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web www.gs1.org identifier : GLN /7601000234438
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web www.hl7.ch
web github.com CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions
web www.hl7.ch IG © 2020+ HL7 Switzerland . Package ch.fhir.ig.ch-emed#6.0.0-ci-build based on FHIR 4.0.1 . Generated 2025-09-16
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web github.com #313 : Apply textLink extension in examples (according to guidance in CH Core)
web github.com #323 : Adapt the RelatedPerson references to the new introduced CH Core RelatedPerson
web github.com #309 : Correction of the level for the restriction (bounds[x] instead of boundsPeriod)
web github.com #314 : Add expansion-parameter for the usage of SNOMED CT Swiss Extension
web github.com #312 : Fix display value for LOINC 57828-6 (PRESCRIPTIONS -> Prescription list)
web github.com #320 : Fix (and update) terminology dependency to avoid version mismatch: hl7.terminology#6.1.0 -> hl7.terminology.r4#6.3.0
web github.com #322 : Fix inconsistent MS on slices
web github.com #294 : CH EMED Organization address
web github.com See also open issues on GitHub .
web github.com #272 : Add guidance for 'Relationship between documents'
web github.com #278 : Update the figures of the documents
web github.com #274 : Add profiles for Medication List document when the Composition entries come from changed entries (PADV): CHEMEDMedicationStatementChangedList and CHEMEDMedicationRequestChangedList
web github.com #283 : Relax min card for doseAndRate from 1 to 0 and fix FHIRPath in ch-dosage-3 constraint (DosageMedicationRequest)
web github.com #289 : Add extension parentDocument to the entries in 2-1 Medication List document
web github.com #301 : Add links to mentioned sections for better navigation
web github.com #298 : Update the descriptions for PADV use cases and the according examples
web github.com #297 : Update the descriptions of the examples
web github.com #271 : Validation issue with display values fixed through new version of the IG publisher
web github.com #275 : Fix old link
web github.com #267 : Resolving inconsistencies between data set (use case) and PDF
web github.com #285 : Update slicing in Medication List document to allow validation of changed entries
web github.com #288 : Typo
web github.com #300 & #292 : Define link from narrative to the binary (original representation)
web github.com #300 & #292 : Define link from narrative to the binary (original representation)
web github.com #307 : Replace deprecated discriminator ( pattern -> value ) resp. removal of the redundant slice definition (inherited from parent profile)
web github.com #295 : Typo generated in narrative (tooling side)
web github.com #299 : Clarification of the links in the generated narrative of the examples
web github.com #279 : Publication issue with PlantUML
web github.com #245 : Include EDQM Administration Method
web github.com #262 : Add extension to include the identifier of the last considered document (CARD)
web github.com #250 : Add nmol 'nanomole' (UCUM) and 413568008 'Application - unit of product usage (qualifier value)' (SCT) to VS UnitCode
web github.com #256 : Move all terminology to CH Term
  • Update the canonical URLs in the VS binding in the profiles
  • Fix links from internal (CH EMED) to external (CH Term) artifacts
web github.com #258 : CH Core base profiles as parent
web github.com #252 : SCT code 246205007 'Quantity (attribute)' instead of UCUM human annotation {Piece} 'Stk.'
web github.com #263 : Add additional constraints beside ch-dosage-1 to check, if the sequence number is present in split dosage elements
web github.com #269 : Remove discriminator for slicing Practitioner.identifier (coming from CH Core parent profile)
web github.com #268 : Relax max card for treatment reason from 1 to * (MedicationStatement, MedicationRequest, MedicationDispense, MedicationAdministration)
web github.com #270 : 4.0.1 Technical correction for invalid package
web github.com #252 : SCT code for {Piece} (UCUM)
web github.com #250 : Split up units in 'units of presentation' and 'units of administration'
web github.com #245 : Include MOA (method of application)
web github.com See also open issues on GitHub .
web github.com #248 : Add SCT code 106181007 'Immunologic substance (substance)' to ValueSet ActivePharmaceuticalIngredient
web github.com #234 : Replacing UCUM codes with human readable annotations with SCT codes (ValueSet UnitCode)
  • {Dose} 'Dose' -> 408102007 'Unit dose (qualifier value)'
  • 10*6.{Unit} '(the number ten for arbitrary powers ^ 6) * Unit' -> 396186001 'Million unit (qualifier value)'
  • {Package} 'Package' -> 1681000175101 'Package - unit of product usage (qualifier value)'
  • 10*3.{Unit} 'Thousand Per * Unit' -> 2011000175108 'Thousand unit (qualifier value)'
  • {Unit} 'Unit' -> 767525000 'Unit (qualifier value)'
  • {Piece} 'Piece' -> not done yet, see #252
web github.com {Piece} 'Piece' -> not done yet, see #252
web github.com #242 : Add MedicationAdministration to Medication Dispense document (DIS)
web github.com #241 : Add required author and timestamp elements on entry level, see details under 'Guidance - Authorship'
web github.com #233 : Remove the version (SCT Swiss extension) for SCT codings, where the code is from the international edition. (Only Composition.type DIS has a SCT code from the Swiss extension.)
web github.com #238 : List the data type profiles under tab profile
web github.com #231 : Correct referenced identifier for Beloc Zok (in 2-7)
web github.com #228 : Correct the SNOMED CT code for DIS
web github.com #234 : Fix rules concerning collection (ch-obs-1 & ch-emed-comp-card/dis/list/pre/mtp/padv)
web github.com #230 : Concerning extension from CH Core not CH EMED
web github.com #236 : Fix constraint for Composition.type
web github.com #246 : Fix typo
web github.com #243 : Document names
web github.com #244 : CH EMED extensions
web github.com #176 : Adding extensions to LIST entries for referencing the parent document.
web github.com #177 : Adding an annotation section in the Medication List Composition , analogous to the other documents.
web github.com #210 : Clarification of the handling of the changed entries in case of an Observation CHANGE:
  • Add aggregation type 'referenced/bundled' to the references for the changed MedicationStatement/MedicationRequest.
  • Introducing of separate profiles for changed MedicationStatement/MedicationRequest (based on those used before) with the additional required reference back to the Observation.
web github.com #224 : Add SNOMED CT Swiss extension version.
web github.com #175 : Update Observation (PADV) for 'CHANGE'
web github.com #194 : Remove display values from patternCodeableConcepts, remove minimum cardinality = 1 for display values, using official display values in examples (valid with http://tx.fhir.org/r4).
web github.com #179 : Change the author element for MedicationRequest from 'performer' to 'requester'.
web github.com #206 : Change required CodeableConcepts of Composition.type from SNOMED CT to LOINC (MTP/DIS/PRE/PADV/LIST) to be able to distinguish all document types.
web github.com #156 : Set minimum cardinality of MedicationDispense.substitution.type back to 0 and define a ValueSet ActSubstanceAdminSubstitutionCode excluding 'none' to prevent contradictions.
web github.com #195 : Add additional slice in Composition.author to reference a device (MTP/PRE/DIS/PADV).
web github.com #149 : Add ATC-slice for Medication.code
web github.com #200 : Relax minimum cardinality of timing in CH EMED Dosage (MedicationRequest)
web github.com #211 : Remove element/entry custodian (was required because of CDA), analog to CH Core EPR
web github.com #214 : Require dose/rate and frequency for split dosage
web github.com #215 : Clarify usage of Dosage.patientInstruction : Use it for the patient instructions (e.g. 'take with food'), incl. free text dosage instructions (e.g. for complex dosage). Don't active support Dosage.text anymore.
web github.com #219 : Update the examples to be conformant to CH-EMED-EPR.
web github.com #140 : Add new SNOMED CT document type codes ( Composition.type ) and update the profiles to check the correctness of the second provided coding (LOINC):
  • CARD: SCT#736378000 'Medication management plan (record artifact)'
  • MTP: SCT#761931002 'Medication treatment plan report (record artifact)'
  • DIS: SCT#294121000195110 'Medication dispense document (record artifact)'
web github.com #226 : Added values to examples (MedicationDispense.whenHandedOver, MedicationDispense.quantity.code/unit/system) and corrected identifier of the changed MedicationStatement (added a note to the Observation profile)
web github.com #182 : Don't allow nested sections.
web github.com #196 : No restriction of maximum cardinality of contained resources and adding aggregation type contained to element 'medicationReference'.
web github.com #191 : Typos
web github.com #209 : Allow Patient and RelatedPerson as reference of MedicationStatement.informationSource (CARD)
web github.com #140 : Adding a new code (SCT) for Medication Card document (Composition.type)
web github.com #113 : Mapping of the author of the medical decision and the author of the document for the Medication List document.
web github.com Add separate profiles ( MedicationStatement / MedicationDispense / MedicationRequest / Observation ) for use in the Medication List document ( #114 ).
web github.com #133 : Use case for prescription authors clarified by the separate list profiles and guidance (without additional adaptation needed)
web github.com Add description/use cases for the use of the different authors at the different document levels (document/section/entry) under Guidance and update the profiles/examples according to the guidance ( #113 ):
  • MTP / PRE / DIS / PADV :
    • Composition.author: Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) ( CH EMED Practitioner | CH Core Organization EPR | Device )
    • Composition.section.author: dito
  • CARD :
    • Composition.author: Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) ( CH EMED Practitioner | CH Core Organization EPR )
    • Composition.section.author: remove this element from differential
    • Entries - Author document: use CH Core Extension (remove ch-emed-ext-documentauthor) ( #146 , #114 )
    • Entries - Author medical decision: only allow PractitionerRole (remove ch-emed-ext-representedorganization) ( #114 )
  • LIST :
    • Composition.author: Reference(Device) ( CH EMED Practitioner | CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR )
    • Composition.section.author: remove this element from differential
    • Entries: add seperate list profiles as mentioned above
web github.com Entries - Author document: use CH Core Extension (remove ch-emed-ext-documentauthor) ( #146 , #114 )
web github.com Entries - Author document: use CH Core Extension (remove ch-emed-ext-documentauthor) ( #146 , #114 )
web github.com Entries - Author medical decision: only allow PractitionerRole (remove ch-emed-ext-representedorganization) ( #114 )
web github.com #132 , #125 : Practitioner and his/her organization (Composition.author) are mapped via PractitionerRole (updated profiles: all Compositions, PractitionerRole , Practitioner , Organization )
web github.com #132 , #125 : Practitioner and his/her organization (Composition.author) are mapped via PractitionerRole (updated profiles: all Compositions, PractitionerRole , Practitioner , Organization )
web github.com #151 : Include various inputs on the topic
web github.com #161 : Home : Include the new IG fragments (IP Statements/Cross Version Analysis/Dependency Table/Globals Table) and remove Copyright (new included in IP Statements)
web github.com #126 : Set IG parameter 'allow-extensible-warnings = true' to show the warning when codes are not in extensible bindings
web github.com #141 : Add CH EMED examples in the profiles for 'identifier.value' (Bundle, Composition, MedicationDispense, MedicationRequest, MedicationStatement, Observation)
web github.com #91 : Allow Extension Substitution also in Medication Card document (incl. updating the description of the extension to clarify the usage)
web github.com #123 : Update of the introduction according to the current status
web github.com #120 : Change mapping for patient instruction from ' Entry .note' to 'Dosage.patientInstruction' to be able to map the annotation comment in the Medication Card document to ' MedicationStatemtent.note '
web github.com #116 : Update the description of ' Observation.note '.
web github.com #120 : Add element 'patientInstruction' -> because the mapping from element '.note' has changed to 'Dosage.patientInstruction'
web github.com #117 , #72 : Add mapping for reserve medication as 'Dosage.asNeededBoolean'
web github.com #117 , #72 : Add mapping for reserve medication as 'Dosage.asNeededBoolean'
web github.com #130 , #127 : Allow more different cases of dosages
web github.com #130 , #127 : Allow more different cases of dosages
web github.com #150 : Due to the decision that the CDA format will no longer be supported, CDA specific elements have been removed/adapted:
  • Remove extensions from differential (since they are defined in the underlying CH Core EPR profiles, they can theoretically still be used):
    • time-extension (http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time) in author elements (profiles/examples)
    • sectionId-extension (http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid) in Composition.section (profiles/examples) ( #155 )
    • dataEnterer-extension in Composition (profiles)
    • versionNumber-extension in Composition (profiles)
    • informationRecipient in Composition (profiles) (note: is still a required element from CH Core EPR)
  • Remove mapping between CDA and FHIR in profiles ( #157 )
  • Remove the links to the CDA-CH-EMED documents (in the document tabs)
web github.com sectionId-extension (http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid) in Composition.section (profiles/examples) ( #155 )
web github.com Remove mapping between CDA and FHIR in profiles ( #157 )
web github.com #118 : Adaptation of the use case title (de/fr) for PADV document to avoid confusion
web github.com #131 : Optimization of the descriptions of the extensions which represent the references to other documents
web github.com #129 : Remove additional FHIR validation rules on 'Composition.title' and 'Composition.section.title'
web github.com #24 CDA : Update description of CARD and LIST
web github.com #139 : Update description of CARD
web github.com #128 : Remove requirement 'fixedValue' for 'MedicationStatement.status' and 'MedicationRequest.status', fixed wrong codes ( completed ) in examples
web github.com #144 : Typo
web github.com #135 : Broken link
web github.com #160 : Add missing elements 'experimental=false' and 'description' to CodeSystems
web github.com #119 : Update the mapping to CDA for the Observation is no longer necessary
web github.com #134 : Issue was withdrawn
web github.com #124 : Due to the simplification of dosing, this request for stricter validation is no longer necessary
web github.com #142 : Representation GTIN remains in Medication.code (not identifier)
web github.com #143 : Currently no representation of the product code
web github.com #136 : No update for MTP necessary
web github.com #137 : No update for PRE necessary
web github.com #138 : Solved with other issue
web github.com #95 : Update description of Composition/Bundle.identifier
web github.com #86 : Update minimum cardinality of Composition.custodian (due to relaxation in the underlying CH Core profile)
web github.com #101 : Update profiles -> Composition.author.extension:time (according to update in CH Core)
web github.com #103 : Dosage - Do not allow unstructured dosage text when normal/split dosing issue90-dosage
web github.com #90 : Dosage in Medication Prescription document - Relax minimum cardinality of Dosage.timing.repeat.boundsPeriod to 0
web github.com #106 : Improve slicing that info entry[x] warnings are not shown
web github.com #110 : Update title of the profiles for a better readability of the references
web github.com #89 : ActivePharmaceuticalIngredient -> fix typo (Nicotine)
web github.com #94 : EDQM - RouteOfAdministration -> add EDQM code '20087000' (Extrapleural use)
web github.com #93 : UnitCode -> add UCUM code 'a' (year)
web github.com #111 : UnitCode -> add UCUM code 'mo' (month)
web github.com #97 , #92 : Typos
web github.com #97 , #92 : Typos
web github.com #164 : Fix id of the element 'medicationReference' in the differential (profile)
web github.com #72 Representation of status "in reserve" (InRes) for a medication is missing.
web github.com #73 : Add warning if non-recommended timing-event codes are used in the structured dosage.
web fhir.ch CH EMED Dosage Structured Profile
web github.com #76 : Elaboration of the repeated dispense.
web fhir.ch Add element MedicationRequest.dispenseRequest.validityPeriod to be able to represent possible use cases ( profile , mapping to CDA )
web github.com #64 : Dosage.timing.repeat.bounds[x] restricted to Period (start/end) instead of Duration, Range, Period to be equivalent to CDA.
web fhir.ch CH EMED Dosage Structured Profile Normal Dosing (MedicationRequest)
web fhir.ch CH EMED Dosage Structured Profile Split Dosing (MedicationRequest)
web github.com #75 : Set mustSupport = true for patient (Composition.subject) and author (Composition.author) of the Medication Card document, because they belong to the minimal data set of IPAG.
web github.com #74 : Change the description of the identifiers of MedicationStatement, MedicationRequest, MedicationDispense and Observation (clear naming without relation to the naming of the equivalent CDA element).
web github.com #62 : Provide a separate paragraph on the flag mustSupport on the front page of the IG.
web github.com #76 : Set minimum cardinality for element MedicationRequest.dispenseRequest.numberOfRepeatsAllowed (and MedicationRequest.dispenseRequest ) back to 0, according to changes in CDA.
web github.com #80 : Update references for the document author (Composition.author)
web github.com #63 : Typo in constraint "ch-emed-sect-annot"
web github.com #66 : Removed element Organization.telecom with the value 'nullFlavor' (extension), if no value is set, the element will not be represented.
web github.com #71 : Typo in constraint "ch-emed-sect-padv"
web github.com #69 : Wrong data in example 2-6 Medication Prescription document (base64 pdf, MedicationRequest.dispenseRequest)
web github.com #70 Remove language requirements of titles
web github.com #68 MedicationDispense: languageCode fr-CH not accepted
web github.com #65 CH EMED Extension Substitution - ValueSets not equal to CDA
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web www.ihe.net The dosage instruction is based on the 6.3.4.6 Dosage Instructions Content Module (1.3.6.1.4.1.19376.1.9.1.3.6) in the IHE Pharmacy Technical Framework Supplement: Community Prescription (PRE) .
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web www.e-health-suisse.ch Initially this implementation guide was based on the CDA-CH-EMED eMedication ART-DECOR® specification which has been published by eHealth Suisse . CDA-CH-EMED defined the eMedication documents for the information exchange in the context of the EPR in Switzerland. The documents were based on the IHE Pharmacy Technical Framework modelled and specialized in the Building Block Repository CH-PHARM. Base for this modelling was the report from IPAG eMedikation, 7.6.2017 and the work of IPAG/eHealth Suisse.
web www.e-health-suisse.ch Initially this implementation guide was based on the CDA-CH-EMED eMedication ART-DECOR® specification which has been published by eHealth Suisse . CDA-CH-EMED defined the eMedication documents for the information exchange in the context of the EPR in Switzerland. The documents were based on the IHE Pharmacy Technical Framework modelled and specialized in the Building Block Repository CH-PHARM. Base for this modelling was the report from IPAG eMedikation, 7.6.2017 and the work of IPAG/eHealth Suisse.
web www.hl7.ch This implementation guide is under STU ballot by HL7 Switzerland until September 30th, 2025 midnight.
Please add your feedback via the ‘Propose a change’-link in the footer on the page where you have comments.
web www.e-health-suisse.ch minimum data set in the IPAG report
web profiles.ihe.net The flag mustSupport follows the IHE use of R2 as defined in Appendix Z . It demands that the content creator must support these elements if they are known . If the sending application has data for the element, it is required to populate the element with a non-empty value. If the value is not known, the element may be omitted. A receiving application may ignore the information conveyed by the element. A receiving application shall not raise an error solely due to the presence or absence of the element.
web fhir.ch The original representation of the Medication Card document and the Medication Prescription document must be embedded as a PDF in PDF/A-1 or PDF/A-2 format. If elements of the minimum data set in the IPAG report are provided in the bundle, they are also required to be represented in the original representation (PDF). Guidance on the readable representation of EPR documents with an example of handling the referencing from narrative to data can be found here .
web www.fhir.ch Swiss FHIR Implementers Community
web www.hl7.ch HL7 Switzerland
web www.e-health-suisse.ch eHealth Suisse
web creativecommons.org This document is licensed under Creative Commons "No Rights Reserved" ( CC0 ).
web www.iso.org ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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web ucum.org The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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web www.e-health-suisse.ch IPAG report : eCurrentMedication, different view
web www.ihe.net IHE Pharmacy Technical Framework Supplement: Community Medication List (PML)
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web www.e-health-suisse.ch IPAG report : eDispense
web www.ihe.net IHE Pharmacy Technical Framework Supplement: Community Dispense (DIS)
web www.ihe.net IHE Pharmacy Technical Framework Supplement: Community Medication Administration (CMA)
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web www.e-health-suisse.ch IPAG report : eCurrentMedication
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web www.e-health-suisse.ch IPAG report : eRezept
web www.ihe.net IHE Pharmacy Technical Framework Supplement: Community Prescription (PRE)
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web www.e-health-suisse.ch IPAG report : eMedicationTreatmentPlan
web www.ihe.net IHE Pharmacy Technical Framework Supplement: Community Medication Treatment Plan (MTP)
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web www.e-health-suisse.ch IPAG report : eMedicationComment
web www.ihe.net IHE Pharmacy Technical Framework Supplement: Community Pharmaceutical Advice (PADV)
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web www.e-health-suisse.ch Dans son rapport, le groupe de travail IPAG a élaboré un cas d’application (Use Case) afin d’illustrer les processus interprofessionnels et la communication dans la cybermédication. L’exemple de cas énumère des situations auxquelles les différents professionnels de la santé impliqués dans le traitement médicamenteux d’un patient peuvent être confrontés au quotidien. Cet exemple de cas décrit les deux premières étapes du cas d’application du Rapport IPAG Cybermédication au chapitre 6, appendice II : Cas de Madame Wegmüller.
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web www.e-health-suisse.ch Die IPAG hat in ihrem Bericht ein Use Case erarbeitet für die Illustration der interprofessionellen Prozesse und Kommunikation in der eMedikation. Im Fallbeispiel werden Situationen geschildert, mit welchen die verschiedenen, an der medikamentösen Behandlung eines Patienten beteiligten Gesundheitsfachpersonen im Alltag konfrontiert werden können. Dieses Fallbeispiel beschreibt die ersten 2 Schritte des Use Case des IPAG Bericht eMedikation im Kapitel 6 Appendix II: Use Case Frau Wegmüller.
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