CH EMS (R4)
1.9.0 - Standard for Trial Use
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 
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<Bundle xmlns="http://hl7.org/fhir"> <id value="2-Einsatzprotokoll"/> <meta> <lastUpdated value="2020-04-24T15:53:22.889+00:00"/> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-document"/> </meta> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b"/> </identifier> <type value="document"/> <timestamp value="2016-12-10T12:05:00.000+01:00"/> <entry> <fullUrl value="http://test.fhir.ch/r4/Composition/2-Einsatzprotokoll"/> <resource> <Composition> <id value="2-Einsatzprotokoll"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-composition"/> </meta> <language value="de-CH"/> <text> <status value="generated"/> <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> </text> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid"> <valueIdentifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b"/> </valueIdentifier> </extension> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber"> <valueUnsignedInt value="1"/> </extension> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient"> <valueReference> <reference value="Practitioner/1-InformationRecipientSpezialarzt"/> </valueReference> </extension> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-informationrecipient"> <valueReference> <reference value="Organization/1-InformationRecipientUSZ"/> </valueReference> </extension> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:662e3c16-0aac-11e8-ba89-0ed5f89f718b"/> </identifier> <status value="final"/> <type> <coding> <system value="http://loinc.org"/> <code value="67796-3"/> <display value="EMS Patient Care Report"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="371535009"/> <display value="Transfer summary report"/> </coding> </type> <!-- CDA: recordTarget --> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <date value="2016-12-10T12:05:00.000+01:00"/> <!-- CDA: author.assignedAuthor --> <author> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time"> <valueDateTime value="2016-12-10T12:13:05.000+01:00"/> </extension> <reference value="Practitioner/1-SaniPetraMuster"/> </author> <!-- CDA: author.functionCode --> <author> <reference value="PractitionerRole/1-SaniPetraMuster"/> </author> <title value="Einsatzprotokoll Rettungsdienst"/> <confidentiality value="N"> <extension url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="17621005"/> <display value="Normal"/> </coding> </valueCodeableConcept> </extension> </confidentiality> <!-- CDA: legalAutenticator --> <attester> <mode value="legal"/> <time value="2016-12-10T12:13:05.000+01:00"/> <party> <reference value="Practitioner/1-SaniPetraMuster"/> </party> </attester> <!-- CDA: custodian.assignedCustodian.representedCustodian --> <!-- cdachems-dataelement-61 aufgebotene Organisation --> <custodian> <reference value="Organization/1-Rettungsdienst"/> </custodian> <!-- Section Einsatz --> <section> <title value="Einsatz"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100001"/> <display value="Einsatz"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table> <tbody> <tr> <th>Einsatz</th> </tr> <tr> <td>Einsatzdatum</td> <!-- cdachems-dataelement-54 --> <td>10.12.2016</td> </tr> <tr> <td>Einsatznummer</td> <!-- cdachems-dataelement-54 --> <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 <br/> Hans Beispiel, 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 id="operationalreadiness"/> </tr> </tbody> </table> </div> </text> <entry> <reference value="Encounter/2-Einsatz"/> </entry> <entry> <reference value="Observation/2-Alarm"/> </entry> <entry> <reference value="Observation/2-Disposition"/> </entry> <entry> <reference value="Observation/2-Rollout"/> </entry> <entry> <reference value="Observation/2-ArrivalOnScene"/> </entry> <entry> <reference value="Observation/2-ArrivalPatient"/> </entry> <entry> <reference value="Observation/2-DepartureFromScene"/> </entry> <entry> <reference value="Observation/2-ArrivalAtTarget"/> </entry> </section> <!-- Section Adminstrativ --> <section> <title value="Administrativ"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100003"/> <display value="Administrativ"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> - </span> </div> </text> </section> <!-- Section Vorbehandlung --> <section> <title value="Vorbehandlung"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100004"/> <display value="Vorbehandlung"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> - </span> </div> </text> </section> <!-- Section Anamnese --> <section> <title value="Anamnese"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100005"/> <display value="Anamnese"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> - </span> </div> </text> </section> <!-- Section Befund --> <section> <title value="Befund"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100006"/> <display value="Befund"/> </coding> </code> <text> <status value="generated"/> <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> </text> <section> <title value="Airway"/> <entry> <reference value="Observation/2-AirwaysBefund"/> </entry> </section> <section> <title value="Disability"/> <!-- cdachems-dataelement-108 GCS --> <entry> <reference value="Observation/2-GCSBefund"/> </entry> <entry> <reference value="Observation/2-AVPUBefund"/> </entry> </section> </section> <!-- Section Diagnosen --> <section> <title value="Diagnosen"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100007"/> <display value="Diagnosen"/> </coding> </code> <text> <status value="generated"/> <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> </text> <entry> <reference value="Observation/2-Diagnose"/> </entry> </section> <!-- Section Massnahmen --> <section> <title value="Massnahmen"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100008"/> <display value="Massnahmen"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> Infusion mit 500 ml Ringer. Der Patient wird liegend in den Rettungswagen verladen. </span> </div> </text> </section> <!-- Section Todesfall --> <section> <title value="Todesfall"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100009"/> <display value="Todesfall"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> - </span> </div> </text> </section> <!-- Section Transport --> <section> <title value="Transport"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100010"/> <display value="Transport"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> Fahrt mit Sondersignal ins USZ. </span> </div> </text> </section> <!-- Section Übergabe --> <section> <title value="Übergabe"/> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1100011"/> <display value="Übergabe"/> </coding> </code> <text> <status value="generated"/> <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> </text> <entry> <reference value="Observation/2-ZustandUebergabe"/> </entry> <entry> <reference value="Observation/2-NACAUebergabe"/> </entry> <entry> <reference value="Observation/2-GCSUebergabe"/> </entry> </section> <!-- Section Bemerkungen --> <section> <title value="Kommentar"/> <code> <coding> <system value="http://loinc.org"/> <code value="48767-8"/> <display value="Annotation comment"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <span> - </span> </div> </text> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Encounter/2-Einsatz"/> <resource> <Encounter> <id value="2-Einsatz"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-encounter"/> </meta> <text> <status value="generated"/> <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> </text> <!-- cdachems-dataelement-55 Einsatznummer (OID vom SNZ) --> <identifier> <system value="urn:oid:2.16.756.5.30.1.9999999999.1"/> <value value="S12345678"/> </identifier> <status value="finished"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="EMER"/> <display value="emergency"/> </class> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <!-- cdachems-dataelement-60 aufbietende Organisation --> <basedOn> <reference value="ServiceRequest/2-AufbietendeOrganisation"/> </basedOn> <!-- cdachems-dataelement-102 Team --> <participant> <!-- cdachems-dataelement-283 Rolle Teammitglied --> <extension url="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="133932002"/> <display value="Caregiver"/> </coding> </valueCodeableConcept> </extension> <individual> <reference value="Practitioner/1-TeamMemberPetraMuster"/> </individual> </participant> <participant> <!-- cdachems-dataelement-283 Rolle Teammitglied --> <extension url="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-ext-teamrole"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="133932002"/> <display value="Caregiver"/> </coding> </valueCodeableConcept> </extension> <individual> <reference value="Practitioner/1-TeamMemberHansBeispiel"/> </individual> </participant> <!-- cdachems-dataelement-54: Einsatzdatum --> <period> <start value="2016-12-10"/> </period> <!-- cdachems-dataelement-103 Zielort --> <hospitalization> <destination> <reference value="Location/1-Zielort"/> </destination> </hospitalization> <!-- cdachems-dataelement-25 Einsatzort --> <location> <location> <reference value="Location/2-Einsatzort"/> </location> </location> </Encounter> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Patient/2-PatientUnbekannt"/> <resource> <Patient> <id value="2-PatientUnbekannt"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient"/> </meta> <text> <status value="generated"/> <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> </text> <identifier> <!-- OID SRZ, here dummy --> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="urn:oid:2.16.756.5.30.1.143.20"/> <value value="MU43221"/> </identifier> <!-- cdachems-dataelement-11 --> <gender value="male"/> </Patient> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Practitioner/1-InformationRecipientSpezialarzt"/> <resource> <Practitioner> <id value="1-InformationRecipientSpezialarzt"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </meta> <text> <status value="generated"/> <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> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601000404268"/> </identifier> <name> <family value="Hans"/> <given value="Spezialarzt"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Organization/1-InformationRecipientUSZ"/> <resource> <Organization> <id value="1-InformationRecipientUSZ"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </meta> <text> <status value="generated"/> <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> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601002155939"/> </identifier> <name value="USZ"/> <address> <line value="Rämistrasse 100"/> <city value="Zürich"/> <postalCode value="8091"/> <country value="CH"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Practitioner/1-SaniPetraMuster"/> <resource> <Practitioner> <id value="1-SaniPetraMuster"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner"/> </meta> <text> <status value="generated"/> <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> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601003330434"/> </identifier> <name> <family value="Muster"/> <given value="Petra"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/PractitionerRole/1-SaniPetraMuster"/> <resource> <PractitionerRole> <id value="1-SaniPetraMuster"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitionerrole"/> </meta> <text> <status value="generated"/> <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> </text> <practitioner> <reference value="Practitioner/1-SaniPetraMuster"/> </practitioner> <code> <coding> <system value="http://snomed.info/sct"/> <code value="133932002"/> <display value="Caregiver"/> </coding> </code> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Practitioner/1-TeamMemberPetraMuster"/> <resource> <Practitioner> <id value="1-TeamMemberPetraMuster"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner"/> </meta> <text> <status value="generated"/> <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> </text> <!-- cdachems-dataelement-281 GLN Teammitglied --> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601003330434"/> <assigner> <reference value="Organization/1-TeamRettungsdienst"/> </assigner> </identifier> <name> <family value="Muster"/> <given value="Petra"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Practitioner/1-TeamMemberHansBeispiel"/> <resource> <Practitioner> <id value="1-TeamMemberHansBeispiel"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner"/> </meta> <text> <status value="generated"/> <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> </text> <!-- cdachems-dataelement-281 GLN Teammitglied --> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601000211804"/> <assigner> <reference value="Organization/1-TeamRettungsdienst"/> </assigner> </identifier> <name> <family value="Beispiel"/> <given value="Hans"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Organization/1-Rettungsdienst"/> <resource> <Organization> <id value="1-Rettungsdienst"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization"/> </meta> <text> <status value="generated"/> <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> </text> <!-- cdachems-dataelement-61 aufgebotene Organisation --> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601002156363"/> </identifier> <!-- cdachems-dataelement-384 aufgebotene Organisation --> <name value="Rettungsdienst Schutz und Rettung Zürich"/> </Organization> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Organization/1-TeamRettungsdienst"/> <resource> <Organization> <id value="1-TeamRettungsdienst"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization"/> </meta> <text> <status value="generated"/> <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> </text> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601002156363"/> </identifier> <name value="Rettungsdienst Schutz und Rettung Zürich"/> <address> <line value="Bahnhofquai 3, Amtshaus I"/> <city value="Zürich"/> <postalCode value="8001"/> <country value="CH"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/ServiceRequest/2-AufbietendeOrganisation"/> <resource> <ServiceRequest> <id value="2-AufbietendeOrganisation"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-servicerequest"/> </meta> <text> <status value="generated"/> <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> </text> <contained> <Organization> <id value="informant"/> <!-- cdachems-dataelement-60 aufbietende Organisation (informant.assignedEntity) --> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601002156370"/> </identifier> <name value="SNZ"/> </Organization> </contained> <status value="completed"/> <intent value="order"/> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <requester> <reference value="#informant"/> </requester> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Location/2-Einsatzort"/> <resource> <Location> <id value="2-Einsatzort"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location"/> </meta> <text> <status value="generated"/> <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> </text> <name value="Sternen Oerlikon"/> <!-- cdachems-dataelement-175 Einsatzort Postadresse (eCH-0010) --> <address> <line value="Schaffhauserstr. 350"/> <city value="Zürich"/> <postalCode value="8050"/> <country value="CH"/> </address> </Location> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Location/1-Zielort"/> <resource> <Location> <id value="1-Zielort"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-location"/> </meta> <text> <status value="generated"/> <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> </text> <!-- cdachems-dataelement-222 GLN Zielort --> <identifier> <system value="urn:oid:2.51.1.3"/> <value value="7601002155939"/> </identifier> <name value="Universitätsspital Zürich, Notfall"/> <address> <line value="Rämistrasse 100"/> <city value="Zürich"/> <postalCode value="8091"/> <country value="Switzerland"/> </address> </Location> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-Alarm"/> <resource> <Observation> <id value="2-Alarm"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000033"/> <display value="alarm"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:09:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-Disposition"/> <resource> <Observation> <id value="2-Disposition"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000034"/> <display value="disposition"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:11:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-Rollout"/> <resource> <Observation> <id value="2-Rollout"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000035"/> <display value="rollout"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:13:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-ArrivalOnScene"/> <resource> <Observation> <id value="2-ArrivalOnScene"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000036"/> <display value="arrival on scene"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:17:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-ArrivalPatient"/> <resource> <Observation> <id value="2-ArrivalPatient"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000037"/> <display value="arrival patient"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:18:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-DepartureFromScene"/> <resource> <Observation> <id value="2-DepartureFromScene"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000038"/> <display value="departure from scene"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:48:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-ArrivalAtTarget"/> <resource> <Observation> <id value="2-ArrivalAtTarget"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <!-- cdachems-dataelement-278 : Bedeutung der Statuszeit --> <code> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="1000039"/> <display value="arrival at target"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-286 Statuszeit --> <valueDateTime value="2016-12-10T11:54:00.000+01:00"/> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-AirwaysBefund"/> <resource> <Observation> <id value="2-AirwaysBefund"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-airways"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="301252002"/> <display value="Finding of respiratory obstruction"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <effectiveDateTime value="2016-12-10T11:25:00.000+01:00"/> <!-- cdachems-dataelement-469 Airway --> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="23875004"/> <display value="No pathologic finding"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-GCSBefund"/> <resource> <Observation> <id value="2-GCSBefund"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="9269-2"/> <display value="Glasgow coma score total"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <effectiveDateTime value="2016-12-10T11:25:00.000+01:00"/> <!-- cdachems-dataelement-109 GCS-Gesamtscore --> <valueQuantity> <value value="9"/> <system value="http://unitsofmeasure.org"/> <code value="{score}"/> </valueQuantity> <!-- cdachems-dataelement-112 GCS-motorische Kommunikation --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9268-4"/> <display value="Glasgow coma score motor"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6564-4"/> <display value="Flexion to pain"/> </coding> <text value="3 (Flexion to pain)"/> </valueCodeableConcept> </component> <!-- cdachems-dataelement-111 GCS-verbale Kommunikation --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9270-0"/> <display value="Glasgow coma score verbal"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6559-4"/> <display value="Inappropriate words"/> </coding> <text value="3 (Inappropriate words)"/> </valueCodeableConcept> </component> <!-- cdachems-dataelement GCS-Augenöffnung 110 --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9267-6"/> <display value="Glasgow coma score eye opening"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6555-2"/> <display value="Eye opening to verbal command"/> </coding> <text value="3 (Eye opening to verbal command)"/> </valueCodeableConcept> </component> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-AVPUBefund"/> <resource> <Observation> <id value="2-AVPUBefund"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-avpu"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="11454-6"/> <display value="Level of Responsiveness (AVPU)"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <effectiveDateTime value="2016-12-10T11:25:00.000+01:00"/> <valueCodeableConcept> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="V"/> <display value="Reaktion nur bei lauter Ansprache"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-Diagnose"/> <resource> <Observation> <id value="2-Diagnose"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-diagnosis"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="2931005"/> <display value="probable diagnosis"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <effectiveDateTime value="2016-12-10T11:25:00.000+01:00"/> <!-- cdachems-dataelement-488 Ersteller Diagnose --> <performer> <reference value="Practitioner/1-SaniPetraMuster"/> </performer> <valueCodeableConcept> <coding> <system value="http://fhir.de/CodeSystem/dimdi/icd-10-gm"/> <code value="I63"/> <display value="Hirninfarkt"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-ZustandUebergabe"/> <resource> <Observation> <id value="2-ZustandUebergabe"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-conditionchange"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="75527-2"/> <display value="Vital status at discharge"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-24 Zustand bei Einsatzende --> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="385425000"/> <display value="Improved"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-NACAUebergabe"/> <resource> <Observation> <id value="2-NACAUebergabe"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-naca"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="88076-5"/> <display value="Injury severity score NACA"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <!-- cdachems-dataelement-23 NACA --> <valueCodeableConcept> <coding> <system value="urn:oid:2.16.756.5.30.1.143.5.1"/> <code value="III"/> <display value="mässige bis schwere Störung"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="http://test.fhir.ch/r4/Observation/2-GCSUebergabe"/> <resource> <Observation> <id value="2-GCSUebergabe"/> <meta> <profile value="http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs"/> </meta> <text> <status value="generated"/> <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> </text> <status value="final"/> <code> <coding> <system value="http://loinc.org"/> <code value="9269-2"/> <display value="Glasgow coma score total"/> </coding> </code> <subject> <reference value="Patient/2-PatientUnbekannt"/> </subject> <encounter> <reference value="Encounter/2-Einsatz"/> </encounter> <effectiveDateTime value="2016-12-10T12:03:00.000+01:00"/> <!-- cdachems-dataelement-458 GCS-Gesamtscore --> <valueQuantity> <value value="10"/> <system value="http://unitsofmeasure.org"/> <code value="{score}"/> </valueQuantity> <!-- cdachems-dataelement-112 GCS-motorische Kommunikation --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9268-4"/> <display value="Glasgow coma score motor"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6564-4"/> <display value="Flexion to pain"/> </coding> <text value="3 (Flexion to pain)"/> </valueCodeableConcept> </component> <!-- cdachems-dataelement-111 GCS-verbale Kommunikation --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9270-0"/> <display value="Glasgow coma score verbal"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA6560-2"/> <display value="Confused"/> </coding> <text value="4 (Confused)"/> </valueCodeableConcept> </component> <!-- cdachems-dataelement GCS-Augenöffnung 110 --> <component> <code> <coding> <system value="http://loinc.org"/> <code value="9267-6"/> <display value="Glasgow coma score eye opening"/> </coding> </code> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6555-2"/> <display value="Eye opening to verbal command"/> </coding> <text value="3 (Eye opening to verbal command)"/> </valueCodeableConcept> </component> </Observation> </resource> </entry> </Bundle>