ProcedureTreatment
Introduction and scope
This profile is of the resource Procedure. The profile contains information about the treatment the patient has received at the scene of the injury and during transport to AKM by the ambulance rescuers.
URL
https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE10
Usage
In this profile there are six elements. The element identifier is mandatory. The element status is mandatory, and its fixed value is set to completed, as the processing is usually completed upon arrival at AKM. The element performed is mandatory to ensure a timestamp for the profile. The element subject is also mandatory and contains a reference to the profile Patient, as all registrations must be tied up on the patient. The element encounter also contains a reference to the profile EncounterPrehospitalEncounter, as the treatment is part of the consultation. Therefore, this item is mandatory. The element code contains information about which treatment the patient has received, and is therefore sliced into four slices. The content of PPJ will determine the number of slices in this profile, where there are a number of predefined treatments. Each of four slices contains additional sub-elements:
- Slice A_airways: this slice represents records of processing of A: Airways where eight registrations can be made. Eight SNOMED CT codes have been used for the eight registrations. For registration Nasal airways the SNOMED CT code 251362004 | is used Nasal airflow while recording Oral intubation is covered by 232675003 | Oral intubation of awake patient. The registration Suction is covered by 58058006 | Suction of patient while 55622001 | Tracheostomy, acute procedure for transtracheal access covers the registration Emergency tracheotomy. The last four registrations have SNOMED CT codes that match their descriptions in PPJ.
- Slice B_respiration: this slice represents records of treatment of B: Respiration, where eight records can be made. Eight SNOMED CT codes have been used for the eight registrations. For the registration Oxygen - skin zone mask use 336602003 | Oxygen mask while using the nose nose goggles 336623009 | Oxygen Nose Catheter. The registration Thoracotomy is covered by 177765008 | Opening of the thorax. The remaining five registrations have SNOMED CT codes that match their descriptions in PPJ.
- Slice C_circulation: this slice represents records of processing C: Circulation, where six records can be made. Six SNOMED CT codes have been used for the six registrations. For the registration CPR, the SNOMED CT code 89666000 | has been used Cardiopulmonary resuscitation while External pacing has been used for registration 59218006 | Temporary transcutaneous pacing. The registration Defibrillation is covered by 308842001 | DC defibrillation, while 429283006 | Mechanically assisted thoracic compression covers the registration Mechanical chest compression. The remaining two records have SNOMED CT codes that match their descriptions in PPJ.
- Slice additionalTreatment: this slice represents registrations of Second Treatment, where eight registrations can be made. Eight SNOMED CT codes have been used for the eight registrations. SNOMED CT code 229824005 | Patient placement while using 229585002 | Treatment with cold packing for the registration Cold packing. The registration Reposition is covered by 122469009 | Repair procedure. The remaining five registrations have SNOMED CT codes that match their descriptions in PPJ.
xml code for ProcedureTreatment
<?xml version="1.0" encoding="utf-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="RE10" />
<url value="https://PrehospitalDataInEHR.dk/fhir/StructureDefinition/RE10" />
<name value="PrehospitalDataInEHRProcedureTreatmentprofile" />
<status value="draft" />
<description value="This profile originates from the page Treatment in the pre-hospital patient journal (PPJ). The registration contains information regarding the treatment given to the patient prior to arrival to the ER." />
<fhirVersion value="4.0.1" />
<mapping>
<identity value="workflow" />
<uri value="http://hl7.org/fhir/workflow" />
<name value="Workflow Pattern" />
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<mapping>
<identity value="v2" />
<uri value="http://hl7.org/v2" />
<name value="HL7 v2 Mapping" />
</mapping>
<kind value="resource" />
<abstract value="false" />
<type value="Procedure" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
<derivation value="constraint" />
<differential>
<element id="Procedure">
<path value="Procedure" />
<short value="Contains information regarding the treatments given to the patient prior to arrival to the ER" />
<definition value="This profile originates from the page Treatment in the pre-hospital patient journal (PPJ). The registration contains information regarding the treatment given to the patient prior to arrival to the ER." />
</element>
<element id="Procedure.identifier">
<path value="Procedure.identifier" />
<short value="Danish social security number (CPR)" />
<min value="1" />
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<element id="Procedure.identifier.use">
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<min value="1" />
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<element id="Procedure.identifier.value">
<path value="Procedure.identifier.value" />
<short value="Unique identifier of 10 digits" />
<min value="1" />
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<element id="Procedure.category">
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<slicing>
<discriminator>
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<rules value="open" />
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</element>
<element id="Procedure.code:A_airways">
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</element>
<element id="Procedure.code:A_airways.coding">
<path value="Procedure.code.coding" />
<code>
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<code>
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<display value="Nasal luftveje" />
</code>
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="232675003" />
<display value="Oral Intubation" />
</code>
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
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<display value="Sugning" />
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<display value="Larynxmaske" />
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<min value="1" />
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</element>
<element id="Procedure.code:B_respiration">
<path value="Procedure.code" />
<sliceName value="B_respiration" />
<short value="Treatment of respiration" />
</element>
<element id="Procedure.code:B_respiration.coding">
<path value="Procedure.code.coding" />
<code>
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<element id="Procedure.code:C_circulation">
<path value="Procedure.code" />
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<short value="Treatment of circulation" />
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<path value="Procedure.code.coding" />
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="89666000" />
<display value="HLR" />
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<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
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<display value="Ekstern pacing" />
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<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="308842001" />
<display value="Defibrillering" />
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<version value="2020/09/30" />
<code value="430824005" />
<display value="Intraossoes kanyle" />
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<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="429283006" />
<display value="Mekanisk brystkompression" />
</code>
<code>
<system value="http://snomed.info/sct" />
<version value="2020/09/30" />
<code value="303728004" />
<display value="Perifert venekateter" />
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<short value="Registration of treatments of circulation" />
<min value="1" />
<fixedString value="C-Cirkulation" />
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<display value="Lejring" />
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<version value="2020/09/30" />
<code value="156009" />
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<code>
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<version value="2020/09/30" />
<code value="282009008" />
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<code>
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<type>
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<type>
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