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" : "UC2-Composition-emr-HansMeier",
"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 UC2-Composition-emr-HansMeier</b></p><a name=\"UC2-Composition-emr-HansMeier\"> </a><a name=\"hcUC2-Composition-emr-HansMeier\"> </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 \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: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>category</b>: <span title=\"Codes:{http://loinc.org LP173421-1}\">Report</span></p><p><b>date</b>: 2025-09-10 11:00:00+0200</p><p><b>author</b>: <a href=\"PractitionerRole-UC2-PractitionerRole-Hausarzt.html\">PractitionerRole Physician</a></p><p><b>title</b>: Elektronischer Notfallpass - Hans Meier</p><p><b>confidentiality</b>: normal</p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:7afc1e97-67f8-49a8-91f5-46af596d0609"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5",
"display" : "Patient summary Document"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LP173421-1",
"display" : "Report"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-HansMeier"
},
"date" : "2025-09-10T11:00:00+02:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/UC2-PractitionerRole-Hausarzt"
}
],
"title" : "Elektronischer Notfallpass - Hans Meier",
"confidentiality" : "N",
"_confidentiality" : {
"extension" : [
{
"url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "17621005",
"display" : "Normal (qualifier value)"
}
]
}
}
]
},
"section" : [
{
"title" : "Notfallkontakte",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "56864-2",
"display" : "Emergency contact"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Elisabeth Meier (Ehefrau)</li><li>Telefon: +41 31 456 78 90</li><li>Mobil: +41 79 456 78 90</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "RelatedPerson/UC2-RelatedPerson-ElisabethMeier"
}
]
},
{
"title" : "Behandelnde Gesundheitsfachperson",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85847-2",
"display" : "Patient Care team information"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Dr. med. Hans Müller - Hausarzt<br/>GLN: 7601000234567<br/>Telefon: +41 31 123 45 67</li><li>Dr. med. Andrea Schmidt - Kardiologin<br/>GLN: 7601000456789<br/>Telefon: +41 31 234 56 78</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Practitioner/UC2-Practitioner-DrMueller"
},
{
🔗 "reference" : "Practitioner/UC2-Practitioner-DrSchmidt"
}
]
},
{
"title" : "Reanimationsstatus",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "100822-6",
"display" : "Cardiopulmonary resuscitation orders"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keinen Reanimationsstatus bekannt.</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",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>MARCOUMAR Tabl 3 mg</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-Marcumar"
}
]
},
{
"title" : "Impfungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Influenza: 15.10.2024</li><li>COVID-19: 12.09.2024</li><li>Tetanus: 18.03.2022</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Immunization/UC2-Immunization-Influenza"
},
{
🔗 "reference" : "Immunization/UC2-Immunization-COVID19"
},
{
🔗 "reference" : "Immunization/UC2-Immunization-Tetanus"
}
]
},
{
"title" : "Allergien oder Unverträglichkeiten",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine bekannten Allergien oder Unverträglichkeiten</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
},
{
"title" : "Risikofaktoren für Behandelnde",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46467-7",
"display" : "Risk factors"
}
]
},
"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",
"display" : "Problem list - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Persistierendes Vorhofflimmern</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/UC2-Condition-AtrialFibrillation"
}
]
},
{
"title" : "Patientenverfügungen und Ärztliche Notfallanordnung",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3",
"display" : "Advance directives"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Patientenverfügung hinterlegt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Andere Dokumente",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55108-5",
"display" : "Clinical presentation Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine zusätzlichen Dokumente hinterlegt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Implantate",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8",
"display" : "History of medical device use"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Herzschrittmacher Boston Scientific Accolade MRI (Modell L331)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "DeviceUseStatement/UC2-DeviceUseStatement"
}
]
},
{
"title" : "Schwangerschaft",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10162-6"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Schwangerschaft bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Kognitive Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66610-7",
"display" : "Cognitive impairment"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Beeinträchtigung bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "None Known"
}
]
}
},
{
"title" : "Physische Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96386-8",
"display" : "Physical impairment information"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine Beeinträchtigung bekannt.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "None Known"
}
]
}
}
]
}