CH EMR (R4)
0.1.0 - ci-build Switzerland flag

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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

CH Emergency Record Advance Directive DocumentReference

Reference to advance directives and emergency medical

CH Emergency Record Body Structure

Structured anatomical location of an implant in the Emergency Record. Carries an unlateralised body site in location and the laterality (or other directional qualifier) in locationQualifier.

CH Emergency Record Bundle

Bundle profile for Emergency Record.

CH Emergency Record Composition

Swiss Emergency Record based on International Patient Summary

CH Emergency Record Device

Device profile for implants in the Emergency Record.

CH Emergency Record Device Use Statement

Use of an implanted device in the Emergency Record. The bodySite CodeableConcept may carry the ChEmrBodyStructureReference extension to link to a ChEmrBodyStructure for structured anatomy + laterality.

CH Emergency Record DocumentReference

DocumentReference profile for information on documents in the Emergency Record.

CH Emergency Record Medication Statement

Medication Statement for the Swiss Emergency Record. Captures a medication the patient is taking with a treatment reason, a dose quantity, and a dosing schedule expressed using the CH EMED dosage pattern.

CH Emergency Record Observation Disability

Observation profile for cognitive disability in the Emergency Record.

CH Emergency Record Observation Resuscitation Status

Observation profile for documenting the patient's resuscitation (code) status.

CH Emergency Record Physical Disability Observation

Observation profile for physical disability in the Emergency Record.

CH Emergency Record RelatedPerson

RelatedPerson profile for emergency contacts and family members in the Emergency Record.

CH Emergency Record Risk to Healthcare Personnel

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.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

CH EMR Body Structure Reference

Links a CodeableConcept body site to a BodyStructure resource carrying structured anatomy and laterality. Used where the FHIR UV bodySite extension is not allowed by its context list.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Advance Directive Type

Types of advance directives and emergency medical orders.

CH EMR MRI Safety Status

Permitted values for the MRI safety status property of a device, per ASTM F2503: MR Safe, MR Conditional, MR Unsafe.

Clinical Document Types

Value Set for clinical document types

Cognitive disability types

Value set for the types of cognitive disabilities based on SNOMED CT.

Implant Type

Codes for implant types

Physical disability types

Value sets for the types of disabilities

Resuscitation status

Coded resuscitation status values based on SNOMED CT, including all descendants of 304251008 (Resuscitation status).

Risk to Healthcare Personnel

SNOMED CT concepts that may indicate a risk to healthcare personnel emanating from the patient. Includes selected children of the Infectious disease hierarchy whose descendants are person-to-person transmissible — viral, bacterial, sexually transmitted, respiratory, healthcare-associated and parasitic disease — plus an aggressive behavior finding. Branches that do not pose a meaningful staff-transmission risk (anatomical-location infections, post-procedural / device-associated infections, sepsis variants, congenital and perinatal infections, plant / Microspora / Oomycota / fish infections, and the like) are excluded.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

CH EMR MRI Safety Status

Safety classification of a medical device in the magnetic resonance imaging (MRI) environment. Semantics aligned with ASTM F2503 (Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment). Defined locally because SNOMED CT International does not currently publish dedicated qualifier-value concepts for these classifications.

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

European Commission UDI Jurisdiction

UDI jurisdiction for the European Commission (republished from the FHIR Device documentation).

GS1 Device Identifiers

GS1 device identifier namespace recognised as a UDI issuer (republished from the FHIR Device documentation).

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

EX - Practitioner Dr. Sarah Huber

General example of a practitioner

EX-AdvanceDirective

General example of a advance directive

EX-AllergyIntolerance (Allergy to contrast media)

General example of an allergy

EX-Bundle

Complete Emergency Record Bundle

EX-CognitiveDisability

Example: Dementia

EX-Composition

General composition for the Emergency Record

EX-Condition (Type 2 diabetes mellitus)

General example of a condition

EX-DeviceUseStatement

General example for a device

EX-DocumentReferences (organ donation)

General example of a Document References

EX-Immunization

General example of a vaccination

EX-MedicalDevice

General example of a medical device

EX-MedicationStatement (Metformin)

General example of a medication statement

EX-Metformin

Example of Metformin 500 mg tablet medication

EX-Organization-GynPraxis

Gynecology practice in Basel

EX-Patient

General example of a Patient

EX-PhysicalDisability

General example of a physical disability

EX-PractitionerRole

General example of a practitioner role

EX-Pregnancy

General example of a Pregnancy

EX-RelatedPerson

General example of a related person

EX-Resuscitation

General example of a resuscitation status observation (for CPR)

EX-RiskFactor

Risk to healthcare personnel emanating from the patient — viral hepatitis type B.

UC1-Bundle-emr-MusterMax

Vollständiger eNotfallpass für Muster Max (Anwendungsfall 1).

UC1-Composition-emr-MusterMax

Elektronischer Notfallpass für Muster Max — Anwendungsfall 1.

UC1-Condition-Hypertonie

Diagnose arterielle Hypertonie (Muster Max, 2016).

UC1-Condition-KoronareHerzkrankheit

Diagnose koronare Herzkrankheit (Muster Max, 2015).

UC1-Device-Pacemaker

Herzschrittmacher implantiert bei Muster Max (2015).

UC1-DeviceUseStatement-Pacemaker

Muster Max trägt einen Herzschrittmacher (implantiert 2015).

UC1-DocumentReference-Notanordnung

Ärztliche Notanordnung von Muster Max (2024, im EPD hinterlegt).

UC1-DocumentReference-Patientenverfuegung

Patientenverfügung von Muster Max (2022, beim Hausarzt hinterlegt).

UC1-DocumentReference-Schrittmacherausweis

Schrittmacherausweis (2015, im EPD hinterlegt).

UC1-Medication-BelocZok

BELOC ZOK Retardtabletten 50 mg (Metoprolol), Packung à 100 Stk (Swissmedic 52110).

UC1-Medication-Plavix

PLAVIX Filmtabletten 75 mg (Clopidogrel), Packung à 28 Stk (Swissmedic 54509).

UC1-MedicationStatement-BelocZok

Beloc Zok 50 mg (Metoprolol) für Bluthochdruck — Dosierung 1-0-0.5-0.

UC1-MedicationStatement-Plavix

Plavix 75 mg (Clopidogrel) zur Prophylaxe nach Schlaganfall — Dosierung 1-0-0-0.

UC1-Organization-Hausarztpraxis

Generic Hausarztpraxis for UC1 (Care-Team filler).

UC1-Patient-MusterMax

Patient Muster Max — Anwendungsfall 1: Bewusstlose Person im Spitalnotfall.

UC1-Practitioner-Hausarzt

Generic Hausarzt for UC1 (Care-Team filler).

UC1-PractitionerRole-Hausarzt

PractitionerRole linking UC1 Hausarzt to UC1 Hausarztpraxis.

UC1-RelatedPerson-VreniMuster

Notfallkontakt: Vreni Muster (Ehefrau von Max Muster).

UC2-AllergyIntolerance-Penicillin

Penicillin-Allergie mit Reaktion Atemnot (Walter Schmid).

UC2-Bundle-emr-WalterSchmid

Vollständiger eNotfallpass für Walter Schmid (Anwendungsfall 2).

UC2-Composition-emr-WalterSchmid

Elektronischer Notfallpass für Walter Schmid — Anwendungsfall 2.

UC2-Condition-Schlaganfall

Diagnose Schlaganfall (Walter Schmid, 2023).

UC2-Condition-Splenektomie

Status nach Splenektomie (Walter Schmid, 1969 nach Motorradunfall).

UC2-DocumentReference-Patientenverfuegung

Patientenverfügung von Walter Schmid (2022, beim Hausarzt hinterlegt).

UC2-Medication-AspirinCardio

ASPIRIN CARDIO Filmtabletten 100 mg (Acetylsalicylsäure), Packung à 28 Stk (Swissmedic 51795).

UC2-Medication-Atorvastatin

SORTIS Filmtabletten 40 mg (Atorvastatin), Packung à 30 Stk (Swissmedic 54085).

UC2-Medication-Epril

EPRIL Tabletten 20 mg (Enalapril), Packung à 30 Stk (Swissmedic 55229).

UC2-Medication-XigduoXR

XIGDUO XR Filmtabletten 5 mg Dapagliflozin / 1000 mg Metformin (Fixkombination), Packung à 28 Stk (Swissmedic 65377).

UC2-MedicationStatement-AspirinCardio

Aspirin cardio 100 mg, 1-0-0-0 — Status nach Schlaganfall.

UC2-MedicationStatement-Atorvastatin

Atorvastatin 40 mg, 0-0-1-0 — Status nach Schlaganfall (vaskulär bedingt).

UC2-MedicationStatement-Epril

Epril 20 mg (Enalapril), 1-0-0-0 — Bluthochdruck.

UC2-MedicationStatement-XigduoXR

Xigduo XR 1000/5 mg, 0-0-2-0 — Diabetes.

UC2-Organization-Hausarztpraxis

Generic Hausarztpraxis for UC2 (Care-Team filler).

UC2-Patient-WalterSchmid

Patient (78 J., alleinlebend, Spitex 2x/Tag) — Anwendungsfall 2: Allgemeiner Notfalldienst am Wochenende.

UC2-PhysicalDisability-Aphasie

Aphasie als Kommunikationsbeeinträchtigung nach Schlaganfall.

UC2-Practitioner-Hausarzt

Generic Hausarzt for UC2 (Care-Team filler).

UC2-PractitionerRole-Hausarzt

PractitionerRole linking UC2 Hausarzt to UC2 Hausarztpraxis.

UC2-RelatedPerson-Spitex

Spitex (Hausbesuch 2x täglich) als Notfallkontakt für UC2.

UC3-Bundle-emr-LaraKeller

Vollständiger eNotfallpass für Lara Keller (Anwendungsfall 3).

UC3-Composition-emr-LaraKeller

Elektronischer Notfallpass für Lara Keller — Anwendungsfall 3.

UC3-Condition-AngeborenerHerzfehler

Angeborener Herzfehler (Lara Keller, 2008).

UC3-Condition-Eisenmangelanaemie

Eisenmangelanämie (Lara Keller, 2024).

UC3-Device-AorticValve

Mechanische Aortenklappenprothese (implantiert 2010).

UC3-DeviceUseStatement-AorticValve

Lara Keller trägt eine mechanische Aortenklappenprothese (implantiert 2010).

UC3-Medication-Marcoumar

MARCOUMAR Tabletten 3 mg (Phenprocoumon), Plastflasche à 25 Stk (Swissmedic 19395).

UC3-MedicationStatement-Marcoumar

Marcoumar 3 mg (Phenprocoumon) — Thromboembolieprophylaxe nach mechanischem Klappenersatz. Dosierung nach separater Verordnung (INR-gesteuert).

UC3-Organization-Hausarztpraxis

Generic Hausarztpraxis for UC3 (Care-Team filler).

UC3-Patient-LaraKeller

Patientin (32 J.) bei der Dermatologin — Anwendungsfall 3: Patientin in Arztpraxis.

UC3-Practitioner-Hausarzt

Generic Hausarzt for UC3 (Care-Team filler).

UC3-PractitionerRole-Hausarzt

PractitionerRole linking UC3 Hausarzt to UC3 Hausarztpraxis.

UC3-RelatedPerson-Mutter

Mutter als Notfallkontakt von Lara Keller (Care-Team filler).

UC4-Bundle-emr-BeatFrei

Vollständiger eNotfallpass für Beat Frei (Anwendungsfall 4).

UC4-Composition-emr-BeatFrei

Elektronischer Notfallpass für Beat Frei — Anwendungsfall 4.

UC4-Condition-Aortenaneurysma

Aortenaneurysma (Beat Frei, 2024).

UC4-Medication-Bilol

BILOL Filmtabletten 5 mg (Bisoprolol), Packung à 30 Stk (Swissmedic 54030).

UC4-MedicationStatement-Bilol

Bilol 5 mg (Bisoprolol) — Blutdrucksenkung bei Aortenaneurysma. Dosierung 1-0-0-0.

UC4-Organization-Hausarztpraxis

Generic Hausarztpraxis for UC4 (Care-Team filler).

UC4-Patient-BeatFrei

Patient in Physiotherapie wegen rezidivierender Lumbalgien — Anwendungsfall 4: Patient in Physiotherapie.

UC4-Practitioner-Hausarzt

Generic Hausarzt for UC4 (Care-Team filler).

UC4-PractitionerRole-Hausarzt

PractitionerRole linking UC4 Hausarzt to UC4 Hausarztpraxis.

UC4-RelatedPerson-Ehefrau

Ehefrau als Notfallkontakt von Beat Frei (Care-Team filler).

UC5-Bundle-emr-AnnaMeier

Vollständiger eNotfallpass für Anna Meier (Anwendungsfall 5).

UC5-Composition-emr-AnnaMeier

Elektronischer Notfallpass für Anna Meier — Anwendungsfall 5.

UC5-Condition-KoronareHerzkrankheit

Chronische koronare Herzkrankheit (Anna Meier, 2018).

UC5-Medication-AspirinCardio

ASPIRIN CARDIO Filmtabletten 100 mg (Acetylsalicylsäure), Packung à 28 Stk (Swissmedic 51795).

UC5-Medication-Atorvastatin

SORTIS Filmtabletten 40 mg (Atorvastatin), Packung à 30 Stk (Swissmedic 54085).

UC5-Medication-Bilol

BILOL Filmtabletten 5 mg (Bisoprolol), Packung à 30 Stk (Swissmedic 54030).

UC5-Medication-Pemzek

PEMZEK Tabletten 16 mg (Candesartan), Packung à 28 Stk (Swissmedic 62498).

UC5-MedicationStatement-AspirinCardio

Aspirin cardio 100 mg, 1-0-0-0 — Koronare Herzkrankheit.

UC5-MedicationStatement-Atorvastatin

Atorvastatin 40 mg, 1-0-0-0 — Koronare Herzkrankheit.

UC5-MedicationStatement-Bilol

Bilol 5 mg (Bisoprolol), 1-0-0-0 — Koronare Herzkrankheit.

UC5-MedicationStatement-Pemzek

Pemzek 16 mg (Candesartan), 1-0-0-0 — Koronare Herzkrankheit.

UC5-Organization-Hausarztpraxis

Generic Hausarztpraxis for UC5 (Care-Team filler).

UC5-Patient-AnnaMeier

Patientin Anna Meier — Anwendungsfall 5: Präklinik (Rettungsdienst) vor Ankunft im Spital.

UC5-Practitioner-Hausarzt

Generic Hausarzt for UC5 (Care-Team filler).

UC5-PractitionerRole-Hausarzt

PractitionerRole linking UC5 Hausarzt to UC5 Hausarztpraxis.

UC5-RelatedPerson-Ehemann

Ehemann als Notfallkontakt von Anna Meier (Care-Team filler).