CH EMS (R4)
2.1.0-ci-build - ci-build Switzerland flag

CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-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-ems/ and changes regularly. See the Directory of published versions

Resource Profile: CH EMS Document

Official URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-document Version: 2.1.0-ci-build
Active as of 2025-02-06 Computable Name: CHEmsDocument

Copyright/Legal: CC0-1.0

This profile constrains the Bundle resource for representing the emergency medical service protocol.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C 0..* CHCoreDocument CH EMS Document
bdl-1: total only when a search or history
bdl-2: entry.search only when a search
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
bdl-9: A document must have an identifier with a system and a value
bdl-10: A document must have a date
bdl-11: A document must have a Composition as the first resource
bdl-12: A message must have a MessageHeader as the first resource
ch-ems-epr-document: Warning that the resource is not conform to the CH Core EPR restrictions
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... identifier SΣ 1..1 Identifier Persistent identifier for the bundle
ele-1: All FHIR elements must have a @value or children
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... type SΣ 1..1 code document
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


ele-1: All FHIR elements must have a @value or children
Fixed Value: document
... Slices for entry ΣC 3..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by profile:resource, type:resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
.... entry:Composition SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsComposition CH EMS Composition
.... entry:Patient SΣC 1..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsPatient CH EMS Patient
.... entry:Practitioner SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsPractitioner CH EMS Practitioner
.... entry:PractitionerRole SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsPractitionerRole CH EMS PractitionerRole
.... entry:Organization SΣC 1..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsOrganization CH EMS Organization
.... entry:RelatedPerson ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 RelatedPerson A person that is related to a patient, but who is not a direct target of care
.... entry:Device SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsDevice CH EMS Device
.... entry:Encounter SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHEmsEncounter CH EMS Encounter
.... entry:Location SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... resource 1..1 CHCoreLocation CH Core Location
.... entry:Coverage SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsCoverage CH EMS Coverage
.... entry:Procedure SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsProcedure CH EMS Procedure (Base)
.... entry:ServiceRequest SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsServiceRequest CH EMS ServiceRequest
.... entry:Observation SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsObservation CH EMS Observation (Base)
.... entry:AllergyIntolerance SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsAllergyIntolerance CH EMS AllergyIntolerance
.... entry:MedicationStatement SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsMedicationStatement CH EMS MedicationStatement
.... entry:MedicationAdministration SΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
ele-1: All FHIR elements must have a @value or children
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... fullUrl ΣC 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
ele-1: All FHIR elements must have a @value or children
ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
..... resource 1..1 CHEmsMedicationAdministration CH EMS MedicationAdministration

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Bundle.typerequiredFixed Value: document
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
: entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5errorBundle.entry, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Coverage, Bundle.entry:Procedure, Bundle.entry:ServiceRequest, Bundle.entry:Observation, Bundle.entry:AllergyIntolerance, Bundle.entry:MedicationStatement, Bundle.entry:MedicationAdministrationmust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
: (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8errorBundle.entry, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Coverage, Bundle.entry:Procedure, Bundle.entry:ServiceRequest, Bundle.entry:Observation, Bundle.entry:AllergyIntolerance, Bundle.entry:MedicationStatement, Bundle.entry:MedicationAdministrationfullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ch-core-doc-1errorBundle.entry.fullUrl, Bundle.entry:Coverage.fullUrl, Bundle.entry:Procedure.fullUrl, Bundle.entry:ServiceRequest.fullUrl, Bundle.entry:Observation.fullUrl, Bundle.entry:AllergyIntolerance.fullUrl, Bundle.entry:MedicationStatement.fullUrl, Bundle.entry:MedicationAdministration.fullUrlThe fullUrl must be an absolute URL server address or an UUID
: startsWith('http') or startsWith('urn:uuid:') = true
ch-ems-epr-documentwarningBundleWarning that the resource is not conform to the CH Core EPR restrictions
: conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-document-epr')
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron