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
| Official URL: http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-flag-risk-to-healthcare-personnel | Version: 0.1.0 | |||
| Draft as of 2026-06-04 | Computable Name: ChEmrFlagRiskToHealthcarePersonnel | |||
Copyright/Legal: CC0-1.0 |
||||
Risk to healthcare personnel emanating from the patient — typically a communicable / infectious-disease condition or another patient-side circumstance that healthcare personnel need to be aware of for their own safety when treating the patient in an emergency context.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std. |
| Flag.category | Base | example | Flag Category | 📍4.0.1 | FHIR Std. |
| Flag.code | Base | extensible | Risk to Healthcare Personnel | 📦0.1.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-flag-code-content | error | Flag.code | Flag.code must carry at least text or one coding. |
text.exists() or coding.exists()
|
| dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Flag | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from FlagAlertUvIps
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Flag |
0..* | FlagAlertUvIps | Key information to flag to healthcare providers | |||||||||||||
  code |
OC | 1..1 | CodeableConceptIPS | Coded or textual message to display to user Binding: Risk to Healthcare Personnel (extensible) Constraints: ch-emr-flag-code-content
| ||||||||||||
  subject |
1..1 | Reference(CH IPS Patient) {b} | Who/What is flag about? | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Flag.code | Base | extensible | Risk to Healthcare Personnel | 📦0.1.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-flag-code-content | error | Flag.code | Flag.code must carry at least text or one coding. |
text.exists() or coding.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Flag |
0..* | FlagAlertUvIps | Key information to flag to healthcare providers | ||||||||||||||||||||||
 id |
Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||||||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||||||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||||
   extension:flag-priority |
SO | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
| |||||||||||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||||||
| identifier |
Σ | 0..* | Identifier | Business identifier | |||||||||||||||||||||
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active | |||||||||||||||||||||
| category |
SOΣ | 0..* | CodeableConceptIPS | Clinical, administrative, etc. Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
| |||||||||||||||||||||
| code |
SOΣC | 1..1 | CodeableConceptIPS | Coded or textual message to display to user Binding: Risk to Healthcare Personnel (extensible) Constraints: ch-emr-flag-code-content
| |||||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(CH IPS Patient) {b} | Who/What is flag about?
| |||||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||||||||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | |||||||||||||||||||||
| period |
Σ | 0..1 | Period | Time period when flag is active | |||||||||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Alert relevant during encounter | |||||||||||||||||||||
| author |
Σ | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole) | Flag creator | |||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Flag.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std. |
| Flag.category | Base | example | Flag Category | 📍4.0.1 | FHIR Std. |
| Flag.code | Base | extensible | Risk to Healthcare Personnel | 📦0.1.0 | This IG |
| Flag.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-flag-code-content | error | Flag.code | Flag.code must carry at least text or one coding. |
text.exists() or coding.exists()
|
| dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Flag | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from FlagAlertUvIps
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Flag |
0..* | FlagAlertUvIps | Key information to flag to healthcare providers | ||||||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||||||
 Slices for extension |
Content/Rules for all slices | ||||||||||||||||||||||||
| extension:flag-priority |
SO | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
| |||||||||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||||||
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active | |||||||||||||||||||||
| category |
SOΣ | 0..* | CodeableConceptIPS | Clinical, administrative, etc. Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
| |||||||||||||||||||||
| code |
SOΣC | 1..1 | CodeableConceptIPS | Coded or textual message to display to user Binding: Risk to Healthcare Personnel (extensible) Constraints: ch-emr-flag-code-content
| |||||||||||||||||||||
 subject |
SOΣ | 1..1 | Reference(CH IPS Patient) {b} | Who/What is flag about?
| |||||||||||||||||||||
 reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std. |
| Flag.category | Base | example | Flag Category | 📍4.0.1 | FHIR Std. |
| Flag.code | Base | extensible | Risk to Healthcare Personnel | 📦0.1.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-flag-code-content | error | Flag.code | Flag.code must carry at least text or one coding. |
text.exists() or coding.exists()
|
| dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Flag | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from FlagAlertUvIps
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Flag |
0..* | FlagAlertUvIps | Key information to flag to healthcare providers | |||||||||||||
| code |
OC | 1..1 | CodeableConceptIPS | Coded or textual message to display to user Binding: Risk to Healthcare Personnel (extensible) Constraints: ch-emr-flag-code-content
| ||||||||||||
| subject |
1..1 | Reference(CH IPS Patient) {b} | Who/What is flag about? | |||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Flag.code | Base | extensible | Risk to Healthcare Personnel | 📦0.1.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-flag-code-content | error | Flag.code | Flag.code must carry at least text or one coding. |
text.exists() or coding.exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Flag |
0..* | FlagAlertUvIps | Key information to flag to healthcare providers | ||||||||||||||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||||||||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||||||||||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | ||||||||||||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||||||||||||||||||||
| extension:flag-priority |
SO | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
| |||||||||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||||||
| identifier |
Σ | 0..* | Identifier | Business identifier | |||||||||||||||||||||
| status |
?!Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Fixed Value: active | |||||||||||||||||||||
| category |
SOΣ | 0..* | CodeableConceptIPS | Clinical, administrative, etc. Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
| |||||||||||||||||||||
| code |
SOΣC | 1..1 | CodeableConceptIPS | Coded or textual message to display to user Binding: Risk to Healthcare Personnel (extensible) Constraints: ch-emr-flag-code-content
| |||||||||||||||||||||
| subject |
SOΣ | 1..1 | Reference(CH IPS Patient) {b} | Who/What is flag about?
| |||||||||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | ||||||||||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||||||||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||||||||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | |||||||||||||||||||||
| period |
Σ | 0..1 | Period | Time period when flag is active | |||||||||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Alert relevant during encounter | |||||||||||||||||||||
| author |
Σ | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole) | Flag creator | |||||||||||||||||||||
| Documentation for this format | |||||||||||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Flag.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std. |
| Flag.category | Base | example | Flag Category | 📍4.0.1 | FHIR Std. |
| Flag.code | Base | extensible | Risk to Healthcare Personnel | 📦0.1.0 | This IG |
| Flag.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ch-emr-flag-code-content | error | Flag.code | Flag.code must carry at least text or one coding. |
text.exists() or coding.exists()
|
| dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Flag | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from FlagAlertUvIps
Other representations of profile: CSV, Excel, Schematron