CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ChEkmBundleHepatitisC",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1901332d-6012-443f-9690-9291adb234fa"
},
"type" : "document",
"timestamp" : "2026-01-27T11:30:00+02:00",
"entry" : [
{
"fullUrl" : "http://test.fhir.ch/r4/Composition/ChEkmCompositionExample-HepatitisC",
"resource" : {
"resourceType" : "Composition",
"id" : "ChEkmCompositionExample-HepatitisC",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1301332d-6012-443f-9690-929132b2e155"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "722143004",
"display" : "Infectious disease diagnostic study note"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "423876004",
"display" : "Clinical report"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"date" : "2026-01-27",
"author" : [
{
"reference" : "http://test.fhir.ch/r4/PractitionerRole/ChEkmPractitionerRoleTreatingPhysicianExample"
}
],
"title" : "Meldung zum klinischen Befund Infektionskrankheit",
"section" : [
{
"title" : "Diagnosis section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29308-4"
}
]
},
"entry" : [
{
🔗 "reference" : "Condition/ChEkmConditionExample-HepatitisC"
},
{
🔗 "reference" : "QuestionnaireResponse/ChEkmQuestionnaireResponseHepatitisCCourseOfDisease"
}
]
},
{
"title" : "Laboratory Results section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2"
}
]
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/ChEkmServiceRequestExampleHepatitisC"
},
{
🔗 "reference" : "Observation/ChEkmObservationExample-HepatitisCVirusAb"
}
]
},
{
"title" : "Medication section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/ChEkmObservationExample-AntiviralTherapy"
}
]
},
{
"title" : "Social History section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2"
}
]
},
"entry" : [
{
🔗 "reference" : "Observation/ChEkmObservationExample-ExposureViralDisease"
},
{
🔗 "reference" : "Observation/ChEkmObservationExample-Occupation"
}
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Patient/ChEkmPatientExample",
"resource" : {
"resourceType" : "Patient",
"id" : "ChEkmPatientExample",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
},
{
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1384187000",
"display" : "Identifies as transgender (finding)"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.32",
"value" : "7561234567897"
}
],
"name" : [
{
"family" : "Muster",
"given" : [
"Beispielin"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+41 79 222 33 44"
}
],
"gender" : "male",
"birthDate" : "2000-01-01",
"address" : [
{
"use" : "home",
"line" : [
"Tannenstrasse 10a"
],
"city" : "Liebefeld",
"state" : "BE",
"postalCode" : "3097",
"country" : "CH",
"_country" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"valueCoding" : {
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
}
]
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/PractitionerRole/ChEkmPractitionerRoleTreatingPhysicianExample",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "ChEkmPractitionerRoleTreatingPhysicianExample",
"practitioner" : {
🔗 "reference" : "Practitioner/ChEkmPractitionerTreatingPhysicianExample"
},
"organization" : {
🔗 "reference" : "Organization/ChEkmOrganizationTreatingPhysicianExample"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/ChEkmPractitionerTreatingPhysicianExample",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ChEkmPractitionerTreatingPhysicianExample",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000435666"
}
],
"name" : [
{
"family" : "Brachialis",
"given" : [
"Potagon"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+24 74 200 88 77"
},
{
"system" : "email",
"value" : "p.brach@sampledoc.com"
}
],
"address" : [
{
"line" : [
"Sodaweg 55"
],
"city" : "Flammingen",
"postalCode" : "3921"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/ChEkmOrganizationTreatingPhysicianExample",
"resource" : {
"resourceType" : "Organization",
"id" : "ChEkmOrganizationTreatingPhysicianExample",
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-department",
"valueString" : "Immunologie"
}
],
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000435777"
},
{
"system" : "urn:oid:2.16.756.5.45",
"value" : "A99086600"
}
],
"name" : "Regionalspital Genesis",
"telecom" : [
{
"system" : "phone",
"value" : "+26 34 876 54 33"
},
{
"system" : "email",
"value" : "immuno@hospidoc.com"
}
],
"address" : [
{
"line" : [
"Radixstrasse 88"
],
"city" : "Pankreas",
"postalCode" : "4088"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/ChEkmServiceRequestExampleHepatitisC",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ChEkmServiceRequestExampleHepatitisC",
"status" : "completed",
"intent" : "order",
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"performer" : [
{
🔗 "reference" : "Organization/ChEkmOrganizationLabExample"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "171112000",
"display" : "Screening due (finding)"
}
],
"text" : "Screening due (finding)"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/ChEkmSpecimenExampleHepatitisC"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/ChEkmOrganizationLabExample",
"resource" : {
"resourceType" : "Organization",
"id" : "ChEkmOrganizationLabExample",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000435111"
},
{
"system" : "urn:oid:2.16.756.5.45",
"value" : "A99082200"
}
],
"name" : "LabSan GmbH",
"telecom" : [
{
"system" : "phone",
"value" : "+36 87 987 65 43"
},
{
"system" : "email",
"value" : "patho@automation.org"
}
],
"address" : [
{
"line" : [
"Petriweg 88"
],
"city" : "Rumplikon",
"postalCode" : "7575"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Specimen/ChEkmSpecimenExampleHepatitisC",
"resource" : {
"resourceType" : "Specimen",
"id" : "ChEkmSpecimenExampleHepatitisC",
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"collection" : {
"collectedDateTime" : "2026-01-19"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Condition/ChEkmConditionExample-HepatitisC",
"resource" : {
"resourceType" : "Condition",
"id" : "ChEkmConditionExample-HepatitisC",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "50711007",
"display" : "Viral hepatitis type C (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"_onsetDateTime" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "asked-unknown"
}
]
},
"recorder" : {
🔗 "reference" : "PractitionerRole/ChEkmPractitionerRoleTreatingPhysicianExample"
},
"evidence" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "707724006",
"display" : "Liver enzymes level above reference range"
}
]
}
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ChEkmObservationExample-HepatitisCVirusAb",
"resource" : {
"resourceType" : "Observation",
"id" : "ChEkmObservationExample-HepatitisCVirusAb",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "16128-1",
"display" : "Hepatitis C virus Ab [Presence] in Serum"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261665006",
"display" : "Unknown (qualifier value)"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ChEkmObservationExample-AntiviralTherapy",
"resource" : {
"resourceType" : "Observation",
"id" : "ChEkmObservationExample-AntiviralTherapy",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "427314002",
"display" : "Antiviral therapy (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386053000",
"display" : "Evaluation procedure (procedure)"
}
]
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ChEkmObservationExample-ExposureViralDisease",
"resource" : {
"resourceType" : "Observation",
"id" : "ChEkmObservationExample-ExposureViralDisease",
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-ekm/StructureDefinition/ch-ekm-ext-exposition-address",
"valueAddress" : {
"country" : "Nepal"
}
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
"code" : "AEXPOS",
"display" : "acquisition exposure"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "EXPAGNT",
"display" : "Exposure Agent"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"effectivePeriod" : {
"start" : "2025-12-01",
"end" : "2025-12-01"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62944002",
"display" : "Hepatitis C virus (organism)"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "LOC",
"display" : "Location"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "276030007",
"display" : "Travel abroad (finding)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "PART",
"display" : "Participant"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261665006",
"display" : "Unknown (qualifier value)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Observation/ChEkmObservationExample-Occupation",
"resource" : {
"resourceType" : "Observation",
"id" : "ChEkmObservationExample-Occupation",
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21843-8",
"display" : "History of Usual occupation"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"valueString" : "Ärztin"
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/QuestionnaireResponse/ChEkmQuestionnaireResponseHepatitisCCourseOfDisease",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "ChEkmQuestionnaireResponseHepatitisCCourseOfDisease",
"questionnaire" : "http://fhir.ch/ig/ch-ekm/Questionnaire/ChEkmQuestionnaireHepatitisCCourseOfDisease",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientExample"
},
"item" : [
{
"linkId" : "course-of-disease",
"answer" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "235866006",
"display" : "Acute hepatitis C (disorder)"
}
}
]
}
]
}
}
]
}