (extensible): IVR VS (SCT & IVR)
.... device 0..* BackboneElement Hilfsmittel
..... name 1..1 string Benennung
..... owner 0..1 CodeableConcept Eigentümer/Eigentümerin
Binding: IVR Owner (extensible): IVR VS (SCT & IVR)
... patient 1..1 BackboneElement Patient
.... name 0..1 HumanName Name
..... firstName 0..1 string Vorname
..... lastName 0..1 string Nachname
.... placeOfOrigin 0..1 string Bürgerort
.... citizenship 0..1 string Nationalität
.... birthDate 0..1 date Geburtsdatum
.... gender 0..1 code Administratives Geschlecht
Binding: AdministrativeGender (required): HL7 VS with obligatory values
.... insurance 0..1 string Krankenkasse
.... insuranceCardNumber 0..1 Identifier VeKa-Nummer (Versichertenkartennummer)
.... oasiNumber 0..1 Identifier AHV-Nummer
.... plsId 0..1 Identifier PLS-ID (Patientenleitsystem)
.... identification 0..1 BackboneElement Identifikation des Patienten
..... medium 0..1 CodeableConcept Identifikationsmedium
Binding: IVR Identification Medium (extensible): IVR VS (IVR)
..... source 0..1 CodeableConcept Identifikationsquelle
Binding: IVR Identification Source (extensible): IVR VS (SCT & IVR)
.... address 0..1 Address Adresse
..... street 0..1 string Strasse
..... zipCode 0..1 string PLZ
..... city 0..1 string Ort
... administrative 0..1 BackboneElement Administrativ
.... involvedParticipant 0..* BackboneElement Beteiligte Person
..... role 0..* CodeableConcept Rolle
Binding: IVR Person Role (extensible): IVR VS (SCT & IVR)
..... name 0..1 HumanName Name
...... firstName 0..1 string Vorname
...... lastName 0..1 string Nachname
.... type 0..1 CodeableConcept Behandlungart
Binding: IVR Pretreatment Type (extensible): IVR VS (SCT)
.... performer 0..1 CodeableConcept Vorbehandelnde Person
Binding: IVR Pretreatment (extensible): IVR VS (SCT & IVR)
... anamnesis 0..1 BackboneElement Anamnese
.... event 0..1 BackboneElement Ereignis
..... code 0..1 CodeableConcept Ereignis codiert
Binding: IVR Event (extensible): IVR VS (SCT & IVR)
..... freeText 0..1 string Ereignis Freitext
.... symptom 0..* BackboneElement Symptom
..... code 0..1 CodeableConcept Symptom codiert
Binding: IVR Symptom (extensible): IVR VS (SCT & IVR)
..... freeText 0..1 string Symptome Freitext
.... allergyIntolerance 0..* BackboneElement Allergie / Unverträglichkeit
..... type 0..1 code Differenzierung Allergie / Unverträglichkeit (falls bekannt)
Binding: AllergyIntoleranceType (required): HL7 VS with obligatory values
..... code 0..1 CodeableConcept Allergy / Unverträglichkeit codiert
Binding: CH AllergyIntolerance (extensible): HL7.ch VS (SCT)
.... medicationStatement 0..* BackboneElement Bestehende Medikation
..... medication 1..1 BackboneElement Medikament
...... product 0..1 CodeableConcept Präparat
....... gtin 0..1 Coding GTIN (Global Trade Item Number (GS1)) für Schweizer Produkte
....... atc 0..1 Coding ATC (Anatomical Therapeutic Chemical Classification) für ausländische Produkte
....... freeText 0..1 string Präparatenname
...... ingredient 0..* CodeableConcept Wirkstoff
Binding: ActivePharmaceuticalIngredient (preferred): HL7.ch VS (SCT)
..... dosePerUnit 0..1 Quantity Dosis pro Einheit
..... dosage 0..1 BackboneElement Dosierung
...... scheme 0..1 string 1-1-1-1 Schema
...... freeText 0..1 string Freitext Instruktion
..... asNeeded 0..1 boolean Reservemedikation
..... reason 0..1 string Behandlungsgrund
... findings 0..1 BackboneElement Befund
.... time 0..1 dateTime Zeitpunkt
.... airway 0..1 BackboneElement A: Atemwege
..... respiratoryStatus 0..1 CodeableConcept Zustand der Atemwege
Binding: IVR Findings Airway (extensible): IVR VS (SCT)
.... breathing 0..1 BackboneElement B: Atmung
..... respiratoryFunction 0..1 CodeableConcept Zustand der Atmung
Binding: IVR Respiration Observation (extensible): IVR VS (SCT & IVR)
.... circulation 0..1 BackboneElement C: Kreislauf
..... cardiacArrest 0..1 boolean Herz-Kreislauf Stillstand
..... heartRate 0..1 BackboneElement Herzfrequenz
...... rate 0..1 Quantity Anzahl Herzschläge pro Minute
...... arrhythmia 0..1 CodeableConcept Arrhythmie
Binding: IVR Pulse Result (extensible): IVR VS (SCT)
...... intensity 0..1 CodeableConcept Intensität
Binding: IVR Intensity (extensible): IVR VS (SCT & IVR)
...... measurementMethod 0..1 CodeableConcept Messmethode
Binding: IVR Pulse Method (extensible): IVR VS (SCT & IVR)
..... bloodPressure 0..1 BackboneElement Blutdruck
...... systolic 0..1 Quantity Systolischer Blutdruck
...... diastolic 0..1 Quantity Diastolischer Blutdruck
...... measurementMethod 0..1 CodeableConcept Messmethode
Binding: IVR Blood Pressure Method (extensible): IVR VS (SCT)
....... bodySite 0..1 CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): HL7 VS (SCT)
.... disability 0..1 BackboneElement D: Defizit, neurologisches
..... gcs 0..1 BackboneElement Glasgow Coma Scale (GCS)
...... total 0..1 integer Gesamtscore
...... eyeOpening 0..1 BackboneElement Augenöffnung
....... score 0..1 integer Score
....... description 0..1 CodeableConcept Beschreibung
Binding: IVR GCS Eye Opening (extensible): IVR VS (SCT & IVR)
...... verbalResponse 0..1 BackboneElement verbale Kommunikation
....... score 0..1 integer Score
....... description 0..1 CodeableConcept Beschreibung
Binding: IVR GCS Verbal Response (extensible): IVR VS (SCT & IVR)
...... motorResponse 0..1 BackboneElement motorische Reaktion
....... score 0..1 integer Score
....... description 0..1 CodeableConcept Beschreibung
Binding: IVR GCS Motoric Response (extensible): IVR VS (SCT & IVR)
..... levelOfResponsiveness 0..1 CodeableConcept Bewusstseinslage nach AVPU-Schema
Binding: IVR Vigilanz (AVPU) (extensible): IVR VS (IVR)
..... pupilShape 0..1 CodeableConcept Pupillenform
Binding: IVR Eye Form (extensible): IVR VS (SCT)
..... pupilSize 0..1 CodeableConcept Pupillenform
Binding: IVR Size (extensible): IVR VS (SCT)
..... fast 0..1 BackboneElement Verletzungsgrad mittels FAST-Test
...... face 1..1 CodeableConcept F: Gesichtslähmung
Binding: IVR Yes/No/Unknown (extensible): IVR VS (SCT)
....... laterality 0..1 CodeableConcept Betroffene Seite
Binding: IVR Laterality (extensible): IVR VS (SCT)
...... arm 1..1 CodeableConcept A: Armschwäche
Binding: IVR Yes/No/Unknown (extensible): IVR VS (SCT)
....... laterality 0..1 CodeableConcept Betroffene Seite
Binding: IVR Laterality (extensible): IVR VS (SCT)
...... speech 1..1 CodeableConcept S: Sprachschwierigkeiten
Binding: IVR Yes/No/Unknown (extensible): IVR VS (SCT)
...... time 1..1 dateTime T: Zeit
.... exposure 0..1 BackboneElement E: Exposition
..... heat 0..1 CodeableConcept Hitzeexposition
Binding: IVR Heat Exposure (extensible): IVR VS (SCT)
..... cold 0..1 CodeableConcept Kälteexposition
Binding: IVR Cold Exposure (extensible): IVR VS (SCT)
... diagnosis 0..* BackboneElement Diagnose
.... type 1..1 CodeableConcept Diagnosetyp
Binding: IVR Diagnosis Type (extensible): IVR VS (SCT)
.... author 0..1 BackboneElement Diagnosesteller
..... name 0..1 HumanName Name
...... firstName 0..1 string Vorname
...... lastName 0..1 string Nachname
..... gln 0..1 Identifier GLN (Global Location Number)
..... formation 0..* CodeableConcept Ausbildung
Binding: IVR Formation (extensible): see EmsProtocol.mission.respondingOrganisation.team.member.formation
.... icd10 0..1 CodeableConcept ICD-10-Code
... procedures 0..1 BackboneElement Massnahmen
.... medicationAdministration 0..* BackboneElement Verabreichung von Medikamenten
..... medication 1..1 BackboneElement Medikament
...... product 0..1 CodeableConcept Präparat
....... gtin 0..1 Coding GTIN (Global Trade Item Number (GS1)) für Schweizer Produkte
....... atc 0..1 Coding ATC (Anatomical Therapeutic Chemical Classification) für ausländische Produkte
....... freeText 0..1 string Präparatenname
...... ingredient 0..* CodeableConcept Wirkstoff
Binding: ActivePharmaceuticalIngredient (preferred): HL7.ch VS (SCT)
...... galenicForm 0..1 CodeableConcept Galenische Form
Binding: EDQM - Pharmaceutical Dose Form (preferred): HL7.ch VS (EDQM)
...... packageSize 0..1 CodeableConcept Packungsgrösse
Binding: EDQM - Pharmaceutical Dose Form (preferred): HL7.ch VS (EDQM)
..... dose 0..1 Quantity Dosis
..... timing 1..1 BackboneElement Zeitangabe zur Verabreichung
...... time 0..1 dateTime Verabreichungszeitpunkt
...... period 0..1 Period Verabreichungszeitraum
..... routeOfAdministration 0..1 CodeableConcept Verabreichungsweg
Binding: EDQM - RouteOfAdministration (preferred): HL7.ch VS (EDQM)
..... methodOfAdministration 0..1 CodeableConcept Verabreichungsmethode
Binding: EDQM - Administration Method (preferred)
..... reason 0..1 string Behandlungsgrund
.... woundTreatment 0..* CodeableConcept Wundbehandlung
Binding: IVR Wound Treatment (extensible): IVR VS (SCT)
.... airway 0..1 BackboneElement A: Atemwege
..... intervention 0..* CodeableConcept Atemwegsintervention
Binding: IVR Procedure Airway Type (extensible): IVR VS (SCT)
.... breathing 0..1 BackboneElement B: Atmung
..... intervention 0..* CodeableConcept Beatmung
Binding: IVR Ventilation (extensible): IVR VS (SCT & IVR)
.... circulation 0..1 BackboneElement C: Kreislauf
..... intervention 0..* CodeableConcept Intervention bei Kreislaufproblematik
.... disability 0..1 BackboneElement D: Defizit, neurologisches
..... intervention 0..* CodeableConcept Intervention bei neurologischer Beeinträchtigung
.... exposure 0..1 BackboneElement E: Exposition
..... intervention 0..* CodeableConcept Intervention bei Exposition
... eventOfDeath 0..1 BackboneElement Todesfall
.... deathManner 0..1 CodeableConcept Todesart
Binding: IVR Death Manner (extensible): IVR VS (SCT)
... transport 0..1 string Transport
... handover 0..1 BackboneElement Übergabe
.... priority 0..1 CodeableConcept Priorität
Binding: IVR Hospital Priority (extensible): IVR VS (SCT)
.... conditionChange 0..1 CodeableConcept Zustandsveränderung
Binding: IVR Result (extensible): IVR VS (SCT)
.... injurySeverity 0..1 CodeableConcept Verletzungsschwere gemäss NACA-Score
Binding: IVR NACA (extensible): IVR VS (IVR)
.... gcs 0..1 BackboneElement Glasgow Coma Scale (GCS)
..... total 0..1 integer Gesamtscore
..... eyeOpening 0..1 BackboneElement Augenöffnung
...... score 0..1 integer Score
...... description 0..1 CodeableConcept Beschreibung
Binding: IVR GCS Eye Opening (extensible): IVR VS (SCT & IVR)
..... verbalResponse 0..1 BackboneElement verbale Kommunikation
...... score 0..1 integer Score
...... description 0..1 CodeableConcept Beschreibung
Binding: IVR GCS Verbal Response (extensible): IVR VS (SCT & IVR)
..... motorResponse 0..1 BackboneElement motorische Reaktion
...... score 0..1 integer Score
...... description 0..1 CodeableConcept Beschreibung
Binding: IVR GCS Motoric Response (extensible): IVR VS (SCT & IVR)
.... recipient 0..1 BackboneElement Übergabe an
..... organisation 1..1 Organization Organisation (Zielort)
..... practitioner 0..* Practitioner Verantwortliche Person
... annotation 0..1 string Bemerkungen

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