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-WalterSchmid",
"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-WalterSchmid</b></p><a name=\"UC2-Composition-emr-WalterSchmid\"> </a><a name=\"hcUC2-Composition-emr-WalterSchmid\"> </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:22222222-aaaa-4222-8222-222222222222</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-UC2-PractitionerRole-Hausarzt.html\">PractitionerRole Physician</a></p><p><b>title</b>: Elektronischer Notfallpass — Walter Schmid</p><p><b>confidentiality</b>: normal</p></div>"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:22222222-aaaa-4222-8222-222222222222"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"date" : "2026-06-02T08:00:00+02:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/UC2-PractitionerRole-Hausarzt"
}
],
"title" : "Elektronischer Notfallpass — Walter Schmid",
"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>Spitex Luzern (Pflegedienst): +41 41 555 00 00</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "RelatedPerson/UC2-RelatedPerson-Spitex"
}
]
},
{
"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. UC2 Hausarzt</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Practitioner/UC2-Practitioner-Hausarzt"
},
{
🔗 "reference" : "PractitionerRole/UC2-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>Keinen Reanimationsstatus erfasst; siehe 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>Aspirin cardio 100 mg, 1-0-0-0 — Status nach Schlaganfall</li><li>Atorvastatin 40 mg, 0-0-1-0 — Status nach Schlaganfall (vaskulär bedingt)</li><li>Xigduo XR 1000/5 mg (Metformin/Dapagliflozin), 0-0-2-0 — Diabetes</li><li>Epril 20 mg (Enalapril), 1-0-0-0 — Bluthochdruck</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-AspirinCardio"
},
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-Atorvastatin"
},
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-XigduoXR"
},
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-Epril"
}
]
},
{
"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\"><ul><li>Penicillin — Reaktion: Atemnot</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "AllergyIntolerance/UC2-AllergyIntolerance-Penicillin"
}
]
},
{
"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>2023 Schlaganfall</li><li>1969 Status nach Splenektomie</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/UC2-Condition-Schlaganfall"
},
{
🔗 "reference" : "Condition/UC2-Condition-Splenektomie"
}
]
},
{
"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>Patientenverfügung 2022 (Hausarzt)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "DocumentReference/UC2-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\"><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"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Keine medizinischen Geräte dokumentiert.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
},
{
"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>Wachheitszustand wechselhaft (akut, fieberbedingt).</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Physische Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96386-8"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Aphasie nach Schlaganfall</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/UC2-PhysicalDisability-Aphasie"
}
]
}
]
}