PackagesCanonicalsLogsProblems
    Packages
    ch.fhir.ig.ch@ems-1.9.0
    http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-composition
description: Definition of the composition for the use of the emergency medical service protocol
package_name: ch.fhir.ig.ch
derivation: constraint
name: CHEmsComposition
type: Composition
elements:
  type:
    short: Document type
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 67796-3, system: 'http://loinc.org', display: EMS Patient Care Report}
    index: 0
  subject:
    type: Reference
    short: A human patient for whom this document instance was created
    refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient']
    index: 1
    elements:
      reference: {index: 2}
  date: {short: The document's creation date and time, index: 3}
  author:
    type: Reference
    short: The author of this document
    refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization', 'http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient', 'http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner', 'http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitionerrole', 'http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    index: 4
    elements:
      reference: {index: 5}
  title: {short: '''Einsatzprotokoll Rettungsdienst'' or ''Fiche d’intervention du service de sauvetage'' or                              ''Cartella sanitaria  del ente di salvataggio e soccorso'' or ''Emergency Medical Service protocol''', index: 6}
  custodian:
    type: Reference
    short: Order recipient (called organization)
    refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization']
    index: 7
    elements:
      reference: {index: 8}
  section:
    index: 9
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: code, type: pattern}
      min: 1
      slices:
        findings:
          match:
            code:
              coding:
              - {code: '1100006', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Befund}
          schema:
            short: Findings
            index: 42
            elements:
              title: {short: '''Befund'' or ''Résultats'' or ''Risultati'' or ''findings''', index: 43}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100006', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Befund}
                index: 44
              text: {short: Human readable text of this section, index: 45}
              section:
                index: 46
                slicing:
                  rules: open
                  discriminator:
                  - {path: title, type: value}
                  min: null
                  slices:
                    airway:
                      match: {title: Airway}
                      schema:
                        short: Airway
                        index: 47
                        elements:
                          title:
                            pattern: {type: String, value: Airway}
                            index: 48
                          entry:
                            type: Reference
                            short: Observation Airways
                            refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-airways']
                            index: 49
                            elements:
                              reference: {index: 50}
                            required: [reference]
                          section: {index: 51}
                        required: [title]
                    circulation:
                      match: {title: Circulation}
                      schema:
                        short: Circulation
                        index: 52
                        elements:
                          title:
                            pattern: {type: String, value: Circulation}
                            index: 53
                          entry:
                            type: Reference
                            short: Observation Cardiac Arrest
                            refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-cardiacarrest']
                            index: 54
                            elements:
                              reference: {index: 55}
                            required: [reference]
                          section: {index: 56}
                        required: [title]
                    disability:
                      match: {title: Disability}
                      schema:
                        short: Disability
                        index: 57
                        elements:
                          title:
                            pattern: {type: String, value: Disability}
                            index: 58
                          entry:
                            index: 59
                            slicing:
                              rules: open
                              discriminator:
                              - {path: $this.resolve(), type: profile}
                              min: null
                              slices:
                                glasgowComaScale:
                                  match: {}
                                  schema:
                                    type: Reference
                                    short: Glasgow coma scale
                                    refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs']
                                    index: 60
                                    elements:
                                      reference: {index: 61}
                                    required: [reference]
                                levelOfResponsiveness:
                                  match: {}
                                  schema:
                                    type: Reference
                                    short: Level of Responsiveness (AVPU)
                                    refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-avpu']
                                    index: 62
                                    elements:
                                      reference: {index: 63}
                                    required: [reference]
                                injurySeverity:
                                  match: {}
                                  schema:
                                    type: Reference
                                    short: Injury Severity (Stroke/FAST)
                                    refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-stroke-fast']
                                    index: 64
                                    elements:
                                      reference: {index: 65}
                                    required: [reference]
                          section: {index: 66}
                        required: [title]
            required: [text, title, code]
        transport:
          match:
            code:
              coding:
              - {code: '1100010', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Transport}
          schema:
            short: Transport
            index: 84
            elements:
              title: {short: '''Transport'' or ''Transport'' or ''Trasporto'' or ''transport''', index: 85}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100010', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Transport}
                index: 86
              text: {short: Human readable text of this section, index: 87}
              section: {index: 88}
            required: [text, title, code]
        handover:
          match:
            code:
              coding:
              - {code: '1100011', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Übergabe}
          schema:
            short: Handover
            index: 89
            elements:
              title: {short: '''Übergabe'' or ''Remise'' or ''Consegna'' or ''handover''', index: 90}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100011', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Übergabe}
                index: 91
              text: {short: Human readable text of this section, index: 92}
              entry:
                index: 93
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    patientStatusPriority:
                      match: {}
                      schema:
                        type: Reference
                        short: Patient status priority
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-statuspriority']
                        index: 94
                        elements:
                          reference: {index: 95}
                        required: [reference]
                    patientConditionChange:
                      match: {}
                      schema:
                        type: Reference
                        short: Patient condition change
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-conditionchange']
                        index: 96
                        elements:
                          reference: {index: 97}
                        required: [reference]
                    injurySeverity:
                      match: {}
                      schema:
                        type: Reference
                        short: Injury severity (NACA)
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-naca']
                        index: 98
                        elements:
                          reference: {index: 99}
                        required: [reference]
                    glasgowComaScale:
                      match: {}
                      schema:
                        type: Reference
                        short: Glasgow coma scale
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-gcs']
                        index: 100
                        elements:
                          reference: {index: 101}
                        required: [reference]
                    handoverTo:
                      match: {}
                      schema:
                        type: Reference
                        short: Handover patient to oranisation/practitioner
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-organization', 'http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner']
                        index: 102
                        elements:
                          reference: {index: 103}
                        required: [reference]
              section: {index: 104}
            required: [text, title, code]
        diagnosis:
          match:
            code:
              coding:
              - {code: '1100007', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Diagnosen}
          schema:
            short: Diagnosis
            array: true
            index: 67
            elements:
              title: {short: '''Diagnosen'' or ''Diagnostique'' or ''Diagnosi'' or ''diagnosis''', index: 68}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100007', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Diagnosen}
                index: 69
              text: {short: Human readable text of this section, index: 70}
              entry:
                type: Reference
                short: Problem concern entry
                refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-diagnosis']
                index: 71
                elements:
                  reference: {index: 72}
                required: [reference]
              section: {index: 73}
            required: [text, title, code]
        eventOfDeath:
          match:
            code:
              coding:
              - {code: '1100009', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Todesfall}
          schema:
            short: Event of death
            index: 79
            elements:
              title: {short: '''Todesfall'' or ''Décès'' or ''Decesso'' or ''death''', index: 80}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100009', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Todesfall}
                index: 81
              text: {short: Human readable text of this section, index: 82}
              section: {index: 83}
            required: [text, title, code]
        mission:
          match:
            code:
              coding:
              - {code: '1100001', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Einsatz}
          schema:
            short: Mission
            _required: true
            index: 10
            elements:
              title: {short: '''Einsatz'' or ''Intervention'' or ''Intervento'' or ''intervention''', index: 11}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100001', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Einsatz}
                index: 12
              text: {short: Human readable text of this section, index: 13}
              entry:
                index: 14
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    missionEncounter:
                      match: {}
                      schema:
                        type: Reference
                        short: Mission encounter
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-encounter']
                        index: 15
                        elements:
                          reference: {index: 16}
                        required: [reference]
                    missionTimeStatus:
                      match: {}
                      schema:
                        type: Reference
                        short: Mission time status
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-missiontimestatus']
                        index: 17
                        elements:
                          reference: {index: 18}
                        required: [reference]
              section: {index: 19}
            required: [text, title, code]
        administrative:
          match:
            code:
              coding:
              - {code: '1100003', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Administrativ}
          schema:
            short: Administrative
            index: 20
            elements:
              title: {short: '''Administrativ'' or ''Administratif'' or ''Amministrativo'' or ''administrative''', index: 21}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100003', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Administrativ}
                index: 22
              text: {short: Human readable text of this section, index: 23}
              section: {index: 24}
            required: [text, title, code]
        procedures:
          match:
            code:
              coding:
              - {code: '1100008', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Massnahmen}
          schema:
            short: Procedures
            index: 74
            elements:
              title: {short: '''Massnahmen'' or ''Mesures'' or ''Misure'' or ''measures''', index: 75}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100008', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Massnahmen}
                index: 76
              text: {short: Human readable text of this section, index: 77}
              section: {index: 78}
            required: [text, title, code]
        anamnesis:
          match:
            code:
              coding:
              - {code: '1100005', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Anamnese}
          schema:
            short: Anamnesis
            index: 32
            elements:
              title: {short: '''Anamnese'' or ''Anamnèse'' or ''Anamnesi'' or ''anamnesis''', index: 33}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100005', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Anamnese}
                index: 34
              text: {short: Human readable text of this section, index: 35}
              entry:
                index: 36
                slicing:
                  rules: open
                  discriminator:
                  - {path: $this.resolve(), type: profile}
                  min: null
                  slices:
                    anamnesisEvent:
                      match: {}
                      schema:
                        type: Reference
                        short: Anamnesis event
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-anamnesisevent']
                        index: 37
                        elements:
                          reference: {index: 38}
                        required: [reference]
                    anamnesisSymptom:
                      match: {}
                      schema:
                        type: Reference
                        short: Anamnesis symptom
                        refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-observation-anamnesissymptom']
                        index: 39
                        elements:
                          reference: {index: 40}
                        required: [reference]
              section: {index: 41}
            required: [text, title, code]
        pretreatment:
          match:
            code:
              coding:
              - {code: '1100004', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Vorbehandlung}
          schema:
            short: Pretreatment
            index: 25
            elements:
              title: {short: '''Vorbehandlung'' or ''Prétraitement'' or ''Pretrattamento'' or ''pretreatment''', index: 26}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '1100004', system: 'urn:oid:2.16.756.5.30.1.143.5.1', display: Vorbehandlung}
                index: 27
              text: {short: Human readable text of this section, index: 28}
              entry:
                type: Reference
                short: Procedure
                refers: ['http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-procedure']
                index: 29
                elements:
                  reference: {index: 30}
                required: [reference]
              section: {index: 31}
            required: [text, title, code]
        annotation:
          match:
            code:
              coding:
              - {code: 48767-8, system: 'http://loinc.org', display: Annotation comment}
          schema:
            short: Annotation
            index: 105
            elements:
              title: {short: '''Kommentar'' or ''Commentaire'' or ''Osservazione'' or ''Comment''', index: 106}
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 48767-8, system: 'http://loinc.org', display: Annotation comment}
                index: 107
              text: {short: Human readable text of this section, index: 108}
              section: {index: 109}
            required: [text, title, code]
package_version: ems-1.9.0
class: profile
kind: resource
url: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-composition
base: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-composition
version: 1.9.0
required: [section, subject, custodian]