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