CH EMS (R4)
1.9.0 - Standard for Trial Use
This page is part of the CH EMS (R4) (v1.9.0: STU) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
Source view
{ "resourceType" : "Bundle", "id" : "2-Einsatzprotokoll", "meta" : { "lastUpdated" : "2020-04-24T15:53:22.889+00:00", "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-document" ] }, "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b" }, "type" : "document", "timestamp" : "2016-12-10T12:05:00.000+01:00", "entry" : [ { "fullUrl" : "http://test.fhir.ch/r4/Composition/2-Einsatzprotokoll", "resource" : { "resourceType" : "Composition", "id" : "2-Einsatzprotokoll", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-composition" ] }, "language" : "de-CH", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Einsatzprotokoll</p><p><b>meta</b>: </p><p><b>language</b>: de-CH</p><p><b>identifier</b>: id: urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://loinc.org 67796-3}, {http://snomed.info/sct 371535009}\">EMS Patient Care Report</span></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>date</b>: Dec 10, 2016, 12:05:00 PM</p><p><b>author</b>: </p><ul><li><a href=\"#Practitioner_1-SaniPetraMuster\">See above (Practitioner/1-SaniPetraMuster)</a></li><li><a href=\"#PractitionerRole_1-SaniPetraMuster\">See above (PractitionerRole/1-SaniPetraMuster)</a></li></ul><p><b>title</b>: Einsatzprotokoll Rettungsdienst</p><p><b>confidentiality</b>: N</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>Dec 10, 2016, 12:13:05 PM</td><td><a href=\"#Practitioner_1-SaniPetraMuster\">See above (Practitioner/1-SaniPetraMuster)</a></td></tr></table><p><b>custodian</b>: <a href=\"#Organization_1-Rettungsdienst\">See above (Organization/1-Rettungsdienst)</a></p></div>" }, "extension" : [ { "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid", "valueIdentifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b" } }, { "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber", "valueUnsignedInt" : 1 }, { "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient", "valueReference" : { "reference" : "Practitioner/1-InformationRecipientSpezialarzt" } }, { "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient", "valueReference" : { "reference" : "Organization/1-InformationRecipientUSZ" } } ], "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" }, { "system" : "http://snomed.info/sct", "code" : "371535009", "display" : "Transfer summary report" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "date" : "2016-12-10T12:05:00.000+01:00", "author" : [ { "extension" : [ { "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time", "valueDateTime" : "2016-12-10T12:13:05.000+01:00" } ], "reference" : "Practitioner/1-SaniPetraMuster" }, { "reference" : "PractitionerRole/1-SaniPetraMuster" } ], "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" } ] } } ] }, "attester" : [ { "mode" : "legal", "time" : "2016-12-10T12:13:05.000+01:00", "party" : { "reference" : "Practitioner/1-SaniPetraMuster" } } ], "custodian" : { "reference" : "Organization/1-Rettungsdienst" }, "section" : [ { "title" : "Einsatz", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100001", "display" : "Einsatz" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tbody>\n <tr>\n <th>Einsatz</th>\n </tr>\n <tr>\n <td>Einsatzdatum</td>\n <!-- cdachems-dataelement-54 -->\n <td>10.12.2016</td>\n </tr>\n <tr>\n <td>Einsatznummer</td>\n <!-- cdachems-dataelement-54 -->\n <td>S12345678</td>\n </tr>\n <tr>\n <td>aufbietende Organisation</td>\n <td>7601002156370 (SNZ)</td>\n </tr>\n <tr>\n <td>augebotene Organisation</td>\n <td>7601002156363 (Rettungsdienst Schutz & Rettung Zürich)</td>\n </tr>\n <tr>\n <td>Team</td>\n <td>Petra Muster, GLN 7601003330434, Betreuerin \n <br/>\n Hans Beispiel, GLN 7601000028105, Betreuer \n </td>\n </tr>\n <tr>\n <td>Einsatzort</td>\n <td>wird 8050 Zürich, Sternen Oerlikon, Schaffhauserstr. 350</td>\n </tr>\n <tr>\n <td>Zielort</td>\n <td>USZ Notfall</td>\n </tr>\n </tbody>\n </table>\n <table>\n <tbody>\n <tr>\n <th>Alarm</th>\n <th>Status DP</th>\n <th>Status 1</th>\n <th>Status 2</th>\n <th>Kontakt Patient</th>\n <th>Status 3</th>\n <th>Status 4</th>\n <th>Status 5</th>\n <th>Status 6</th>\n </tr>\n <tr>\n <th id=\"alarm\">12.09</th>\n <th id=\"disposition\">12.11</th>\n <th id=\"rollout\">12.13</th>\n <th id=\"arrivalonscene\">12.17</th>\n <th id=\"arrivalpatient\">12.18</th>\n <th id=\"departurefromscene\">12.48</th>\n <th id=\"arrivalattarget\">12.54</th>\n <th id=\"departurefromtarget\"/>\n <th id=\"operationalreadiness\"/>\n </tr>\n </tbody>\n </table>\n </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" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100003", "display" : "Administrativ" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> - </span>\n </div>" } }, { "title" : "Vorbehandlung", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100004", "display" : "Vorbehandlung" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> - </span>\n </div>" } }, { "title" : "Anamnese", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100005", "display" : "Anamnese" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> - </span>\n </div>" } }, { "title" : "Befund", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100006", "display" : "Befund" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Breathing:Der Patient hat eine unauffällige Spontanatmung</p>\n <p>Cardiology: Sein Puls ist tastbar, es liegt kein Herz-Kreislaufstillstand vor; \n Frequenz 84/Minute, Blutdruck 170/90, gemessen am rechten Arm</p>\n <p>Temperatur 37.2 °C, die Augen zeigen eine deutliche Anisokorie vor</p>\n <table>\n <tbody>\n <tr>\n <th>Airways</th>\n <td id=\"airways\">Die Atemwege sind nicht verlegt</td>\n </tr>\n <tr>\n <th>GCS</th>\n <td id=\"gcs1\">Total 9 Augenöffnung bei Ansprache (3), gibt\n Einzelworte von sich (3), Dekortikationsstarre (3)\n </td>\n </tr>\n <tr>\n <th>AVPU</th>\n <td id=\"avpu\">V (=reagiert auf laute Ansprache)</td>\n </tr>\n </tbody>\n </table>\n </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" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100007", "display" : "Diagnosen" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tbody>\n <tr>\n <th>Verdachtsdiagnose</th>\n </tr>\n <tr>\n <td id=\"diagnose1\">Stroke (I63)</td>\n </tr>\n </tbody>\n </table>\n </div>" }, "entry" : [ { "reference" : "Observation/2-Diagnose" } ] }, { "title" : "Massnahmen", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100008", "display" : "Massnahmen" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> Infusion mit 500 ml Ringer. Der Patient wird liegend in den Rettungswagen verladen. </span>\n </div>" } }, { "title" : "Todesfall", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100009", "display" : "Todesfall" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> - </span>\n </div>" } }, { "title" : "Transport", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100010", "display" : "Transport" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> Fahrt mit Sondersignal ins USZ. </span>\n </div>" } }, { "title" : "Übergabe", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1100011", "display" : "Übergabe" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Schmerz 4</p>\n <table>\n <tbody>\n <tr>\n <th>GCS</th>\n </tr>\n <tr>\n <td id=\"gcs2\">Total 10 Augenöffnung bei Ansprache (3),\n\t\t\t\t\t\t\t\t\t\tKonversationsfähig aber desorientiert (4),\n\t\t\t\t\t\t\t\t\t\tDekortikationsstarre (3)</td>\n </tr>\n <tr>\n <th>NACA</th>\n </tr>\n <tr>\n <td id=\"naca\">NACA: III</td>\n </tr>\n <tr>\n <th>Zustand</th>\n </tr>\n <tr>\n <td id=\"statusdischarge\">der Zustand des Patienten hat sich im Verlauf des Einsatzes verbessert</td>\n </tr>\n </tbody>\n </table>\n <p> Übergabe an USZ Effekten sowie Wertsachenverzeichnis </p>\n </div>" }, "entry" : [ { "reference" : "Observation/2-ZustandUebergabe" }, { "reference" : "Observation/2-NACAUebergabe" }, { "reference" : "Observation/2-GCSUebergabe" } ] }, { "title" : "Kommentar", "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "48767-8", "display" : "Annotation comment" } ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span> - </span>\n </div>" } } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/Encounter/2-Einsatz", "resource" : { "resourceType" : "Encounter", "id" : "2-Einsatz", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-encounter" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Einsatz</p><p><b>meta</b>: </p><p><b>identifier</b>: id: S12345678</p><p><b>status</b>: finished</p><p><b>class</b>: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode EMER}\">emergency</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>basedOn</b>: <a href=\"#ServiceRequest_2-AufbietendeOrganisation\">See above (ServiceRequest/2-AufbietendeOrganisation)</a></p><blockquote><p><b>participant</b></p><p><b>individual</b>: <a href=\"#Practitioner_1-TeamMemberPetraMuster\">See above (Practitioner/1-TeamMemberPetraMuster)</a></p></blockquote><blockquote><p><b>participant</b></p><p><b>individual</b>: <a href=\"#Practitioner_1-TeamMemberHansBeispiel\">See above (Practitioner/1-TeamMemberHansBeispiel)</a></p></blockquote><p><b>period</b>: 2016-12-10 --> (ongoing)</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>Destination</b></td></tr><tr><td>*</td><td><a href=\"#Location_1-Zielort\">See above (Location/1-Zielort)</a></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td></tr><tr><td>*</td><td><a href=\"#Location_2-Einsatzort\">See above (Location/2-Einsatzort)</a></td></tr></table></div>" }, "identifier" : [ { "system" : "urn:oid:2.16.756.5.30.1.9999999999.1", "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" } ] } } ], "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" } ] } } ], "individual" : { "reference" : "Practitioner/1-TeamMemberHansBeispiel" } } ], "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", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-PatientUnbekannt</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number: MU43221</p><p><b>gender</b>: male</p></div>" }, "identifier" : [ { "type" : { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR" } ] }, "system" : "urn:oid:2.16.756.5.30.1.143.20", "value" : "MU43221" } ], "gender" : "male" } }, { "fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-InformationRecipientSpezialarzt", "resource" : { "resourceType" : "Practitioner", "id" : "1-InformationRecipientSpezialarzt", "meta" : { "profile" : [ "http://hl7.org/fhir/StructureDefinition/Practitioner" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-InformationRecipientSpezialarzt</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601000404268</p><p><b>name</b>: Spezialarzt Hans </p></div>" }, "identifier" : [ { "system" : "urn:oid:2.51.1.3", "value" : "7601000404268" } ], "name" : [ { "family" : "Hans", "given" : [ "Spezialarzt" ] } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/Organization/1-InformationRecipientUSZ", "resource" : { "resourceType" : "Organization", "id" : "1-InformationRecipientUSZ", "meta" : { "profile" : [ "http://hl7.org/fhir/StructureDefinition/Organization" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-InformationRecipientUSZ</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601002155939</p><p><b>name</b>: USZ</p><p><b>address</b>: Rämistrasse 100 Zürich 8091 CH </p></div>" }, "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", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-SaniPetraMuster</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601003330434</p><p><b>name</b>: Petra Muster </p></div>" }, "identifier" : [ { "system" : "urn:oid:2.51.1.3", "value" : "7601003330434" } ], "name" : [ { "family" : "Muster", "given" : [ "Petra" ] } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/1-SaniPetraMuster", "resource" : { "resourceType" : "PractitionerRole", "id" : "1-SaniPetraMuster", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitionerrole" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-SaniPetraMuster</p><p><b>meta</b>: </p><p><b>practitioner</b>: <a href=\"#Practitioner_1-SaniPetraMuster\">See above (Practitioner/1-SaniPetraMuster)</a></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 133932002}\">Caregiver</span></p></div>" }, "practitioner" : { "reference" : "Practitioner/1-SaniPetraMuster" }, "code" : [ { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "133932002", "display" : "Caregiver" } ] } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberPetraMuster", "resource" : { "resourceType" : "Practitioner", "id" : "1-TeamMemberPetraMuster", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-TeamMemberPetraMuster</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601003330434</p><p><b>name</b>: Petra Muster </p></div>" }, "identifier" : [ { "system" : "urn:oid:2.51.1.3", "value" : "7601003330434", "assigner" : { "reference" : "Organization/1-TeamRettungsdienst" } } ], "name" : [ { "family" : "Muster", "given" : [ "Petra" ] } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/Practitioner/1-TeamMemberHansBeispiel", "resource" : { "resourceType" : "Practitioner", "id" : "1-TeamMemberHansBeispiel", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-TeamMemberHansBeispiel</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601000211804</p><p><b>name</b>: Hans Beispiel </p></div>" }, "identifier" : [ { "system" : "urn:oid:2.51.1.3", "value" : "7601000211804", "assigner" : { "reference" : "Organization/1-TeamRettungsdienst" } } ], "name" : [ { "family" : "Beispiel", "given" : [ "Hans" ] } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/Organization/1-Rettungsdienst", "resource" : { "resourceType" : "Organization", "id" : "1-Rettungsdienst", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-Rettungsdienst</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601002156363</p><p><b>name</b>: Rettungsdienst Schutz und Rettung Zürich</p></div>" }, "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", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-TeamRettungsdienst</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601002156363</p><p><b>name</b>: Rettungsdienst Schutz und Rettung Zürich</p><p><b>address</b>: Bahnhofquai 3, Amtshaus I Zürich 8001 CH </p></div>" }, "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", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-servicerequest" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-AufbietendeOrganisation</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>requester</b>: <a name=\"informant\"> </a></p><blockquote><p><b>id</b>: informant</p><p><b>identifier</b>: id: 7601002156370</p><p><b>name</b>: SNZ</p></blockquote></div>" }, "contained" : [ { "resourceType" : "Organization", "id" : "informant", "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" : "#informant" } } }, { "fullUrl" : "http://test.fhir.ch/r4/Location/2-Einsatzort", "resource" : { "resourceType" : "Location", "id" : "2-Einsatzort", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Einsatzort</p><p><b>meta</b>: </p><p><b>name</b>: Sternen Oerlikon</p><p><b>address</b>: Schaffhauserstr. 350 Zürich 8050 CH </p></div>" }, "name" : "Sternen Oerlikon", "address" : { "line" : [ "Schaffhauserstr. 350" ], "city" : "Zürich", "postalCode" : "8050", "country" : "CH" } } }, { "fullUrl" : "http://test.fhir.ch/r4/Location/1-Zielort", "resource" : { "resourceType" : "Location", "id" : "1-Zielort", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 1-Zielort</p><p><b>meta</b>: </p><p><b>identifier</b>: id: 7601002155939</p><p><b>name</b>: Universitätsspital Zürich, Notfall</p><p><b>address</b>: Rämistrasse 100 Zürich 8091 Switzerland </p></div>" }, "identifier" : [ { "system" : "urn:oid:2.51.1.3", "value" : "7601002155939" } ], "name" : "Universitätsspital Zürich, Notfall", "address" : { "line" : [ "Rämistrasse 100" ], "city" : "Zürich", "postalCode" : "8091", "country" : "Switzerland" } } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-Alarm", "resource" : { "resourceType" : "Observation", "id" : "2-Alarm", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Alarm</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000033}\">alarm</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:09:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000033", "display" : "alarm" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:09:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-Disposition", "resource" : { "resourceType" : "Observation", "id" : "2-Disposition", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Disposition</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000034}\">disposition</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:11:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000034", "display" : "disposition" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:11:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-Rollout", "resource" : { "resourceType" : "Observation", "id" : "2-Rollout", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Rollout</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000035}\">rollout</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:13:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000035", "display" : "rollout" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:13:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-ArrivalOnScene", "resource" : { "resourceType" : "Observation", "id" : "2-ArrivalOnScene", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-ArrivalOnScene</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000036}\">arrival on scene</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:17:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000036", "display" : "arrival on scene" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:17:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-ArrivalPatient", "resource" : { "resourceType" : "Observation", "id" : "2-ArrivalPatient", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-ArrivalPatient</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000037}\">arrival patient</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:18:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000037", "display" : "arrival patient" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:18:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-DepartureFromScene", "resource" : { "resourceType" : "Observation", "id" : "2-DepartureFromScene", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-DepartureFromScene</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000038}\">departure from scene</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:48:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000038", "display" : "departure from scene" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:48:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-ArrivalAtTarget", "resource" : { "resourceType" : "Observation", "id" : "2-ArrivalAtTarget", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-ArrivalAtTarget</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 1000039}\">arrival at target</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: Dec 10, 2016, 11:54:00 AM</p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "1000039", "display" : "arrival at target" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "valueDateTime" : "2016-12-10T11:54:00.000+01:00" } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-AirwaysBefund", "resource" : { "resourceType" : "Observation", "id" : "2-AirwaysBefund", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-airways" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-AirwaysBefund</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 301252002}\">Finding of respiratory obstruction</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>effective</b>: Dec 10, 2016, 11:25:00 AM</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 23875004}\">No pathologic finding</span></p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "301252002", "display" : "Finding of respiratory obstruction" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "effectiveDateTime" : "2016-12-10T11:25:00.000+01:00", "valueCodeableConcept" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "23875004", "display" : "No pathologic finding" } ] } } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-GCSBefund", "resource" : { "resourceType" : "Observation", "id" : "2-GCSBefund", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-GCSBefund</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9269-2}\">Glasgow coma score total</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>effective</b>: Dec 10, 2016, 11:25:00 AM</p><p><b>value</b>: 9 {score}</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9268-4}\">Glasgow coma score motor</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6564-4}\">3 (Flexion to pain)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9270-0}\">Glasgow coma score verbal</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6559-4}\">3 (Inappropriate words)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9267-6}\">Glasgow coma score eye opening</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6555-2}\">3 (Eye opening to verbal command)</span></p></blockquote></div>" }, "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" : "2016-12-10T11:25:00.000+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/ordinalValue", "valueDecimal" : 3 } ], "system" : "http://loinc.org", "code" : "LA6564-4", "display" : "Flexion to pain" } ], "text" : "3 (Flexion to pain)" } }, { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "9270-0", "display" : "Glasgow coma score verbal" } ] }, "valueCodeableConcept" : { "coding" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 } ], "system" : "http://loinc.org", "code" : "LA6559-4", "display" : "Inappropriate words" } ], "text" : "3 (Inappropriate words)" } }, { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "9267-6", "display" : "Glasgow coma score eye opening" } ] }, "valueCodeableConcept" : { "coding" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 } ], "system" : "http://loinc.org", "code" : "LA6555-2", "display" : "Eye opening to verbal command" } ], "text" : "3 (Eye opening to verbal command)" } } ] } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-AVPUBefund", "resource" : { "resourceType" : "Observation", "id" : "2-AVPUBefund", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-avpu" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-AVPUBefund</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 11454-6}\">Level of Responsiveness (AVPU)</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>effective</b>: Dec 10, 2016, 11:25:00 AM</p><p><b>value</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 V}\">Reaktion nur bei lauter Ansprache</span></p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "11454-6", "display" : "Level of Responsiveness (AVPU)" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "effectiveDateTime" : "2016-12-10T11:25:00.000+01:00", "valueCodeableConcept" : { "coding" : [ { "system" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "V", "display" : "Reaktion nur bei lauter Ansprache" } ] } } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-Diagnose", "resource" : { "resourceType" : "Observation", "id" : "2-Diagnose", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-diagnosis" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-Diagnose</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 2931005}\">probable diagnosis</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>effective</b>: Dec 10, 2016, 11:25:00 AM</p><p><b>performer</b>: <a href=\"#Practitioner_1-SaniPetraMuster\">See above (Practitioner/1-SaniPetraMuster)</a></p><p><b>value</b>: <span title=\"Codes: {http://fhir.de/CodeSystem/dimdi/icd-10-gm I63}\">Hirninfarkt</span></p></div>" }, "status" : "final", "code" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "2931005", "display" : "probable diagnosis" } ] }, "subject" : { "reference" : "Patient/2-PatientUnbekannt" }, "encounter" : { "reference" : "Encounter/2-Einsatz" }, "effectiveDateTime" : "2016-12-10T11:25:00.000+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", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-conditionchange" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-ZustandUebergabe</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 75527-2}\">Vital status at discharge</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 385425000}\">Improved</span></p></div>" }, "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" } ] } } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-NACAUebergabe", "resource" : { "resourceType" : "Observation", "id" : "2-NACAUebergabe", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-naca" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-NACAUebergabe</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 88076-5}\">Injury severity score NACA</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>value</b>: <span title=\"Codes: {urn:oid:2.16.756.5.30.1.143.5.1 III}\">mässige bis schwere Störung</span></p></div>" }, "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" : "urn:oid:2.16.756.5.30.1.143.5.1", "code" : "III", "display" : "mässige bis schwere Störung" } ] } } }, { "fullUrl" : "http://test.fhir.ch/r4/Observation/2-GCSUebergabe", "resource" : { "resourceType" : "Observation", "id" : "2-GCSUebergabe", "meta" : { "profile" : [ "http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: 2-GCSUebergabe</p><p><b>meta</b>: </p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9269-2}\">Glasgow coma score total</span></p><p><b>subject</b>: <a href=\"#Patient_2-PatientUnbekannt\">See above (Patient/2-PatientUnbekannt)</a></p><p><b>encounter</b>: <a href=\"#Encounter_2-Einsatz\">See above (Encounter/2-Einsatz)</a></p><p><b>effective</b>: Dec 10, 2016, 12:03:00 PM</p><p><b>value</b>: 10 {score}</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9268-4}\">Glasgow coma score motor</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6564-4}\">3 (Flexion to pain)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9270-0}\">Glasgow coma score verbal</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6560-2}\">4 (Confused)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 9267-6}\">Glasgow coma score eye opening</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6555-2}\">3 (Eye opening to verbal command)</span></p></blockquote></div>" }, "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" : "2016-12-10T12:03:00.000+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/ordinalValue", "valueDecimal" : 3 } ], "system" : "http://loinc.org", "code" : "LA6564-4", "display" : "Flexion to pain" } ], "text" : "3 (Flexion to pain)" } }, { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "9270-0", "display" : "Glasgow coma score verbal" } ] }, "valueCodeableConcept" : { "coding" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 4 } ], "system" : "http://loinc.org", "code" : "LA6560-2", "display" : "Confused" } ], "text" : "4 (Confused)" } }, { "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "9267-6", "display" : "Glasgow coma score eye opening" } ] }, "valueCodeableConcept" : { "coding" : [ { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 } ], "system" : "http://loinc.org", "code" : "LA6555-2", "display" : "Eye opening to verbal command" } ], "text" : "3 (Eye opening to verbal command)" } } ] } } ] }