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 Practitioner

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

Copyright/Legal: CC0-1.0

This profile constrains the Practitioner resource for representing practitioners involved in the emergency chain, e.g. paramedic (in training), transport paramedic, emergency doctor.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Practitioner C 0..* CHCorePractitioner CH EMS Practitioner
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name.
ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR
ch-ems-epr-practitioner: 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... Slices for identifier Σ 0..* Identifier An identifier for the person as this agent
Slice: Unordered, Open by value:$this
ele-1: All FHIR elements must have a @value or children
.... identifier:GLN S 0..1 GLNIdentifier GLN (Global Location Number)
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.51.1.3
..... 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
Fixed Value: urn:oid:2.51.1.3
..... value ΣC 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
gln-length: GLN must be exactly 13 characters long
gln-modulus-10: GLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually
gln-startswith76: GLN must start with 76 for Swiss HCP
Example General: 123456
..... assigner SΣ 0..1 Reference(CH EMS Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... identifier:ZSR 0..* ZSRIdentifier ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori)
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.2.1.1
... Slices for telecom SΣ 0..* ContactPoint A contact detail for the practitioner (that apply to all roles)
Slice: Unordered, Open by value:system
ele-1: All FHIR elements must have a @value or children
.... telecom:email C 0..* CHCoreContactPointECH46Email CH Core ContactPoint eCH-0046 Email
cpt-2: A system is required if a value is provided.
ele-1: All FHIR elements must have a @value or children
.... telecom:phone C 0..* CHCoreContactPointECH46Phone CH Core ContactPoint eCH-0046 Phone
cpt-2: A system is required if a value is provided.
ele-1: All FHIR elements must have a @value or children
.... telecom:internet C 0..* CHCoreContactPointECH46Internet CH Core ContactPoint eCH-0046 Internet
cpt-2: A system is required if a value is provided.
ele-1: All FHIR elements must have a @value or children
... address SC 0..* CHCoreAddress An address expressed using postal conventions (as opposed to GPS or other location definition formats)
ele-1: All FHIR elements must have a @value or children
ch-addr-2: For a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
... qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
ele-1: All FHIR elements must have a @value or children
.... 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
.... code S 1..1 CHEmsCodeableConcept Coded representation of the qualification
Binding: IVR valueset formation (.143.11.9) (extensible)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Practitioner.identifier:GLN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Practitioner.qualification.codeextensibleIVRVSformation
http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-formation
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ch-addr-2errorPractitioner.addressFor a Swiss address, a canton abbreviation from the value set 'eCH-0007 Canton Abbreviation' must be used.
: country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').empty() or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH') = false) or (country.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding').value.code.startsWith('CH').exists() and (state.empty() or state.memberOf('http://fhir.ch/ig/ch-core/ValueSet/ech-7-cantonabbreviation')))
ch-core-hm-1errorPractitioner.nameif officalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is official
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').empty() or (family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='officialName').exists() and use='official')
ch-core-hm-2errorPractitioner.nameif orginalName with eCH-011 Extension is specified, it can only be put on a name where use attribute is maiden
: family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').empty() or ((family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name' and value='originalName').exists() and use='maiden'))
ch-core-hm-3errorPractitioner.namech-ext-ech-11-name can only be put on a family name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()=family.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-name').count()
ch-core-hm-4errorPractitioner.namech-ext-ech-11-firstname can only be put on a given name
: descendants().extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()=given.extension.where(url='http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-ech-11-firstname').count()
ch-ems-epr-practitionerwarningPractitionerWarning that the resource is not conform to the CH Core EPR restrictions
: conformsTo('http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner-epr')
ch-pract-1errorPractitionerIf a HumanName is provided, at least one HumanName must have a given and family name.
: name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2warningPractitionergender unknown is currently not used in Switzerland in eCH and the EPR
: gender.empty() or gender!='unknown'
cpt-2errorPractitioner.telecom:email, Practitioner.telecom:phone, Practitioner.telecom:internetA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPractitionerIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPractitionerIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorPractitionerIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorPractitionerIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePractitionerA resource should have narrative for robust management
: text.`div`.exists()
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()
gln-lengthwarningPractitioner.identifier:GLN.valueGLN must be exactly 13 characters long
: matches('^[0-9]{13}$')
gln-modulus-10warningPractitioner.identifier:GLN.valueGLN must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually
: (((10-((substring(0,1).toInteger()*1)+(substring(1,1).toInteger()*3)+(substring(2,1).toInteger()*1)+(substring(3,1).toInteger()*3)+(substring(4,1).toInteger()*1)+(substring(5,1).toInteger()*3)+(substring(6,1).toInteger()*1)+(substring(7,1).toInteger()*3)+(substring(8,1).toInteger()*1)+(substring(9,1).toInteger()*3)+(substring(10,1).toInteger()*1)+(substring(11,1).toInteger()*3))mod(10))mod(10))=substring(12,1).toInteger())
gln-startswith76warningPractitioner.identifier:GLN.valueGLN must start with 76 for Swiss HCP
: startsWith('76')

 

Other representations of profile: CSV, Excel, Schematron