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-WalterSchmid"/>
<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-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
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: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>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:22222222-aaaa-4222-8222-222222222222"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/UC2-Patient-WalterSchmid"/>
</subject>
<date value="2026-06-02T08:00:00+02:00"/>
<author>🔗
<reference value="PractitionerRole/UC2-PractitionerRole-Hausarzt"/>
</author>
<title value="Elektronischer Notfallpass — Walter Schmid"/>
<confidentiality value="N">
<extension
url="http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-confidentialitycode">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/2011000195101"/>
<code value="17621005"/>
</coding>
</valueCodeableConcept>
</extension>
</confidentiality>
<section>
<title value="Notfallkontakte"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="56864-2"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Spitex Luzern (Pflegedienst): +41 41 555 00 00</li></ul></div>
</text>
<entry>🔗
<reference value="RelatedPerson/UC2-RelatedPerson-Spitex"/>
</entry>
</section>
<section>
<title value="Behandelnde Gesundheitsfachperson"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85847-2"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Dr. med. UC2 Hausarzt</li></ul></div>
</text>
<entry>🔗
<reference value="Practitioner/UC2-Practitioner-Hausarzt"/>
</entry>
<entry>🔗
<reference value="PractitionerRole/UC2-PractitionerRole-Hausarzt"/>
</entry>
</section>
<section>
<title value="Reanimationsstatus"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="100822-6"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Keinen Reanimationsstatus erfasst; siehe Patientenverfügung 2022.</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"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference
value="MedicationStatement/UC2-MedicationStatement-AspirinCardio"/>
</entry>
<entry>🔗
<reference
value="MedicationStatement/UC2-MedicationStatement-Atorvastatin"/>
</entry>
<entry>🔗
<reference
value="MedicationStatement/UC2-MedicationStatement-XigduoXR"/>
</entry>
<entry>🔗
<reference value="MedicationStatement/UC2-MedicationStatement-Epril"/>
</entry>
</section>
<section>
<title value="Impfungen"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Keine Impfungen dokumentiert.</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="Allergien oder Unverträglichkeiten"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Penicillin — Reaktion: Atemnot</li></ul></div>
</text>
<entry>🔗
<reference
value="AllergyIntolerance/UC2-AllergyIntolerance-Penicillin"/>
</entry>
</section>
<section>
<title value="Risiken für Behandelnde"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46467-7"/>
</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"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>2023 Schlaganfall</li><li>1969 Status nach Splenektomie</li></ul></div>
</text>
<entry>🔗
<reference value="Condition/UC2-Condition-Schlaganfall"/>
</entry>
<entry>🔗
<reference value="Condition/UC2-Condition-Splenektomie"/>
</entry>
</section>
<section>
<title value="Patientenverfügungen und Ärztliche Notfallanordnung"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42348-3"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Patientenverfügung 2022 (Hausarzt)</li></ul></div>
</text>
<entry>🔗
<reference
value="DocumentReference/UC2-DocumentReference-Patientenverfuegung"/>
</entry>
</section>
<section>
<title value="Andere Dokumente"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55108-5"/>
</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"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Keine medizinischen Geräte dokumentiert.</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="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>Nicht zutreffend.</p></div>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="notasked"/>
<display value="Not Asked"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Kognitive Beeinträchtigungen"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="66610-7"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Wachheitszustand wechselhaft (akut, fieberbedingt).</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="Physische Beeinträchtigungen"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="96386-8"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Aphasie nach Schlaganfall</li></ul></div>
</text>
<entry>🔗
<reference value="Observation/UC2-PhysicalDisability-Aphasie"/>
</entry>
</section>
</Composition>