Swissnoso Implementation Guide (R4)
1.0.0 - STU 1
Swissnoso Implementation Guide (R4)
1.0.0 - STU 1
This page is part of the Swissnoso Implementation Guide (R4) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "MessageUC102938"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-message-cauti-surveillance";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-message-cauti-surveillance> ]
];
fhir:Bundle.type [ fhir:value "message"];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/MessageHeader/MessageHeaderUC102938" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/MessageHeader/MessageHeaderUC102938>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Procedure/InsertCatheter-20210712-102938210710" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/Procedure/InsertCatheter-20210712-102938210710>
], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Procedure/RemoveCatheter-20210716-102938210710" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/Procedure/RemoveCatheter-20210716-102938210710>
], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Patient/JeanLucRichard" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/Patient/JeanLucRichard>
], [
fhir:index 4;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Encounter/Encounter-102938210710" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/Encounter/Encounter-102938210710>
], [
fhir:index 5;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Organization/HopitalBellevue" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/Organization/HopitalBellevue>
], [
fhir:index 6;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.ch/fhir/Location/UniteHospitaliereBellevue" ];
fhir:Bundle.entry.resource <http://example.ch/fhir/Location/UniteHospitaliereBellevue>
].
<http://example.ch/fhir/MessageHeader/MessageHeaderUC102938> a fhir:MessageHeader;
fhir:Resource.id [ fhir:value "MessageHeaderUC102938"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-messageheader-cauti-surveillance";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-messageheader-cauti-surveillance> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"MessageHeaderUC102938\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-messageheader-cauti-surveillance.html\">Swissnoso MessageHeader CAUTI Surveillance</a></p></div><p><b>event</b>: <a href=\"http://fhir.ch/ig/swissnoso/cauti-surveillance\">http://fhir.ch/ig/swissnoso/cauti-surveillance</a></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Endpoint</b></td></tr><tr><td>*</td><td><a href=\"http://example.ch/fhir\">http://example.ch/fhir</a></td></tr></table><p><b>focus</b>: </p><ul><li><a href=\"#Procedure_InsertCatheter-20210712-102938210710\">See above (Procedure/InsertCatheter-20210712-102938210710)</a></li><li><a href=\"#Procedure_RemoveCatheter-20210716-102938210710\">See above (Procedure/RemoveCatheter-20210716-102938210710)</a></li></ul></div>"
];
fhir:MessageHeader.eventUri [ fhir:value "http://fhir.ch/ig/swissnoso/cauti-surveillance"];
fhir:MessageHeader.source [
fhir:MessageHeader.source.endpoint [ fhir:value "http://example.ch/fhir" ]
];
fhir:MessageHeader.focus [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Procedure/InsertCatheter-20210712-102938210710" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Procedure/RemoveCatheter-20210716-102938210710" ]
].
<http://example.ch/fhir/Procedure/InsertCatheter-20210712-102938210710> a fhir:Procedure;
fhir:Resource.id [ fhir:value "InsertCatheter-20210712-102938210710"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-insert-catheter";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-insert-catheter> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"InsertCatheter-20210712-102938210710\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-procedure-insert-catheter.html\">Swissnoso Procedure Insert Catheter</a></p></div><p><b>Swissnoso Sequence Number</b>: 1</p><p><b>Swissnoso Transurethral Procedure</b>: false</p><p><b>status</b>: completed</p><p><b>code</b>: Catheterization of urinary bladder (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#410024004)</span></p><p><b>subject</b>: <a href=\"#Patient_JeanLucRichard\">See above (Patient/JeanLucRichard)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-102938210710\">See above (Encounter/Encounter-102938210710)</a></p><p><b>performed</b>: 2021-07-12</p><p><b>location</b>: <a href=\"#Location_UniteHospitaliereBellevue\">See above (Location/UniteHospitaliereBellevue)</a></p><p><b>reasonCode</b>: Rétention urinaire <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-indication.html\">Swissnoso Indication</a>#1)</span></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number" ];
fhir:Extension.valuePositiveInt [ fhir:value "1"^^xsd:positiveInteger ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-transurethral-procedure" ];
fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:410024004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "410024004" ];
fhir:Coding.display [ fhir:value "Catheterization of urinary bladder (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/JeanLucRichard" ]
];
fhir:Procedure.encounter [
fhir:Reference.reference [ fhir:value "Encounter/Encounter-102938210710" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2021-07-12"^^xsd:date];
fhir:Procedure.location [
fhir:Reference.reference [ fhir:value "Location/UniteHospitaliereBellevue" ]
];
fhir:Procedure.reasonCode [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-indication" ];
fhir:Coding.code [ fhir:value "1" ];
fhir:Coding.display [ fhir:value "Rétention urinaire" ] ]
].
<http://example.ch/fhir/Procedure/RemoveCatheter-20210716-102938210710> a fhir:Procedure;
fhir:Resource.id [ fhir:value "RemoveCatheter-20210716-102938210710"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-remove-catheter";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-remove-catheter> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"RemoveCatheter-20210716-102938210710\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-procedure-remove-catheter.html\">Swissnoso Procedure Remove Catheter</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Removal of urinary bladder catheter (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#43748006)</span></p><p><b>subject</b>: <a href=\"#Patient_JeanLucRichard\">See above (Patient/JeanLucRichard)</a></p><p><b>encounter</b>: <a href=\"#Encounter_Encounter-102938210710\">See above (Encounter/Encounter-102938210710)</a></p><p><b>performed</b>: 2021-07-16</p><p><b>reasonReference</b>: <a href=\"#Procedure_InsertCatheter-20210712-102938210710\">See above (Procedure/InsertCatheter-20210712-102938210710)</a></p></div>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:43748006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "43748006" ];
fhir:Coding.display [ fhir:value "Removal of urinary bladder catheter (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/JeanLucRichard" ]
];
fhir:Procedure.encounter [
fhir:Reference.reference [ fhir:value "Encounter/Encounter-102938210710" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2021-07-16"^^xsd:date];
fhir:Procedure.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Procedure/InsertCatheter-20210712-102938210710" ]
].
<http://example.ch/fhir/Patient/JeanLucRichard> a fhir:Patient;
fhir:Resource.id [ fhir:value "JeanLucRichard"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-patient";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-patient> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"JeanLucRichard\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-patient.html\">Swissnoso Patient</a></p></div><p><b>identifier</b>: Medical record number: 102938</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1945</p></div>"
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "MR" ] ] ];
fhir:Identifier.system [ fhir:value "http://fhir.bellevue.ch/pid" ];
fhir:Identifier.value [ fhir:value "102938" ]
];
fhir:Patient.gender [ fhir:value "male"];
fhir:Patient.birthDate [ fhir:value "1945"^^xsd:gYear].
<http://example.ch/fhir/Encounter/Encounter-102938210710> a fhir:Encounter;
fhir:Resource.id [ fhir:value "Encounter-102938210710"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-encounter> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"Encounter-102938210710\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-encounter.html\">Swissnoso Encounter</a></p></div><blockquote><p><b>Swissnoso Organizational Unit</b></p><p><b>value</b>: Chirurgie (Details: http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-ward-specialty code SUR = 'Surgery', stated as 'Chirurgie')</p><p><b>value</b>: Chirurgie du tractus digestif (Details: http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-patient-consultant-specialty code SURDIG = 'Digestive tract surgery', stated as 'Chirurgie du tractus digestif')</p></blockquote><p><b>Swissnoso Admission Date Monitored Unit</b>: 2021-07-12</p><p><b>Swissnoso Discharge Date Monitored Unit</b>: 2021-07-21</p><p><b>identifier</b>: Visit number: 102938210710</p><p><b>status</b>: finished</p><p><b>class</b>: inpatient encounter (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code IMP = 'inpatient encounter', stated as 'inpatient encounter')</p><p><b>subject</b>: <a href=\"#Patient_JeanLucRichard\">See above (Patient/JeanLucRichard)</a></p><p><b>period</b>: 2021-07-10 --> 2021-07-21</p><p><b>serviceProvider</b>: <a href=\"#Organization_HopitalBellevue\">See above (Organization/HopitalBellevue)</a></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "unit" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-ward-specialty" ];
fhir:Coding.code [ fhir:value "SUR" ];
fhir:Coding.display [ fhir:value "Chirurgie" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "specialty" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/ecdc-patient-consultant-specialty" ];
fhir:Coding.code [ fhir:value "SURDIG" ];
fhir:Coding.display [ fhir:value "Chirurgie du tractus digestif" ] ] ];
fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organizational-unit" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-admission-date-monitored-unit" ];
fhir:Extension.valueDateTime [ fhir:value "2021-07-12"^^xsd:date ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-discharge-date-monitored-unit" ];
fhir:Extension.valueDateTime [ fhir:value "2021-07-21"^^xsd:date ]
];
fhir:Encounter.identifier [
fhir:index 0;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "VN" ] ] ];
fhir:Identifier.system [ fhir:value "http://fhir.bellevue.ch/fid" ];
fhir:Identifier.value [ fhir:value "102938210710" ]
];
fhir:Encounter.status [ fhir:value "finished"];
fhir:Encounter.class [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "IMP" ];
fhir:Coding.display [ fhir:value "inpatient encounter" ]
];
fhir:Encounter.subject [
fhir:Reference.reference [ fhir:value "Patient/JeanLucRichard" ]
];
fhir:Encounter.period [
fhir:Period.start [ fhir:value "2021-07-10"^^xsd:date ];
fhir:Period.end [ fhir:value "2021-07-21"^^xsd:date ]
];
fhir:Encounter.serviceProvider [
fhir:Reference.reference [ fhir:value "Organization/HopitalBellevue" ]
].
<http://example.ch/fhir/Organization/HopitalBellevue> a fhir:Organization;
fhir:Resource.id [ fhir:value "HopitalBellevue"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organization";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-organization> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"HopitalBellevue\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-organization.html\">Swissnoso Organization</a></p></div><p><b>identifier</b>: id: 1357</p></div>"
];
fhir:Organization.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://fhir.swissnoso.ch/clinic-number" ];
fhir:Identifier.value [ fhir:value "1357" ]
].
<http://example.ch/fhir/Location/UniteHospitaliereBellevue> a fhir:Location;
fhir:Resource.id [ fhir:value "UniteHospitaliereBellevue"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-location";
fhir:index 0;
fhir:link <http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-location> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"UniteHospitaliereBellevue\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-swissnoso-location.html\">Swissnoso Location</a></p></div><p><b>name</b>: Unité hospitalière Bellevue</p><p><b>physicalType</b>: Unité hospitalière <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-swissnoso-procedure-location.html\">Swissnoso Procedure Location</a>#2)</span></p><p><b>managingOrganization</b>: <a href=\"#Organization_HopitalBellevue\">See above (Organization/HopitalBellevue)</a></p></div>"
];
fhir:Location.name [ fhir:value "Unité hospitalière Bellevue"];
fhir:Location.physicalType [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://fhir.ch/ig/swissnoso/CodeSystem/swissnoso-procedure-location" ];
fhir:Coding.code [ fhir:value "2" ];
fhir:Coding.display [ fhir:value "Unité hospitalière" ] ]
];
fhir:Location.managingOrganization [
fhir:Reference.reference [ fhir:value "Organization/HopitalBellevue" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.