CH EMR (R4)
0.1.0 - ci-build Switzerland flag

CH EMR (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-emr/ and changes regularly. See the Directory of published versions

Example Bundle: EX-Bundle

Document Details

Last updated: 2024-09-10 10:00:00+0200; Language: de-CH

Profile: CH Emergency Record Bundle

Final Document at 2025-09-10 08:00:00+0200 by PractitionerRole Physician for Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)


Document Subject

Generated Narrative: Patient EX-Patient

Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)


Contact Detail
Language:German (preferred)

Document Content

Generated Narrative: Composition EX-Composition

Language: de-CH

Profile: CH Emergency Record Composition

identifier: Uniform Resource Identifier (URI)/urn:uuid:7afc1e97-67f8-49a8-91f5-46af596d0609

status: Final

type: Patient summary Document

date: 2025-09-10 08:00:00+0200

author: PractitionerRole Physician

title: Elektronischer Notfallpass - Maria Schmidt

confidentiality: normal


Notfallkontakte

Peter Schmidt (Ehemann) +41 44 321 65 87

Behandelnde Gesundheitsfachperson

Dr. med. SarahHuber - Gynecologist (GLN: 7601007922000)

Reanimation

Reanimationsstatus:

  • Ja

Medikation

  • Metformin 500mg 1-0-1

Impfungen

  • COVID-19: 12.09.2024

Allergien und Unverträglichkeiten

  • Kontrastmittelallergie

Risikofaktoren für Behandelnde

  • Viral hepatitis type B

Problemliste

  • Diabetes mellitus Typ 2

Patientenverfügung und Ärztliche Notfallanordnungen

Patientenverfügung:

  • Patientenverfügung im Schlafzimmer

Andere Dokumente

  • Organspendeausweis: Organspendeausweis ist im Portemonnaie

Implantate

Implantate:

  • Herzschrittmacher

Schwangerschaft

Schwangerschaft:

  • Ja

Kognitive Beeinträchtigungen

  • Gehbehinderung

Physische Beeinträchtigungen

  • Demenz

Additional Resources Included in Document


Entry 2 - fullUrl = http://fhir.ch/ig/emr/Patient/EX-Patient

Resource Patient:

Generated Narrative: Patient EX-Patient

Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)


Contact Detail
Language:German (preferred)

Entry 3 - fullUrl = http://fhir.ch/ig/emr/RelatedPerson/EX-RelatedPerson

Resource RelatedPerson:

Generated Narrative: RelatedPerson EX-RelatedPerson

active: true

patient: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

relationship: husband

name: Peter Schmidt (Official)

telecom: +41 44 321 65 87, +41 79 876 54 32, peter.schmidt@example.ch

gender: Male

birthDate: 1975-09-22

address: Musterstrasse 123 Zürich 8001 CH (home)

Communications

-LanguagePreferred
*Germantrue

Entry 4 - fullUrl = http://fhir.ch/ig/emr/Practitioner/EX-Practitioner

Resource Practitioner:

Generated Narrative: Practitioner EX-Practitioner

identifier: GLN/7601007922000

name: Sarah Huber (Official)

telecom: +41 61 265 25 25, s.huber@gynpraxis-basel.ch

address: Petersgraben 4 Basel 4051 CH

gender: Female

Qualifications

-CodePeriodIssuer
*Gynäkologie und Geburtshilfe2005-01-01 --> (ongoing)Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe (SGGG)

Entry 5 - fullUrl = http://fhir.ch/ig/emr/Organization/EX-Organization-GynPraxis

Resource Organization:

Generated Narrative: Organization EX-Organization-GynPraxis

identifier: GLN/7601009110849

type: Gynäkologische Praxis

name: Gynäkologie Praxis Basel

telecom: +41 61 265 25 25, info@gynpraxis-basel.ch, https://www.gynpraxis-basel.ch

address: Gynäkologie Praxis Basel Petersgraben 4 Basel 4051 CH


Entry 6 - fullUrl = http://fhir.ch/ig/emr/PractitionerRole/EX-PractitionerRole

Resource PractitionerRole:

Generated Narrative: PractitionerRole EX-PractitionerRole

active: true

practitioner: Dr. med. Sarah Huber

organization: Gynäkologie Praxis Basel

code: Ärztin

specialty: Gynäkologie und Geburtshilfe

telecom: +41 61 265 25 25, s.huber@gynpraxis-basel.ch


Entry 7 - fullUrl = http://fhir.ch/ig/emr/Observation/EX-Resuscitation

Resource Observation:

Generated Narrative: Observation EX-Resuscitation

status: Final

code: Resuscitation status

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

effective: 2025-10-08

performer: Practitioner Sarah Huber (official)

value: true


Entry 8 - fullUrl = http://fhir.ch/ig/emr/Medication/EX-Metformin

Resource Medication:

Generated Narrative: Medication EX-Metformin

code: METFORMIN Axapharm Filmtabl 500 mg

form: Tablette

amount: 50 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')/1 Package - unit of product usage (qualifier value) (Details: SNOMED CT code1681000175101 = 'Package - unit of product usage')


Entry 9 - fullUrl = http://fhir.ch/ig/emr/MedicationStatement/EX-MedicationStatement

Resource MedicationStatement:

Generated Narrative: MedicationStatement EX-MedicationStatement

status: Active

medication: Medication METFORMIN Axapharm Filmtabl 500 mg (Blister 50 Stk)

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

effective: 2020-03-03 --> (ongoing)

reasonCode: Diabetes

dosage

patientInstruction: Unzerkaut während oder nach den Mahlzeiten mit ausreichend Flüssigkeit einnehmen

timing: Morning, Evening, Once

route: zum Einnehmen

DoseAndRates

-Dose[x]
*1 Tablet (unit of presentation) (Details: SNOMED CT code732936001 = 'Tablet (unit of presentation)')

Entry 10 - fullUrl = http://fhir.ch/ig/emr/Immunization/EX-Immunization

Resource Immunization:

Generated Narrative: Immunization EX-Immunization

status: Completed

vaccineCode: Spikevax XBB.1.5 0.10 mg/ml

patient: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

occurrence: 2024-09-12 14:15:00+0200

lotNumber: SPX24XBB002

Performers

-Actor
*Practitioner Sarah Huber (official)

ProtocolApplieds

-TargetDiseaseDoseNumber[x]
*Disease caused by severe acute respiratory syndrome coronavirus 26

Entry 11 - fullUrl = http://fhir.ch/ig/emr/AllergyIntolerance/EX-AllergyIntolerance

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance EX-AllergyIntolerance

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Allergy to contrast media (finding)

patient: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

onset: 2018-05-20

recordedDate: 2025-01-15

recorder: Practitioner Sarah Huber (official)

asserter: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

reaction

substance: Allergy to contrast media (finding)

manifestation: Eruption of skin, Itching of skin, Tight chest

severity: Moderate

note:

Hautausschlag mit Juckreiz und leichte Atembeschwerden. Behandlung mit Antihistaminika und Kortison erfolgreich.


Entry 12 - fullUrl = http://fhir.ch/ig/emr/Condition/EX-RiskFactor

Resource Condition:

Generated Narrative: Condition EX-RiskFactor

clinicalStatus: Active

code: Viral hepatitis type B

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

recorder: Practitioner Sarah Huber (official)


Entry 13 - fullUrl = http://fhir.ch/ig/emr/Condition/EX-Condition

Resource Condition:

Generated Narrative: Condition EX-Condition

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

severity: Severe (severity modifier) (qualifier value)

code: Type 2 diabetes mellitus

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

onset: 2010-04-15

recordedDate: 2010-04-15

recorder: Practitioner Sarah Huber (official)

asserter: Practitioner Sarah Huber (official)


Entry 14 - fullUrl = http://fhir.ch/ig/emr/DocumentReference/EX-AdvanceDirective

Resource DocumentReference:

Generated Narrative: DocumentReference EX-AdvanceDirective

status: Current

type: Advance directive report (record artifact)

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

date: 2024-01-15 14:30:00+0100

description: Patientenverfügung im Schlafzimmer

content

Attachments

-ContentType
*application/pdf

Entry 15 - fullUrl = http://fhir.ch/ig/emr/DocumentReference/EX-DocumentReferences

Resource DocumentReference:

Generated Narrative: DocumentReference EX-DocumentReferences

status: Current

type: Organ donor card

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

date: 2025-07-15 14:30:00+0200

author: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

description: Organspendeausweis ist im Protmonnaie

content

Attachments

-ContentType
*application/pdf

Entry 16 - fullUrl = http://fhir.ch/ig/emr/Device/EX-MedicalDevice

Resource Device:

Generated Narrative: Device EX-MedicalDevice

status: Active

type: Cardiac pacemaker

patient: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)


Entry 17 - fullUrl = http://fhir.ch/ig/emr/DeviceUseStatement/EX-DeviceUseStatement

Resource DeviceUseStatement:

Generated Narrative: DeviceUseStatement EX-DeviceUseStatement

status: Active

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

timing: 2023-01-15

recordedOn: 2023-01-15

device: Device: status = active; type = Cardiac pacemaker


Entry 18 - fullUrl = http://fhir.ch/ig/emr/Observation/EX-Pregnancy

Resource Observation:

Generated Narrative: Observation EX-Pregnancy

status: Final

category: Social History

code: Pregnancy status

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

effective: 2025-09-10 10:00:00+0200

performer: Practitioner Sarah Huber (official)

value: true


Entry 19 - fullUrl = http://fhir.ch/ig/emr/Observation/EX-CognitiveDisability

Resource Observation:

Generated Narrative: Observation EX-CognitiveDisability

status: Final

code: Dementia (disorder)

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

effective: 2025-10-08

performer: Practitioner Sarah Huber (official)


Entry 20 - fullUrl = http://fhir.ch/ig/emr/Observation/EX-PhysicalDisability

Resource Observation:

Generated Narrative: Observation EX-PhysicalDisability

status: Final

code: Walking disability (finding)

subject: Anna Schmidt Female, DoB: 1992-03-15 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756015090002647590)

effective: 2025-10-08

performer: Practitioner Sarah Huber (official)