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