FHIR IG analytics| Package | ch.fhir.ig.ch-ems |
| Resource Type | Bundle |
| Id | Bundle-2-Einsatzprotokoll.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "2-Einsatzprotokoll",
"meta": {
"lastUpdated": "2020-04-24T15:53:22.889+00:00"
},
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b"
},
"type": "document",
"timestamp": "2016-12-10T13:05:00.000+01:00",
"entry": [
{
"fullUrl": "http://test.fhir.ch/r4/Composition/2-Einsatzprotokoll-Composition",
"resource": {
"resourceType": "Composition",
"id": "2-Einsatzprotokoll-Composition",
"language": "de-CH",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b"
},
"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": "2016-12-10T13:05:00.000+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"
}
],
"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\">-</th><th id=\"operationalreadiness\">-</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"
}
]
},
{
"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"
},
{
"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/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": "http://example.com",
"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": "http://example.com",
"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-requesting",
"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-requesting"
}
}
},
{
"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/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/itemWeight",
"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/itemWeight",
"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/itemWeight",
"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/itemWeight",
"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/itemWeight",
"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/itemWeight",
"valueDecimal": 3
}
],
"system": "http://fhir.ch/ig/ch-ems/CodeSystem/IVR",
"code": "1000151",
"display": "on request"
}
],
"text": "auf Aufforderung"
}
}
]
}
}
]
}