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" : "ChEkmBundleInvasivePneumococcalDisease",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:1301332d-6012-443f-9690-929132b2e155"
},
"type" : "document",
"timestamp" : "2026-01-27T11:30:00+02:00",
"entry" : [
{
"fullUrl" : "http://test.fhir.ch/r4/Composition/ChEkmCompositionExample-InvasivePneumococcalDisease",
"resource" : {
"resourceType" : "Composition",
"id" : "ChEkmCompositionExample-InvasivePneumococcalDisease",
"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/ChEkmPatientInitialsExample"
},
"encounter" : {
🔗 "reference" : "Encounter/ChEkmEncounterExample-InvasivePneumococcalDisease"
},
"date" : "2026-01-27",
"author" : [
{
🔗 "reference" : "PractitionerRole/ChEkmPractitionerRoleBrokerExample"
}
],
"title" : "Meldung zum klinischen Befund Infektionskrankheit",
"section" : [
{
"title" : "Diagnosis section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29308-4"
}
]
},
"entry" : [
{
🔗 "reference" : "Condition/ChEkmConditionExample-InvasivePneumococcalDisease"
}
]
},
{
"title" : "Laboratory section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2"
}
]
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/ChEkmServiceRequestExampleInvasivePneumococcalDisease"
}
]
},
{
"title" : "Hospitalisation section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46240-8"
}
]
},
"entry" : [
{
🔗 "reference" : "Encounter/ChEkmEncounterExample-InvasivePneumococcalDisease"
}
]
},
{
"title" : "Immunization section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
},
"entry" : [
{
🔗 "reference" : "Immunization/ChEkmImmunizationExample-Pneumococcal1"
},
{
🔗 "reference" : "Immunization/ChEkmImmunizationExample-Pneumococcal2"
}
]
},
{
"title" : "Risk factors section",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46467-7"
}
]
},
"entry" : [
{
🔗 "reference" : "Condition/ChEkmConditionExample-Immunosuppression"
}
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Patient/ChEkmPatientInitialsExample",
"resource" : {
"resourceType" : "Patient",
"id" : "ChEkmPatientInitialsExample",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CH"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress" : {
"country" : "NL",
"_country" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-codedString",
"valueCoding" : {
"system" : "urn:iso:std:iso:3166",
"code" : "NL"
}
}
]
}
}
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.32",
"value" : "7561234567897"
}
],
"name" : [
{
"family" : "M",
"given" : [
"B"
]
}
],
"gender" : "male",
"birthDate" : "2000-01-01",
"address" : [
{
"use" : "home",
"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/ChEkmPractitionerRoleBrokerExample",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "ChEkmPractitionerRoleBrokerExample",
"practitioner" : {
🔗 "reference" : "Practitioner/ChEkmPractitionerBrokerExample"
},
"organization" : {
🔗 "reference" : "Organization/ChEkmOrganizationBrokerExample"
}
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Practitioner/ChEkmPractitionerBrokerExample",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ChEkmPractitionerBrokerExample",
"name" : [
{
"family" : "Giacometti",
"given" : [
"Monika"
]
}
],
"telecom" : [
{
"system" : "email",
"value" : "input@output.org"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Organization/ChEkmOrganizationBrokerExample",
"resource" : {
"resourceType" : "Organization",
"id" : "ChEkmOrganizationBrokerExample",
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000435333"
},
{
"system" : "urn:oid:2.16.756.5.45",
"value" : "A99085500"
}
],
"name" : "DataSan AG",
"telecom" : [
{
"system" : "phone",
"value" : "+35 43 654 43 32"
},
{
"system" : "email",
"value" : "input@output.org"
}
],
"address" : [
{
"line" : [
"Bitstrasse 128"
],
"city" : "Gatiburg",
"postalCode" : "1010"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Condition/ChEkmConditionExample-InvasivePneumococcalDisease",
"resource" : {
"resourceType" : "Condition",
"id" : "ChEkmConditionExample-InvasivePneumococcalDisease",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "406617004",
"display" : "Invasive Streptococcus pneumoniae disease (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
},
"onsetDateTime" : "2026-01-27",
"evidence" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "91302008",
"display" : "Sepsis (disorder)"
}
]
}
]
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Encounter/ChEkmEncounterExample-InvasivePneumococcalDisease",
"resource" : {
"resourceType" : "Encounter",
"id" : "ChEkmEncounterExample-InvasivePneumococcalDisease",
"status" : "unknown",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
},
"period" : {
"start" : "2026-01-19"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/ChEkmConditionExample-InvasivePneumococcalDisease"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/ServiceRequest/ChEkmServiceRequestExampleInvasivePneumococcalDisease",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ChEkmServiceRequestExampleInvasivePneumococcalDisease",
"status" : "completed",
"intent" : "order",
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
},
"performer" : [
{
🔗 "reference" : "Organization/ChEkmOrganizationLabExample"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/ChEkmSpecimenExampleInvasivePneumococcalDisease"
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Specimen/ChEkmSpecimenExampleInvasivePneumococcalDisease",
"resource" : {
"resourceType" : "Specimen",
"id" : "ChEkmSpecimenExampleInvasivePneumococcalDisease",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "119297000",
"display" : "Blood specimen (specimen)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
},
"collection" : {
"collectedDateTime" : "2026-01-27"
}
}
},
{
"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/Immunization/ChEkmImmunizationExample-Pneumococcal1",
"resource" : {
"resourceType" : "Immunization",
"id" : "ChEkmImmunizationExample-Pneumococcal1",
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
"code" : "60129"
}
]
},
"patient" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
},
"occurrenceDateTime" : "2000-03-01",
"protocolApplied" : [
{
"targetDisease" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16814004",
"display" : "Pneumococcal infectious disease"
}
]
}
],
"doseNumberPositiveInt" : 1
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Immunization/ChEkmImmunizationExample-Pneumococcal2",
"resource" : {
"resourceType" : "Immunization",
"id" : "ChEkmImmunizationExample-Pneumococcal2",
"status" : "completed",
"vaccineCode" : {
"coding" : [
{
"system" : "http://fhir.ch/ig/ch-vacd/CodeSystem/ch-vacd-swissmedic-cs",
"code" : "60129"
}
]
},
"patient" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
},
"occurrenceDateTime" : "2000-05-01",
"protocolApplied" : [
{
"targetDisease" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "16814004",
"display" : "Pneumococcal infectious disease"
}
]
}
],
"doseNumberPositiveInt" : 2
}
]
}
},
{
"fullUrl" : "http://test.fhir.ch/r4/Condition/ChEkmConditionExample-Immunosuppression",
"resource" : {
"resourceType" : "Condition",
"id" : "ChEkmConditionExample-Immunosuppression",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "38013005",
"display" : "Immunosuppression (finding)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ChEkmPatientInitialsExample"
}
}
}
]
}