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- Remove outdated (CDA) extensions: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid, http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber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- Change outdated discriminator type 'pattern' to 'value'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.