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

Changelog

All significant changes to this FHIR implementation guide will be documented on this page.

v2.1.0 (2025)

Open Issues

  • CH EMS Location: Ambulance -> name 1.. because of CH Core Location (#318 CH Core)

Added

  • Introduction the IVR valueset diagnosis
  • #2: Include 'Propose a change' link in the footer
  • #20: Integration of medical data
    • Composition.section:anamnesis.entry:allergyIntolerance -> 0..* CH EMS AllergyIntolerance
    • Composition.section:anamnesis.entry:medicationStatement -> 0..* CH EMS MedicationStatement
    • Composition.section:procedures.entry:medicationAdministration -> 0..* CH EMS MedicationAdministration
  • Introduction of the concept must support (incl. adding the data type profiles for CodeableConcept, Coding and Quantity)

Changed / Updated

  • Updates according the current published version 5.0.0 of CH Core (see also changelog)
    • Change the links to the Swiss terminology implementation guide because of its renaming from CH EPR Term to CH Term
    • Remove outdated (CDA) extensions: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid, http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber
    • Change the value for AHVN13 in example 1-ThomasMueller, because CH Core integrated a check on it
    • Update license and copyright like other Swiss IGs (see here) from 'CC-BY-SA-4.0' to 'CC0-1.0'
    • Include automatic generated sections IP Statements, Cross Version Analysis, Dependency Table, Globals Table on Home
    • Use new introduced CH Core ServiceRequest as parent profile for CH EMS ServiceRequest
    • Define slice Encounter.identifier:missionNumber because underlying profile already sliced this element and add code 'MN' (Einsatznummer) to IVR Code System to be able to define the required identifier type
  • Change outdated discriminator type 'pattern' to 'value'
  • #3: Remove fixed display values
  • #4: Remove 'Profile' from profile title
  • #5: Usage of URL instead of OID for IVR CodeSystem
  • #10: Update intro text: date of birth is also required for an EPR document
  • #9: Update use cases (DE/FR)
    • Text links to resources contained in the document (Bundle)
    • Rename persons for simpler understanding (Hans Beispiel -> Hans Transportsanitäter; Hans Notarzt -> Pierre Urgentiste; Hans Spezialarzt -> Claude Spitalarzt; Peter & Erika Muster -> Thomas & Erika Müller)
    • Use the same personal names for DE and FR so that it matches the contents of the resources
    • Adjust times according to the use case
    • Consequent use of the terms primary ans secondary mission
    • Some clarifications in the story board
    • Update of the process images
  • #8: Change inactive codes for left and right, add VS Laterality
  • #7: Change inactive code for 'yellow'
  • #12: Add ICD-10 slice with fixed system instead of value set with different code system
  • #11: Add involved participant slice with relationship code 'thirdParty'
  • #24: Add slices for all Bundle.entry
    • Add a CH EMS Observation base profile with all common observation requirements defined
    • Add a CH EMS Procedure base profile with all common procedure requirements defined (rename former CH EMS Procedure to CH EMS Procedure: Pretreatment)
  • #18: Add value set binding to profiles/elements
    • Add CH EMS Observation: Death Manner
    • Add CH EMS Procedures: Precautions Infection Transportation Wound Treatment
    • Add CH EMS Location: Ambulance (rename former CH EMS Location to CH EMS Location: Location and Destination)
    • Add CH EMS Device
    • Add CH EMS Extensions: Urgency Adequate Emergency Doctor System Valuables Patient Identification Disinfection Violence Owner
  • #19: Include all ABCDE sections in section findings and procedures
    • Add CH EMS Observations: Breathing Heat Exposure Cold Exposure Heart Rate Blood Pressure Pupil Shape Pupil Size
    • Add CH EMS Procedures: Airways Breathing
  • #22: Add new codes (arrival time emergency doctor, pick-up time emergency doctor) in IVR valueset role mission time (and IVR Code System)

Fixed

  • Replace ci-build links with links to stable version

v1.9.0 (2020-08-25)

Initial published version.