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: UC2-Bundle-emr-WalterSchmid

Document Details


Document Subject

Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)


Contact DetailSeestrasse 22 Luzern 6003 CH
Language:German (preferred)

Document Content

Notfallkontakte

  • Spitex Luzern (Pflegedienst): +41 41 555 00 00

Behandelnde Gesundheitsfachperson

  • Dr. med. UC2 Hausarzt

Reanimationsstatus

Keinen Reanimationsstatus erfasst; siehe Patientenverfügung 2022.

Medikation

  • Aspirin cardio 100 mg, 1-0-0-0 — Status nach Schlaganfall
  • Atorvastatin 40 mg, 0-0-1-0 — Status nach Schlaganfall (vaskulär bedingt)
  • Xigduo XR 1000/5 mg (Metformin/Dapagliflozin), 0-0-2-0 — Diabetes
  • Epril 20 mg (Enalapril), 1-0-0-0 — Bluthochdruck

Impfungen

Keine Impfungen dokumentiert.

Allergien oder Unverträglichkeiten

  • Penicillin — Reaktion: Atemnot

Risiken für Behandelnde

Keine Risikofaktoren bekannt.

Probleme und Diagnosen

  • 2023 Schlaganfall
  • 1969 Status nach Splenektomie

Patientenverfügungen und Ärztliche Notfallanordnung

  • Patientenverfügung 2022 (Hausarzt)

Andere Dokumente

Keine zusätzlichen Dokumente hinterlegt.

Implantate

Keine medizinischen Geräte dokumentiert.

Schwangerschaft

Nicht zutreffend.

Kognitive Beeinträchtigungen

Wachheitszustand wechselhaft (akut, fieberbedingt).

Physische Beeinträchtigungen

  • Aphasie nach Schlaganfall

Additional Resources Included in Document


Entry 2 - fullUrl = http://fhir.ch/ig/emr/Patient/UC2-Patient-WalterSchmid

Resource Patient:

Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)


Contact DetailSeestrasse 22 Luzern 6003 CH
Language:German (preferred)

Entry 3 - fullUrl = http://fhir.ch/ig/emr/RelatedPerson/UC2-RelatedPerson-Spitex

Resource RelatedPerson:

active: true

patient: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

relationship: Spitex (Pflegedienst)

name: Spitex Luzern (Pflegedienst)(Anonymous)

telecom: +41 41 555 00 00

Communications

-LanguagePreferred
*Germantrue

Entry 4 - fullUrl = http://fhir.ch/ig/emr/Practitioner/UC2-Practitioner-Hausarzt

Resource Practitioner:

Language: de-CH

Profile: CH IPS Practitioner

identifier: GLN/7601000000033

name: UC2 Hausarzt (Official)

Qualifications

-Code
*Arzt

Entry 5 - fullUrl = http://fhir.ch/ig/emr/PractitionerRole/UC2-PractitionerRole-Hausarzt

Resource PractitionerRole:

active: true

practitioner: Practitioner UC2 Hausarzt (official)

organization: Organization Hausarztpraxis UC2

code: Arzt

specialty: Allgemeine Innere Medizin


Entry 6 - fullUrl = http://fhir.ch/ig/emr/Organization/UC2-Organization-Hausarztpraxis

Resource Organization:

identifier: GLN/7601000000040

active: true

type: Allgemeine Innere Medizin

name: Hausarztpraxis UC2


Entry 7 - fullUrl = http://fhir.ch/ig/emr/Condition/UC2-Condition-Schlaganfall

Resource Condition:

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: CVA - Cerebrovascular accident

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

onset: 2023

recordedDate: 2023-01-01


Entry 8 - fullUrl = http://fhir.ch/ig/emr/Condition/UC2-Condition-Splenektomie

Resource Condition:

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Status nach Splenektomie (1969)

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

onset: 1969

recordedDate: 1969-01-01


Entry 9 - fullUrl = http://fhir.ch/ig/emr/Medication/UC2-Medication-AspirinCardio

Resource Medication:

code: Aspirin Cardio 100 mg (Acetylsalicylsäure)


Entry 10 - fullUrl = http://fhir.ch/ig/emr/MedicationStatement/UC2-MedicationStatement-AspirinCardio

Resource MedicationStatement:

status: active

status: recorded

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

effective: 2023-02-01 --> (ongoing)

dosage

sequence: 1

timing: Morning, Once

route: zum Einnehmen

DoseAndRates

-Dose[x]
*1 Tablette (Details: SNOMED CT code732936001 = '732936001')

Entry 11 - fullUrl = http://fhir.ch/ig/emr/Medication/UC2-Medication-Atorvastatin

Resource Medication:

code: Sortis 40 mg (Atorvastatin)


Entry 12 - fullUrl = http://fhir.ch/ig/emr/MedicationStatement/UC2-MedicationStatement-Atorvastatin

Resource MedicationStatement:

status: active

status: recorded

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

effective: 2023-02-01 --> (ongoing)

dosage

sequence: 1

timing: Evening, Once

route: zum Einnehmen

DoseAndRates

-Dose[x]
*1 Tablette (Details: SNOMED CT code732936001 = '732936001')

Entry 13 - fullUrl = http://fhir.ch/ig/emr/Medication/UC2-Medication-XigduoXR

Resource Medication:

code: Xigduo XR 5/1000 mg (Dapagliflozin + Metformin)


Entry 14 - fullUrl = http://fhir.ch/ig/emr/MedicationStatement/UC2-MedicationStatement-XigduoXR

Resource MedicationStatement:

status: active

status: recorded

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

effective: 2020-01-01 --> (ongoing)

dosage

sequence: 1

timing: Evening, Once

route: zum Einnehmen

DoseAndRates

-Dose[x]
*2 Tabletten (Details: SNOMED CT code732936001 = '732936001')

Entry 15 - fullUrl = http://fhir.ch/ig/emr/Medication/UC2-Medication-Epril

Resource Medication:

code: Epril 20 mg (Enalapril)


Entry 16 - fullUrl = http://fhir.ch/ig/emr/MedicationStatement/UC2-MedicationStatement-Epril

Resource MedicationStatement:

status: active

status: recorded

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

effective: 2018-01-01 --> (ongoing)

dosage

sequence: 1

timing: Morning, Once

route: zum Einnehmen

DoseAndRates

-Dose[x]
*1 Tablette (Details: SNOMED CT code732936001 = '732936001')

Entry 17 - fullUrl = http://fhir.ch/ig/emr/AllergyIntolerance/UC2-AllergyIntolerance-Penicillin

Resource AllergyIntolerance:

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Penicillin (substance)

patient: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

Reactions

-ManifestationSeverity
*No display for AllergyIntolerance.reaction.manifestation (concept: Dyspnea)Severe

Entry 18 - fullUrl = http://fhir.ch/ig/emr/Observation/UC2-PhysicalDisability-Aphasie

Resource Observation:

status: Final

category: Exam

code: Aphasie

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

effective: 2023-03-01


Entry 19 - fullUrl = http://fhir.ch/ig/emr/DocumentReference/UC2-DocumentReference-Patientenverfuegung

Resource DocumentReference:

status: Current

type: Advance directive

category: Living will (record artifact)

subject: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

date: 2022-04-20 11:00:00+0200

author: Walter Schmid (official) Male, DoB: 1947-04-12 ( urn:oid:2.16.756.5.30.1.123.100.1.1.1#InsuranceCardNumber#80756012222222222222)

description:

Patientenverfügung beim Hausarzt hinterlegt

content

Attachments

-ContentTypeUrl
*application/pdfhttps://example.org/documents/UC2-Patientenverfuegung.pdf