FHIR IG analytics| Package | ch.fhir.ig.ch-ems |
| Resource Type | Bundle |
| Id | Bundle-1-Einsatzprotokoll.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "1-Einsatzprotokoll",
"meta": {
"lastUpdated": "2020-04-24T07:53:22.889+00:00"
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78"
},
"type": "document",
"timestamp": "2016-12-10T13:05:00.000+01:00",
"entry": [
{
"fullUrl": "http://test.fhir.ch/r4/Composition/1-Einsatzprotokoll-Composition",
"resource": {
"resourceType": "Composition",
"id": "1-Einsatzprotokoll-Composition",
"language": "de-CH",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:658ab5ea-1f63-11e6-b6ba-3e1d05defe78"
},
"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/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"date": "2016-12-10T13:05:00.000+01:00",
"author": [
{
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
"valueDateTime": "2016-12-10T13:13:05.000+01:00"
}
],
"reference": "Practitioner/1-SaniPetraMuster"
},
{
"reference": "PractitionerRole/1-SaniPetraMuster-PR"
},
{
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time",
"valueDateTime": "2016-12-10T13:13:05.000+01:00"
}
],
"reference": "Practitioner/1-NotarztPierreUrgentiste"
},
{
"reference": "PractitionerRole/1-NotarztPierreUrgentiste-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>SNZ (GLN 7601002156370)</td></tr><tr><td>Aufgebotene Organisation:</td><td>Rettungsdienst Schutz und Rettung Zürich (GLN 7601002156363)</td></tr><tr><td>Teammitglieder:</td><td>Petra Muster (Rettungssanitäterin), Hans Transportsanitäter (Transportsanitäter), Pierre Urgentiste (Notarzt)</td></tr><tr><td>Einsatzort:</td><td>Zürich, Waldrand (47.392115, 8.553192)</td></tr><tr><td>Zielort:</td><td>Universitätsspital Zürich, Notfall</td></tr></tbody></table><table><tbody><tr><th>Alarmierungszeit:</th><th>Dispositionszeit:</th><th>Ausrückzeit:</th><th>Ankunftszeit am Einsatzort:</th><th>Ankunftszeit beim Patienten:</th><th>Abfahrtszeit vom Einsatzort:</th><th>Ankunftszeit am Zielort:</th></tr><tr><th>12:09</th><th>12:11</th><th>12:13</th><th>12:17</th><th>12:22</th><th>12:48</th><th>12:54</th></tr></tbody></table></div>"
},
"entry": [
{
"reference": "Encounter/1-Einsatz"
},
{
"reference": "Observation/1-Alarm"
},
{
"reference": "Observation/1-Disposition"
},
{
"reference": "Observation/1-Rollout"
},
{
"reference": "Observation/1-ArrivalOnScene"
},
{
"reference": "Observation/1-ArrivalPatient"
},
{
"reference": "Observation/1-DepartureFromScene"
},
{
"reference": "Observation/1-ArrivalAtTarget"
},
{
"reference": "Procedure/1-Transport"
},
{
"reference": "Location/1-Rettungswagen"
}
]
},
{
"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\"><table><tbody><tr><th>Beteiligte Person</th></tr><tr><td>Ehefrau:</td><td>Erika Müller</td></tr></tbody></table></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\"><table><tbody><tr><th>Ereignis:</th></tr><tr><td>Hat sich beim Spazieren im Wald schlecht gefühlt und ist abgesessen.</td></tr></tbody></table><table><tbody><tr><th>Symptome:</th></tr><tr><td>Starke Schmerzen in der Brust und im linken Oberarm verspürt.</td></tr></tbody></table><h4>Allergien / Unverträglichkeiten:</h4><ul><li>Allergisch auf Baumpollen</li><li>bekannte Unverträglichkeitsreaktion auf einzelne Medikamente</li></ul><h4>Bestehende Medikation</h4><ul><li>Aspirin Cardio 100 (1 Tbl./Tag)</li></ul><h4>Medizinische Vorgeschichte:</h4><ul><li>Herzvorfall vor vier Jahren, der im Triemlispital in Zürich behandelt wurde</li></ul><h4>Weiteres:</h4><ul><li>Seit dem Frühstück um ca. 8 Uhr hat er nichts mehr gegessen</li><li>Thomas Müller hat keine Patientenverfügung erstellt</li><li>Es sind keine anderen medizinischen Probleme bekannt</li></ul></div>"
},
"entry": [
{
"reference": "Observation/1-Anamnese"
},
{
"reference": "Observation/1-Symptome"
},
{
"reference": "AllergyIntolerance/1-Baumpollen"
},
{
"reference": "AllergyIntolerance/1-Medikamente"
},
{
"reference": "MedicationStatement/1-AspirinCardio"
}
]
},
{
"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>Zeitpunkt des Befundes: 12:25</p><table><tbody><tr><th>Blutdruck:</th><th>GCS:</th><th>Weiteres:</th></tr><tr><td>120/80 mmHg, gemessen am rechten Arm</td><td>Total 15: Augenöffnung spontan (4), verbale Antwort orientiert (5), motorische Reaktion befolgt Antweisungen (6)</td><td>Schmerz: 5</td></tr></tbody></table></div>"
},
"section": [
{
"title": "Circulation",
"entry": [
{
"reference": "Observation/1-Blutdruck"
}
]
},
{
"title": "Disability",
"entry": [
{
"reference": "Observation/1-GCSBefund"
}
]
}
]
},
{
"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>Akuter transmuraler Myokardinfarkt der Vorderwand (ACS/STEMI VW)</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "Observation/1-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>Sofortige Infusion gelegt und Verabreichung einer ersten Dosis von 2 Hüben Nitrolingual-Spray um 12:30.</span></div>"
},
"entry": [
{
"reference": "MedicationAdministration/1-Infusion"
},
{
"reference": "MedicationAdministration/1-Spray"
}
]
},
{
"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\"><table><tbody><tr><th>GCS:</th><th>NACA:</th><th>Zustand:</th><th>Weiteres:</th></tr><tr><td>Total 15: Augenöffnung spontan (4), verbale Antwort orientiert (5), motorische Reaktion befolgt Antweisungen (6)</td><td>III</td><td>Zustand des Patienten hat sich im Verlaufe des Einsatzes verbessert</td><td>Schmerz: 4</td></tr></tbody></table><p>Übergabe an USZ mit Wertsachenbeutel mit Portemonnaie, Handy, Uhr, Schlüssel, Bargeld sowie Wertsachenverzeichnis.</p></div>"
},
"entry": [
{
"reference": "Observation/1-ZustandUebergabe"
},
{
"reference": "Observation/1-NACAUebergabe"
},
{
"reference": "Observation/1-GCSUebergabe"
},
{
"reference": "Practitioner/1-InformationRecipientSpitalarzt"
},
{
"reference": "Organization/1-InformationRecipientUSZ"
}
]
},
{
"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/1-Einsatz",
"resource": {
"resourceType": "Encounter",
"id": "1-Einsatz",
"extension": [
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000127",
"display": "wallet"
}
]
}
},
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Other"
}
],
"text": "Handy"
}
},
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000128",
"display": "wrist watch"
}
]
}
},
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Other"
}
],
"text": "Schlüssel"
}
},
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-valuablespatient",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Other"
}
],
"text": "Bargeld"
}
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "MN",
"display": "Mission number"
}
],
"text": "Einsatznummer"
},
"system": "http://example.com",
"value": "S12345678"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "emergency"
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"basedOn": [
{
"reference": "ServiceRequest/1-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"
}
},
{
"extension": [
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309343006",
"display": "Physician (occupation)"
}
],
"text": "Ärztin / Arzt"
}
}
],
"individual": {
"reference": "Practitioner/1-TeamMemberPierreUrgentiste"
}
}
],
"period": {
"start": "2016-12-10"
},
"hospitalization": {
"destination": {
"reference": "Location/1-Zielort"
}
},
"location": [
{
"location": {
"reference": "Location/1-Einsatzort"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Patient/1-ThomasMueller",
"resource": {
"resourceType": "Patient",
"id": "1-ThomasMueller",
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient-ech-11-placeoforigin",
"valueAddress": {
"city": "Musterdorf",
"state": "ZH"
}
}
],
"identifier": [
{
"system": "urn:oid:2.16.756.5.32",
"value": "7562295883070"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "http://example.com",
"value": "762354"
}
],
"name": [
{
"use": "official",
"family": "Müller",
"_family": {
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name",
"valueCode": "officialName"
}
]
},
"given": [
"Thomas"
],
"_given": [
{
"extension": [
{
"url": "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname",
"valueCode": "officialFirstName"
}
]
}
]
}
],
"gender": "male",
"birthDate": "1961-10-01",
"address": [
{
"use": "home",
"line": [
"Bahnhofstrasse"
],
"_line": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString": "1"
}
]
}
],
"city": "Zürich",
"postalCode": "8003",
"country": "Schweiz",
"_country": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
"valueCoding": {
"system": "urn:iso:std:iso:3166",
"code": "CH"
}
}
]
}
}
],
"contact": [
{
"extension": [
{
"url": "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-personrole",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Other (qualifier value)"
}
],
"text": "Ehefrau"
}
}
],
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "thirdParty"
}
]
}
],
"name": {
"family": "Müller",
"given": [
"Erika"
]
}
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Coverage/1-CoverageThomasMueller",
"resource": {
"resourceType": "Coverage",
"id": "1-CoverageThomasMueller",
"contained": [
{
"resourceType": "Organization",
"id": "kpt",
"name": "KPT"
}
],
"identifier": [
{
"system": "urn:oid:2.16.756.5.30.1.123.100.1.1.1",
"value": "80756003760012390001"
}
],
"status": "active",
"beneficiary": {
"reference": "Patient/1-ThomasMueller"
},
"payor": [
{
"reference": "#kpt"
}
]
}
},
{
"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-NotarztPierreUrgentiste",
"resource": {
"resourceType": "Practitioner",
"id": "1-NotarztPierreUrgentiste",
"identifier": [
{
"system": "urn:oid:2.51.1.3",
"value": "7601000028105"
}
],
"name": [
{
"family": "Urgentiste",
"given": [
"Pierre"
]
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309294001",
"display": "Emergency department physician (occupation)"
}
],
"text": "Notarzt/Notärztin SGNOR"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/PractitionerRole/1-NotarztPierreUrgentiste-PR",
"resource": {
"resourceType": "PractitionerRole",
"id": "1-NotarztPierreUrgentiste-PR",
"practitioner": {
"reference": "Practitioner/1-NotarztPierreUrgentiste"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309343006",
"display": "Physician (occupation)"
}
],
"text": "Ärztin / Arzt"
}
]
}
},
{
"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/Practitioner/1-TeamMemberPierreUrgentiste",
"resource": {
"resourceType": "Practitioner",
"id": "1-TeamMemberPierreUrgentiste",
"identifier": [
{
"system": "urn:oid:2.51.1.3",
"value": "7601000028105",
"assigner": {
"reference": "Organization/1-TeamRettungsdienst"
}
}
],
"name": [
{
"family": "Urgentiste",
"given": [
"Pierre"
]
}
],
"qualification": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309294001",
"display": "Emergency department physician (occupation)"
}
],
"text": "Notarzt/Notärztin SGNOR"
}
}
]
}
},
{
"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/1-AufbietendeOrganisation",
"resource": {
"resourceType": "ServiceRequest",
"id": "1-AufbietendeOrganisation",
"contained": [
{
"resourceType": "Organization",
"id": "1-requesting",
"identifier": [
{
"system": "urn:oid:2.51.1.3",
"value": "7601002156370"
}
],
"name": "SNZ"
}
],
"status": "completed",
"intent": "order",
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"requester": {
"reference": "#1-requesting"
},
"insurance": [
{
"reference": "Coverage/1-CoverageThomasMueller"
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Location/1-Einsatzort",
"resource": {
"resourceType": "Location",
"id": "1-Einsatzort",
"name": "Waldrand",
"address": {
"city": "Zürich",
"postalCode": "8044",
"country": "CH"
},
"physicalType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "257710009",
"display": "Street (environment)"
}
],
"text": "Strasse / öffentlicher Raum"
},
"position": {
"longitude": 8.553192,
"latitude": 47.392115
}
}
},
{
"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/1-Alarm",
"resource": {
"resourceType": "Observation",
"id": "1-Alarm",
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000033",
"display": "alarm"
}
],
"text": "Alarmierungszeit"
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:09:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-Disposition",
"resource": {
"resourceType": "Observation",
"id": "1-Disposition",
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000034",
"display": "disposition"
}
],
"text": "Dispositionszeit"
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:11:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-Rollout",
"resource": {
"resourceType": "Observation",
"id": "1-Rollout",
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000035",
"display": "rollout"
}
],
"text": "Ausrückzeit"
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:13:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-ArrivalOnScene",
"resource": {
"resourceType": "Observation",
"id": "1-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/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:17:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-ArrivalPatient",
"resource": {
"resourceType": "Observation",
"id": "1-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/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:22:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-DepartureFromScene",
"resource": {
"resourceType": "Observation",
"id": "1-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/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:48:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-ArrivalAtTarget",
"resource": {
"resourceType": "Observation",
"id": "1-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/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueDateTime": "2016-12-10T12:54:00.000+01:00"
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-Anamnese",
"resource": {
"resourceType": "Observation",
"id": "1-Anamnese",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "272379006",
"display": "Event (event)"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "261665006",
"display": "Unknown"
}
],
"text": "Hat sich beim Spazieren im Wald schlecht gefühlt und ist abgesessen."
}
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-Symptome",
"resource": {
"resourceType": "Observation",
"id": "1-Symptome",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "404684003",
"display": "Clinical finding (finding)"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueCodeableConcept": {
"text": "Starke Schmerzen in der Brust und im linken Oberarm verspürt."
}
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-GCSBefund",
"resource": {
"resourceType": "Observation",
"id": "1-GCSBefund",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"effectiveDateTime": "2016-12-10T12:25:00.000+01:00",
"valueQuantity": {
"value": 15,
"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/itemWeight",
"valueDecimal": 6
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000157",
"display": "take orders"
}
],
"text": "befolgt Aufforderungen"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9270-0",
"display": "Glasgow coma score verbal"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000161",
"display": "conversational, oriented"
}
],
"text": "konversationsfähig, orientiert"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9267-6",
"display": "Glasgow coma score eye opening"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000152",
"display": "spontaneous"
}
],
"text": "spontan"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-Diagnose",
"resource": {
"resourceType": "Observation",
"id": "1-Diagnose",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "2931005",
"display": "Probable diagnosis (contextual qualifier) (qualifier value)"
}
],
"text": "Verdachtsdiagnose"
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"effectiveDateTime": "2016-12-10T12:25:00.000+01:00",
"performer": [
{
"reference": "Practitioner/1-NotarztPierreUrgentiste"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
"code": "I21.0",
"display": "ST elevation (STEMI) myocardial infarction of anterior wall"
}
]
}
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-ZustandUebergabe",
"resource": {
"resourceType": "Observation",
"id": "1-ZustandUebergabe",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "75527-2",
"display": "Vital status at discharge"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385425000",
"display": "Improved (qualifier value)"
}
],
"text": "verbessert"
}
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-NACAUebergabe",
"resource": {
"resourceType": "Observation",
"id": "1-NACAUebergabe",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "88076-5",
"display": "Injury severity score NACA"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-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/1-GCSUebergabe",
"resource": {
"resourceType": "Observation",
"id": "1-GCSUebergabe",
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9269-2",
"display": "Glasgow coma score total"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"effectiveDateTime": "2016-12-10T13:03:00.000+01:00",
"valueQuantity": {
"value": 15,
"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/itemWeight",
"valueDecimal": 6
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000157",
"display": "take orders"
}
],
"text": "befolgt Aufforderungen"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9270-0",
"display": "Glasgow coma score verbal"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000161",
"display": "conversational, oriented"
}
],
"text": "konversationsfähig, orientiert"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "9267-6",
"display": "Glasgow coma score eye opening"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000152",
"display": "spontaneous"
}
],
"text": "spontan"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Location/1-Rettungswagen",
"resource": {
"resourceType": "Location",
"id": "1-Rettungswagen",
"name": "Rettungswagen (Z-220)",
"physicalType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "83887000",
"display": "Rescue vehicle"
}
],
"text": "Rettungswagen"
}
}
},
{
"fullUrl": "http://test.fhir.ch/r4/Observation/1-Blutdruck",
"resource": {
"resourceType": "Observation",
"id": "1-Blutdruck",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
]
},
"subject": {
"reference": "Patient/1-ThomasMueller"
},
"encounter": {
"reference": "Encounter/1-Einsatz"
},
"effectiveDateTime": "2016-12-10T12:25:00.000+01:00",
"bodySite": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "368209003",
"display": "Right upper arm structure (body structure)"
}
],
"text": "rechter Arm"
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "22762002",
"display": "Non-invasive (qualifier value)"
}
],
"text": "nicht invasiv"
},
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 120,
"unit": "millimeter of mercury",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 80,
"unit": "millimeter of mercury",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
}
},
{
"fullUrl": "http://test.fhir.ch/r4/MedicationAdministration/1-Infusion",
"resource": {
"resourceType": "MedicationAdministration",
"id": "1-Infusion",
"contained": [
{
"resourceType": "Medication",
"id": "1-Fentanyl",
"code": {
"coding": [
{
"system": "urn:oid:2.51.1.1",
"code": "7680539870027",
"display": "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
}
],
"text": "FENTANYL Sintetica Inj Lös 0.5 mg/10ml"
},
"form": {
"coding": [
{
"system": "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code": "11201000",
"display": "Solution for injection"
}
],
"text": "Injektionslösung"
},
"amount": {
"numerator": {
"value": 10,
"unit": "Ampule (unit of presentation)",
"system": "http://snomed.info/sct",
"code": "732978007"
},
"denominator": {
"value": 1,
"unit": "Package - unit of product usage (qualifier value)",
"system": "http://snomed.info/sct",
"code": "1681000175101"
}
},
"ingredient": [
{
"itemCodeableConcept": {
"coding": [
{
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