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

: EX-Composition - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="EX-Composition"/>
  <meta>
    <profile
             value="http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-composition"/>
  </meta>
  <language value="de-CH"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de-CH" lang="de-CH"><p class="res-header-id"><b>Generated Narrative: Composition EX-Composition</b></p><a name="EX-Composition"> </a><a name="hcEX-Composition"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de-CH</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ch-emr-composition.html">CH Emergency Record Composition</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.2.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:7afc1e97-67f8-49a8-91f5-46af596d0609</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2025-09-10 08:00:00+0200</p><p><b>author</b>: <a href="PractitionerRole-EX-PractitionerRole.html">PractitionerRole Physician</a></p><p><b>title</b>: Elektronischer Notfallpass - Maria Schmidt</p><p><b>confidentiality</b>: normal</p></div>
  </text>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:7afc1e97-67f8-49a8-91f5-46af596d0609"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="60591-5"/>
      <display value="Patient summary Document"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/EX-Patient"/>
  </subject>
  <date value="2025-09-10T08:00:00+02:00"/>
  <author>🔗 
    <reference value="PractitionerRole/EX-PractitionerRole"/>
  </author>
  <title value="Elektronischer Notfallpass - Maria Schmidt"/>
  <confidentiality value="N">
    <extension
               url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="17621005"/>
          <display value="Normal (qualifier value)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </confidentiality>
  <section>
    <title value="Notfallkontakte"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="56864-2"/>
        <display value="Emergency contact"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Peter Schmidt (Ehemann) +41 44 321 65 87</p></div>
    </text>
    <entry>🔗 
      <reference value="RelatedPerson/EX-RelatedPerson"/>
    </entry>
  </section>
  <section>
    <title value="Behandelnde Gesundheitsfachperson"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="85847-2"/>
        <display value="Patient Care team information"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Dr. med. SarahHuber - Gynecologist (GLN: 7601007922000)</p></div>
    </text>
    <entry>🔗 
      <reference value="Practitioner/EX-Practitioner"/>
    </entry>
  </section>
  <section>
    <title value="Reanimation"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="100822-6"/>
        <display value="Cardiopulmonary resuscitation orders"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Reanimationsstatus:</p><ul><li>Ja</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Observation/EX-Resuscitation"/>
    </entry>
  </section>
  <section>
    <title value="Medikation"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10160-0"/>
        <display value="History of Medication use Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Metformin 500mg 1-0-1</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="MedicationStatement/EX-MedicationStatement"/>
    </entry>
  </section>
  <section>
    <title value="Impfungen"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11369-6"/>
        <display value="History of Immunization Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>COVID-19: 12.09.2024</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Immunization/EX-Immunization"/>
    </entry>
  </section>
  <section>
    <title value="Allergien und Unverträglichkeiten"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="48765-2"/>
        <display value="Allergies and adverse reactions Document"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Kontrastmittelallergie</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="AllergyIntolerance/EX-AllergyIntolerance"/>
    </entry>
  </section>
  <section>
    <title value="Risikofaktoren für Behandelnde"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="46467-7"/>
        <display value="Risk factors"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Viral hepatitis type B</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Condition/EX-RiskFactor"/>
    </entry>
  </section>
  <section>
    <title value="Problemliste"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11450-4"/>
        <display value="Problem list - Reported"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Diabetes mellitus Typ 2</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Condition/EX-Condition"/>
    </entry>
  </section>
  <section>
    <title value="Patientenverfügung und Ärztliche Notfallanordnungen"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="42348-3"/>
        <display value="Advance directives"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Patientenverfügung:</p><ul><li>Patientenverfügung im Schlafzimmer</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="DocumentReference/EX-AdvanceDirective"/>
    </entry>
  </section>
  <section>
    <title value="Andere Dokumente"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55108-5"/>
        <display value="Clinical presentation Document"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Organspendeausweis: Organspendeausweis ist im Portemonnaie</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="DocumentReference/EX-DocumentReferences"/>
    </entry>
  </section>
  <section>
    <title value="Implantate"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="46264-8"/>
        <display value="History of medical device use"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Implantate:</p><ul><li>Herzschrittmacher</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="DeviceUseStatement/EX-DeviceUseStatement"/>
    </entry>
  </section>
  <section>
    <title value="Schwangerschaft"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10162-6"/>
        <display value="Pregnancies Hx"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Schwangerschaft:</p><ul><li>Ja</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Observation/EX-Pregnancy"/>
    </entry>
  </section>
  <section>
    <title value="Kognitive Beeinträchtigungen"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="66610-7"/>
        <display value="Cognitive impairment"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Gehbehinderung</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Observation/EX-CognitiveDisability"/>
    </entry>
  </section>
  <section>
    <title value="Physische Beeinträchtigungen"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="96386-8"/>
        <display value="Physical impairment information"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Demenz</li></ul></div>
    </text>
    <entry>🔗 
      <reference value="Observation/EX-PhysicalDisability"/>
    </entry>
  </section>
</Composition>