CH EMR (R4)
0.1.0 - ci-build
CH EMR (R4)
0.1.0 - ci-build
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
{
"resourceType" : "Composition",
"id" : "UC1-Composition-emr-MusterMax",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-composition"
]
},
"language" : "de-CH",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-CH\" lang=\"de-CH\"><p class=\"res-header-id\"><b>Generated Narrative: Composition UC1-Composition-emr-MusterMax</b></p><a name=\"UC1-Composition-emr-MusterMax\"> </a><a name=\"hcUC1-Composition-emr-MusterMax\"> </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/6.3.0/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 \r\n\r\nThis 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: \r\n\r\nNote 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.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:11111111-aaaa-4111-8111-111111111111</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>: 2026-06-02 08:00:00+0200</p><p><b>author</b>: <a href=\"PractitionerRole-UC1-PractitionerRole-Hausarzt.html\">PractitionerRole Physician</a></p><p><b>title</b>: Elektronischer Notfallpass — Muster Max</p><p><b>confidentiality</b>: normal</p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:11111111-aaaa-4111-8111-111111111111"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/UC1-Patient-MusterMax"
},
"date" : "2026-06-02T08:00:00+02:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/UC1-PractitionerRole-Hausarzt"
}
],
"title" : "Elektronischer Notfallpass — Muster Max",
"confidentiality" : "N",
"_confidentiality" : {
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/2011000195101",
"code" : "17621005"
}
]
}
}
]
},
"section" : [
{
"title" : "Notfallkontakte",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "56864-2"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Muster Vreni (Ehefrau): +41 78 876 54 32, Kommunikationssprache: Deutsch</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "RelatedPerson/UC1-RelatedPerson-VreniMuster"
}
]
},
{
"title" : "Behandelnde Gesundheitsfachperson",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85847-2"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Dr. med. UC1 Hausarzt</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Practitioner/UC1-Practitioner-Hausarzt"
},
{
🔗 "reference" : "PractitionerRole/UC1-PractitionerRole-Hausarzt"
}
]
},
{
"title" : "Reanimationsstatus",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "100822-6"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Reanimationsstatus folgt aus der ärztlichen Notanordnung 2024 und der Patientenverfügung 2022.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Medikation",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Beloc Zok 50 mg (Metoprolol), 1-0-0.5-0 — Bluthochdruck</li><li>Plavix 75 mg (Clopidogrel), 1-0-0-0 — Prophylaxe Schlaganfall</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/UC1-MedicationStatement-BelocZok"
},
{
🔗 "reference" : "MedicationStatement/UC1-MedicationStatement-Plavix"
}
]
},
{
"title" : "Impfungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Impfungen dokumentiert.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Allergien oder Unverträglichkeiten",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Allergien bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
},
{
"title" : "Risiken für Behandelnde",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46467-7"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Risikofaktoren bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Probleme und Diagnosen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>2015 Koronare Herzkrankheit</li><li>2016 Hypertonie</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/UC1-Condition-KoronareHerzkrankheit"
},
{
🔗 "reference" : "Condition/UC1-Condition-Hypertonie"
}
]
},
{
"title" : "Patientenverfügungen und Ärztliche Notfallanordnung",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Ärztliche Notanordnung 2024 (EPD)</li><li>Patientenverfügung 2022 (Hausarzt)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "DocumentReference/UC1-DocumentReference-Notanordnung"
},
{
🔗 "reference" : "DocumentReference/UC1-DocumentReference-Patientenverfuegung"
}
]
},
{
"title" : "Andere Dokumente",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55108-5"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Schrittmacherausweis 2015 (EPD)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "DocumentReference/UC1-DocumentReference-Schrittmacherausweis"
}
]
},
{
"title" : "Implantate",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Herzschrittmacher (implantiert 2015)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "DeviceUseStatement/UC1-DeviceUseStatement-Pacemaker"
}
]
},
{
"title" : "Schwangerschaft",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10162-6"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Nicht zutreffend.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "notasked",
"display" : "Not Asked"
}
]
}
},
{
"title" : "Kognitive Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66610-7"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
},
{
"title" : "Physische Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96386-8"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
}
]
}