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
<Composition xmlns="http://hl7.org/fhir">
<id value="UC2-Composition-emr-HansMeier"/>
<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 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
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>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>
</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>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="LP173421-1"/>
<display value="Report"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/UC2-Patient-HansMeier"/>
</subject>
<date value="2025-09-10T11:00:00+02:00"/>
<author>🔗
<reference value="PractitionerRole/UC2-PractitionerRole-Hausarzt"/>
</author>
<title value="Elektronischer Notfallpass - Hans Meier"/>
<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"><ul><li>Elisabeth Meier (Ehefrau)</li><li>Telefon: +41 31 456 78 90</li><li>Mobil: +41 79 456 78 90</li></ul></div>
</text>
<entry>🔗
<reference value="RelatedPerson/UC2-RelatedPerson-ElisabethMeier"/>
</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"><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>
</text>
<entry>🔗
<reference value="Practitioner/UC2-Practitioner-DrMueller"/>
</entry>
<entry>🔗
<reference value="Practitioner/UC2-Practitioner-DrSchmidt"/>
</entry>
</section>
<section>
<title value="Reanimationsstatus"/>
<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>Keinen Reanimationsstatus bekannt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Information not available"/>
</coding>
</emptyReason>
</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>MARCOUMAR Tabl 3 mg</li></ul></div>
</text>
<entry>🔗
<reference
value="MedicationStatement/UC2-MedicationStatement-Marcumar"/>
</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>Influenza: 15.10.2024</li><li>COVID-19: 12.09.2024</li><li>Tetanus: 18.03.2022</li></ul></div>
</text>
<entry>🔗
<reference value="Immunization/UC2-Immunization-Influenza"/>
</entry>
<entry>🔗
<reference value="Immunization/UC2-Immunization-COVID19"/>
</entry>
<entry>🔗
<reference value="Immunization/UC2-Immunization-Tetanus"/>
</entry>
</section>
<section>
<title value="Allergien oder 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"><p>Keine bekannten Allergien oder Unverträglichkeiten</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</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"><p>Keine Risikofaktoren bekannt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Information not available"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Probleme und Diagnosen"/>
<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>Persistierendes Vorhofflimmern</li></ul></div>
</text>
<entry>🔗
<reference value="Condition/UC2-Condition-AtrialFibrillation"/>
</entry>
</section>
<section>
<title value="Patientenverfügungen und Ärztliche Notfallanordnung"/>
<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>Keine Patientenverfügung hinterlegt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Information not available"/>
</coding>
</emptyReason>
</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"><p>Keine zusätzlichen Dokumente hinterlegt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Information not available"/>
</coding>
</emptyReason>
</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"><ul><li>Herzschrittmacher Boston Scientific Accolade MRI (Modell L331)</li></ul></div>
</text>
<entry>🔗
<reference value="DeviceUseStatement/UC2-DeviceUseStatement"/>
</entry>
</section>
<section>
<title value="Schwangerschaft"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10162-6"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Keine Schwangerschaft bekannt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Information not available"/>
</coding>
</emptyReason>
</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"><p>Keine Beeinträchtigung bekannt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="None Known"/>
</coding>
</emptyReason>
</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"><p>Keine Beeinträchtigung bekannt.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="None Known"/>
</coding>
</emptyReason>
</section>
</Composition>