CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions
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Official URL : http://fhir.ch/ig/ch-emed-epr/ImplementationGuide/ch.fhir.ig.ch-emed-epr
Version :
2.0.0-ci-build
Draft
as of 2024-12-20
Computable Name : ChEmedEpr
Copyright/Legal : CC0-1.0
Introduction
The CH EMED EPR implementation guide describes the FHIR representation of the defined documents for the exchange of medication information in the context of CARA's eMedication service .
This implementation guide is dependent on CH EMED , CH Core and CH EPR Term , which describe the Swiss specific context, especially related to the Swiss EPR.
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.
MTP (Medication Treatment Plan): introducing a treatment in the plan.
PRE (Prescription): prescribing a medication.
DIS (Dispense): dispensing a medication.
PADV (Pharmaceutical advice): modifying the state of the treatment.
PML (Medication list): listing multiple entries in a single document.
PMLC (Medication card): listing the on-going treatments in an aggregated form.
Guidance pages are available to detail some parts of the profile, they are listed in the top menu.
How to understand this IG
Tabs
Resources usually show these three different tabs in the main table. You should only review the Snapshot one.
Differential : it shows differences with the parent artifact. It is only useful to authors of this IG.
Key : it only contains elements that are included in summaries (a feature not used by this IG) or as must support .
Snapshot : the tab that contains all the elements, it is the most useful one.
Flags
must support : the mustSupport flag 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.
draft /✕ : the draft flag or '✕' symbol are used to indicate that an element has no clear use case or description and is useless in this profile. Implementers SHOULD avoid setting or reading it, as elements' meaning is undefined.
trial use : the element description is being defined and implementers MAY support it.
Binding strengths
required binding: the use of a code present in the given value set is required.
extensible binding: the use of a code present in the given value set is recommended; another code can be used if it is missing.
example binding: the value set is given as example.
Download
You can also download:
The source code for this Implementation Guide can be found on GitHub: https://github.com/CARA-ch/ch-emed-epr .
Details
Cross-Version Analysis
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (ch.fhir.ig.ch-emed-epr.r4) and R4B (ch.fhir.ig.ch-emed-epr.r4b) are available.
Dependency Table
Package hl7.fhir.uv.extensions.r4#5.1.0
This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)
Package ch.fhir.ig.ch-core#5.0.0
FHIR implementation guide CH Core (built Tue, Dec 17, 2024 19:54+0000+00:00)
Package ch.fhir.ig.ch-emed#5.0.0
Implementation Guide for the eMedication in Switzerland. (built Tue, Dec 17, 2024 21:31+0000+00:00)
IP statements
This publication includes IP covered under the following statements.
CC0-1.0 Show Usage
eCH-011 Types : CHEMEDEPRPatient
eCH-011 MaritalStatus : Bundle/BundleUtc1Pml , Bundle/BundleUtc6bPml ... Show 9 more , Bundle/DocumentMtpParacetamolCARAPMP004 , Bundle/DocumentMtpParacetamolDafalganCARAPMP004 , Bundle/DocumentPadvCancelParacetamolCARAPMP004 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol , Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol , Bundle/DocumentPreParacetamolAxapharmCARAPMP004 , Bundle/DocumentPreParacetamolDafalganCARAPMP004 and Patient/PatientCARAPMP004
CH EMED EPR Paper Format Code System : CHEMEDEPRPaperFormat
EDQM - Standard Terms : Bundle/BundlePml1 , Bundle/BundlePmlc1 ... Show 38 more , Bundle/BundleUtc6bPml , Bundle/DocumentDis1 , Bundle/DocumentMtp1 , Bundle/DocumentMtpParacetamolCARAPMP004 , Bundle/DocumentMtpParacetamolDafalganCARAPMP004 , Bundle/DocumentPadv1 , Bundle/DocumentPadv2 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol , Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol , Bundle/DocumentPre1 , Bundle/DocumentPreParacetamolAxapharmCARAPMP004 , Bundle/DocumentPreParacetamolDafalganCARAPMP004 , CHEMEDEPRRouteOfAdministration , Medication/MedicationNorvasc , Medication/MedicationParacetamolAxapharm , Medication/MedicationParacetamolDafalganEff , Medication/MedicationRamipril , Medication/MedicationTriatec , Medication/MedicationWithATC , Medication/MedicationWithTwoIngredients , MedicationDispense/MedicationDispenseTriatecDis , MedicationDispense/MedicationDispenseTriatecPml , MedicationRequest/MedicationRequestChangedDafalganEffPml , MedicationRequest/MedicationRequestChangedDafalganEffPre , MedicationRequest/MedicationRequestDafalganEffPre , MedicationRequest/MedicationRequestParacetamolAxapharmPml , MedicationRequest/MedicationRequestParacetamolAxapharmPre , MedicationRequest/MedicationRequestTriatecPml , MedicationRequest/MedicationRequestTriatecPre , MedicationStatement/MedicationStatementDafalganEffSplitDose , MedicationStatement/MedicationStatementParacetamolAxapharmMtp , MedicationStatement/MedicationStatementParacetamolAxapharmPml , MedicationStatement/MedicationStatementParacetamolAxapharmPmlc , MedicationStatement/MedicationStatementParacetamolDafalganEffMtp , MedicationStatement/MedicationStatementParacetamolDafalganEffPmlc , MedicationStatement/MedicationStatementTriatecMtp and MedicationStatement/MedicationStatementTriatecPadv
IHE Pharmaceutical Advice Status List : Bundle/BundleUtc6bPml , Bundle/DocumentPadv1 ... Show 9 more , Bundle/DocumentPadv2 , Bundle/DocumentPadvCancelParacetamolCARAPMP004 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Observation/ObservationParacetamolAxapharmPrePadvCancel , Observation/ObservationParacetamolAxapharmPrePadvChange , Observation/ObservationParacetamolAxapharmPrePadvChangePml , Observation/ObservationRamiprilPadv , Observation/ObservationTriatecPadv and Observation/ObservationTriatecPml
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 Show Usage
ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code : CHEMEDEPRAmountQuantity , CHEMEDEPRAmountQuantityUnitCode ... Show 52 more , CHEMEDEPRAmountQuantityUnitCodeToCdTyp9 , CHEMEDEPRAmountRange , CHEMEDEPRChangedMedicationRequest , CHEMEDEPRChangedMedicationStatement , CHEMEDEPRCompositionMedicationCard , CHEMEDEPRCompositionMedicationDispense , CHEMEDEPRCompositionMedicationList , CHEMEDEPRCompositionMedicationPrescription , CHEMEDEPRCompositionMedicationTreatmentPlan , CHEMEDEPRCompositionPharmaceuticalAdvice , CHEMEDEPRDevice , CHEMEDEPRDocumentMedicationCard , CHEMEDEPRDocumentMedicationDispense , CHEMEDEPRDocumentMedicationList , CHEMEDEPRDocumentMedicationPrescription , CHEMEDEPRDocumentMedicationTreatmentPlan , CHEMEDEPRDocumentPharmaceuticalAdvice , CHEMEDEPRDosage , CHEMEDEPRDosageMedicationRequest , CHEMEDEPRDosageSplit , CHEMEDEPREventTiming , CHEMEDEPRMedication , CHEMEDEPRMedicationDispense , CHEMEDEPRMedicationDispenseList , CHEMEDEPRMedicationMedicationDispense , CHEMEDEPRMedicationRequest , CHEMEDEPRMedicationRequestChangedList , CHEMEDEPRMedicationRequestList , CHEMEDEPRMedicationStatement , CHEMEDEPRMedicationStatementCard , CHEMEDEPRMedicationStatementChangedList , CHEMEDEPRMedicationStatementList , CHEMEDEPRObservation , CHEMEDEPRObservationBodyWeight , CHEMEDEPRObservationList , CHEMEDEPROrganization , CHEMEDEPRPaperFormat , CHEMEDEPRPaperFormatCS , CHEMEDEPRPatient , CHEMEDEPRPractitioner , CHEMEDEPRPractitionerRole , CHEMEDEPRRatioAmountPerAmount , CHEMEDEPRRatioAmountPerTime , CHEMEDEPRRelatedPerson , CHEMEDEPRRouteOfAdministration , CHEMEDEPRTimeQuantity , CHEMEDEPRTimeQuantityUnitCode , CHEMEDEPRTimeQuantityUnitCodeToCdTyp9 , CHEMEDEprActSubstanceAdminSubstitutionCode , CdTyp9ToCHEMEDEPRAmountQuantityUnitCode , CdTyp9ToCHEMEDEPRTimeQuantityUnitCode and ChEmedEpr
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 Show Usage
Unified Code for Units of Measure (UCUM) : Bundle/BundleUtc6bPml , Bundle/DocumentDis1 ... Show 39 more , Bundle/DocumentMtp1 , Bundle/DocumentMtpParacetamolCARAPMP004 , Bundle/DocumentMtpParacetamolDafalganCARAPMP004 , Bundle/DocumentPadv1 , Bundle/DocumentPadv2 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol , Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol , Bundle/DocumentPre1 , Bundle/DocumentPreParacetamolAxapharmCARAPMP004 , Bundle/DocumentPreParacetamolDafalganCARAPMP004 , CHEMEDEPRAmountQuantity , CHEMEDEPRAmountQuantityUnitCode , CHEMEDEPRTimeQuantity , CHEMEDEPRTimeQuantityUnitCode , Medication/MedicationNorvasc , Medication/MedicationParacetamolAxapharm , Medication/MedicationParacetamolDafalganEff , Medication/MedicationRamipril , Medication/MedicationTriatec , Medication/MedicationWithATC , Medication/MedicationWithTwoIngredients , MedicationDispense/MedicationDispenseTriatecDis , MedicationDispense/MedicationDispenseTriatecPml , MedicationRequest/MedicationRequestChangedDafalganEffPml , MedicationRequest/MedicationRequestChangedDafalganEffPre , MedicationRequest/MedicationRequestDafalganEffPre , MedicationRequest/MedicationRequestParacetamolAxapharmPml , MedicationRequest/MedicationRequestParacetamolAxapharmPre , MedicationRequest/MedicationRequestTriatecPml , MedicationRequest/MedicationRequestTriatecPre , MedicationStatement/MedicationStatementDafalganEffSplitDose , MedicationStatement/MedicationStatementParacetamolAxapharmMtp , MedicationStatement/MedicationStatementParacetamolAxapharmPml , MedicationStatement/MedicationStatementParacetamolAxapharmPmlc , MedicationStatement/MedicationStatementParacetamolDafalganEffMtp , MedicationStatement/MedicationStatementParacetamolDafalganEffPmlc , MedicationStatement/MedicationStatementTriatecMtp and MedicationStatement/MedicationStatementTriatecPadv
This material contains content from LOINC . LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license . LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage
LOINC : Bundle/BundlePml1 , Bundle/BundlePmlc1 ... Show 26 more , Bundle/BundleUtc1Pml , Bundle/BundleUtc6bPml , Bundle/DocumentDis1 , Bundle/DocumentMtp1 , Bundle/DocumentMtpParacetamolCARAPMP004 , Bundle/DocumentMtpParacetamolDafalganCARAPMP004 , Bundle/DocumentPadv1 , Bundle/DocumentPadv2 , Bundle/DocumentPadvCancelParacetamolCARAPMP004 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol , Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol , Bundle/DocumentPre1 , Bundle/DocumentPreParacetamolAxapharmCARAPMP004 , Bundle/DocumentPreParacetamolDafalganCARAPMP004 , CHEMEDEPRCompositionMedicationCard , CHEMEDEPRCompositionMedicationDispense , CHEMEDEPRCompositionMedicationList , CHEMEDEPRCompositionMedicationPrescription , CHEMEDEPRCompositionMedicationTreatmentPlan , CHEMEDEPRCompositionPharmaceuticalAdvice , CHEMEDEPRObservationBodyWeight , Composition/CompositionPmlcParacetamolAxapharmCARAPMP004 , Composition/CompositionPmlcParacetamolDafalganEffCARAPMP004 , Composition/Inline-composition-for-utc-1-pml and Composition/Inline-composition-for-utc-6b-pml
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org . Show Usage
SNOMED Clinical Terms® (SNOMED CT®) : Bundle/BundlePml1 , Bundle/BundlePmlc1 ... Show 52 more , Bundle/BundleUtc1Pml , Bundle/BundleUtc6bPml , Bundle/DocumentDis1 , Bundle/DocumentMtp1 , Bundle/DocumentMtpParacetamolCARAPMP004 , Bundle/DocumentMtpParacetamolDafalganCARAPMP004 , Bundle/DocumentPadv1 , Bundle/DocumentPadv2 , Bundle/DocumentPadvCancelParacetamolCARAPMP004 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol , Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol , Bundle/DocumentPre1 , Bundle/DocumentPreParacetamolAxapharmCARAPMP004 , Bundle/DocumentPreParacetamolDafalganCARAPMP004 , CHEMEDEPRAmountQuantity , CHEMEDEPRAmountQuantityUnitCode , CHEMEDEPRCompositionMedicationCard , CHEMEDEPRCompositionMedicationDispense , CHEMEDEPRCompositionMedicationList , CHEMEDEPRCompositionMedicationPrescription , CHEMEDEPRCompositionMedicationTreatmentPlan , CHEMEDEPRCompositionPharmaceuticalAdvice , Composition/CompositionPmlcParacetamolAxapharmCARAPMP004 , Composition/CompositionPmlcParacetamolDafalganEffCARAPMP004 , Composition/Inline-composition-for-utc-1-pml , Composition/Inline-composition-for-utc-6b-pml , Device/DevicePmp , Medication/MedicationNorvasc , Medication/MedicationParacetamolAxapharm , Medication/MedicationParacetamolDafalganEff , Medication/MedicationRamipril , Medication/MedicationTriatec , Medication/MedicationWithATC , Medication/MedicationWithTwoIngredients , MedicationDispense/MedicationDispenseTriatecDis , MedicationDispense/MedicationDispenseTriatecPml , MedicationRequest/MedicationRequestChangedDafalganEffPml , MedicationRequest/MedicationRequestChangedDafalganEffPre , MedicationRequest/MedicationRequestDafalganEffPre , MedicationRequest/MedicationRequestParacetamolAxapharmPml , MedicationRequest/MedicationRequestParacetamolAxapharmPre , MedicationRequest/MedicationRequestTriatecPml , MedicationRequest/MedicationRequestTriatecPre , MedicationStatement/MedicationStatementDafalganEffSplitDose , MedicationStatement/MedicationStatementParacetamolAxapharmMtp , MedicationStatement/MedicationStatementParacetamolAxapharmPml , MedicationStatement/MedicationStatementParacetamolAxapharmPmlc , MedicationStatement/MedicationStatementParacetamolDafalganEffMtp , MedicationStatement/MedicationStatementParacetamolDafalganEffPmlc , MedicationStatement/MedicationStatementTriatecMtp and MedicationStatement/MedicationStatementTriatecPadv
This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage
identifierType : Bundle/BundlePml1 , Bundle/BundlePmlc1 ... Show 18 more , Bundle/BundleUtc1Pml , Bundle/BundleUtc6bPml , Bundle/DocumentDis1 , Bundle/DocumentMtp1 , Bundle/DocumentMtpParacetamolCARAPMP004 , Bundle/DocumentMtpParacetamolDafalganCARAPMP004 , Bundle/DocumentPadv1 , Bundle/DocumentPadv2 , Bundle/DocumentPadvCancelParacetamolCARAPMP004 , Bundle/DocumentPadvChangeParacetamolCARAPMP004 , Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol , Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol , Bundle/DocumentPre1 , Bundle/DocumentPreParacetamolAxapharmCARAPMP004 , Bundle/DocumentPreParacetamolDafalganCARAPMP004 , CHEMEDEPRPatient , Patient/PatientCARAPMP004 and Patient/PatientDupont
RoleCode : CHEMEDEPRPatient
Substance Admin Substitution : CHEMEDEPRChangedMedicationRequest , CHEMEDEPRChangedMedicationStatement ... Show 10 more , CHEMEDEPRMedicationDispense , CHEMEDEPRMedicationDispenseList , CHEMEDEPRMedicationRequest , CHEMEDEPRMedicationRequestChangedList , CHEMEDEPRMedicationRequestList , CHEMEDEPRMedicationStatement , CHEMEDEPRMedicationStatementCard , CHEMEDEPRMedicationStatementChangedList , CHEMEDEPRMedicationStatementList and CHEMEDEprActSubstanceAdminSubstitutionCode
Global profiles
There are no Global profiles defined