CH Core (R4)
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CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ 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 Core AllergyIntolerance

Base definition of the AllergyIntolerance resource for use in Swiss specific use cases.

CH Core Composition

Base definition of the Composition resource for use in Swiss specific use cases.

CH Core Composition EPR

Definition of the Composition resource for use in the context of the electronic patient record (EPR).

CH Core Condition

Base definition of the Condition resource for use in Swiss specific use cases.

CH Core Coverage

Base definition of the Coverage resource for use in Swiss specific use cases.

CH Core Document

Base definition of the Bundle resource for use in Swiss specific use cases.

CH Core Document EPR

Definition of the Bundle resource for use in the context of the electronic patient record (EPR).

CH Core DocumentReference

Base definition of the DocumentReference resource for use in Swiss specific use cases.

CH Core DocumentReference EPR

Definition of the DocumentReference resource for use in the context of the electronic patient record (EPR).

CH Core EPR-Consent

Definition of the Consent resource to document that a patient has an electronic patient record (EPR) in Switzerland. The actual consent conditions are held within the EPR, this consent is the documentation in an organization that the patient has stated he/she has an EPR and this needs to be verified at the time of document publishing or reading. In addition a patient can request that specific information will not be published from the organization to the EPR. This can be documented with one or more references to encounters to exclude the consent for these.

CH Core Encounter

Base definition of the Encounter resource for use in Swiss specific use cases.

CH Core Location

Base definition of the Location resource for use in Swiss specific use cases.

CH Core Medication

Base definition of the Medication resource for use in Swiss specific use cases.

CH Core MedicationAdministration

Base definition of the MedicationAdministration resource for use in Swiss specific use cases.

CH Core MedicationDispense

Base definition of the MedicationDispense resource for use in Swiss specific use cases.

CH Core MedicationRequest

Base definition of the MedicationRequest resource for use in Swiss specific use cases.

CH Core MedicationStatement

Base definition of the MedicationStatement resource for use in Swiss specific use cases.

CH Core Organization

Base definition of the Organization resource for use in Swiss specific use cases.

CH Core Organization EPR

Definition of the Organization resource for use in the context of the electronic patient record (EPR).

CH Core Patient

Base definition of the Patient resource for use in Swiss specific use cases. Relevant are definitions by the eCH-0010 V7.0 data standard mailing address and eCH-0011 V8.1 data standard pesond data. The CH Core Patient is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements in Switzerland. See also BFS for further information

CH Core Patient EPR

Definition of the Patient resource for use in the context of the electronic patient record (EPR). It is used to include the patient in an EPR document (referenced in Composition/DocumentReference).

CH Core Practitioner

Base definition of the Practitioner resource for use in Swiss specific use cases.

CH Core Practitioner EPR

Definition of the Practitioner resource for use in the context of the electronic patient record (EPR).

CH Core PractitionerRole

Base definition of the PractitionerRole resource for use in Swiss specific use cases.

CH Core PractitionerRole EPR

Definition of the PractitionerRole resource for use in the context of the electronic patient record (EPR).

Structures: Data Type Profiles

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

AHVN13 / NAVS13 Identifier

Identifier holding a 13 digit social security number. The number shall have exactly 13 digits and shall not contain point characters for separation.

Address for Place of Birth

PlaceOfBirth for ech-11

Address for Place of Origin

Place of Origin for eCH-0011

BER Identifier

Identifier holding a number for BER (Business and Enterprise Register), BUR (Betriebs- und Unternehmensregister), REE (Registre des entreprises et des établissements), RIS (Registro delle imprese e degli stabilimenti)

CH Core Address

address incorporating eCH-0010 postal address extensions

CH Core ContactPoint eCH-0046 Email

E-mail address as contact point of a person or organization according to eCH-0046

CH Core ContactPoint eCH-0046 Internet

Internet address as contact point of a person or organization according to eCH-0046

CH Core ContactPoint eCH-0046 Phone

Phone number as contact point of a person or organization according to eCH-0046

CH Core Dosage

Dosage for medication use cases

CH Core Postal Address

Postal address according to eCH-0010

CH Core Quantity with EMED Units

A quantity with defined units

CH Core Range with EMED Units

A range with defined quantity/units

CH EMED Ratio with EMED Units

A ratio with defined units

EPR-SPID Identifier

EPR-SPID Identifier (https://www.fedlex.admin.ch/eli/cc/2017/205/de)

GLN Identifier

Identifier holding a 13 digit GLN

Human Name

Name with extensions for ech-11

Insurance Card Number (Identifier)

Identifier in 20-digit format. The number shall have exactly 20 digits and start with 756.

UIDB Identifier

Identifier holding a number for UIDB (Unique Identification Business), UID (Verwendung der Unternehmens-Identifikationsnummer), IDE (Utilisation du numéro d’identification des entreprises), IDI (Utilizzo del numero d’identificazione delle imprese)

ZSR Identifier

Identifier holding a number for ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori)

Structures: Extension Definitions

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

Address Line Type

eCH-0010: Extension to define line types for addresses

Author of the content

Extension to reference the person (and her/his organization) who is responsible for the content (e.g. an author of an eMedication document or a recorder of an immunization). This extension is used to differentiate on entry level between the author of the content (represented with this extension) and the author of the medical decision or the performer of an event (represented e.g. with Resource.performer/informationSource).

BFS Extension Medical Statistic: Admit Role for Encounter

BFS Extension Admit Role for Encounter

BFS Extension Medical Statistic: Discharge Destination for Encounter

BFS Extension Discharge Destination for Encounter

BFS Extension Medical Statistic: Discharge Décision for Encounter

BFS Extension Discharge Décision for Encounter

EPR Confidentiality Code

Extension for the confidentiality code according to the Swiss EPR regulation

EPR Data Enterer

Extension to define the information about the person and organisation that entered data and the time of the data input

EPR Information Recipient

Extension for a recipient of this document (corresponds to the addressee of a letter - person or organization)

EPR Time

Additional timestamp for the author or other elements.

Encounter, Suspected Readmission

Encounter Extension for suspected readmission

Entry Resource Cross References

Extension to make a reference beween resources as entries in i.e. document bundles.

First Name

eCH-0011: Extension to define first name type

If an encounter is caused by an accident

Extension to define an encounter that is caused by an accident and at which time the accident happened

Marital Data - Separation Type

eCH-0011: Extension to define the separation type. For married but separated persons and for persons in a registered partnership but living separately.

Name

eCH-0011: Extension to define name type

Place of Birth according to eCH-0011

The registered place of birth of the patient.

Place of Origin according to eCH-0011

The place of origin of the patient.

Substitution

This extension is used to indicate whether the medication can be substituted for this patient, i.e. whether it is allowed. (For a prescription, MedicationRequest.substitution is used to record whether a substitution is allowed or not. When dispensing, a performed substitution is recorded in MedicationDispense.substitution.)

Treatment Reason

Extension to represent the treatment reason

eCH-0007 Municipality Id – BFS Gemeindenummer

eCH-0007: Extension to define a BFS Number for a municipality

eCH-0046 Email Category

Extension to define the e-mail category according to eCH-0046

eCH-0046 Internet Category

Extension to define the internet category according to eCH-0046

eCH-0046 Phone Category

Extension to define the phone category according to eCH-0046

Example: Example Instances

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

1-1 Medication Statement with Medication Triatec

Example for MedicationStatement (one dosage element)

1-2 Medication Dispense with Medication Beloc Zok

Example for MedicationDispense (two dosage elements)

2-6 Medication Request with Medication Norvasc

Example for MedicationRequest (with substitution)

Agpar Marc

Practitioner with GLN and name

AllergyToCatDander

Example for AllergyIntolerance

Allzeit Bereit

Practitioner EPR with name with prefixes (salutation, academic title, legal status) and suffix (‘Facharzt für Allgemeine Medizin’)

Consent for Swiss EPR

Consent that Patient has a Swiss EPR

Consent for Swiss EPR with Encounter exclusions

Consent that Patient has a Swiss EPR but exclude it for a specific Encounter

Coverage Broennimann

Coverage with Mrs. Broenimann as beneficiary and the health insurance Sanitas as issuer of the policy (represented as contained resource)

DocumentReference to a PDF

DocumentReference with metadata about the document and the referenced document (PDF) as Base64 attachment

Dokument Eintrag referenz zu anderem Eintrag in einem anderen Dokument

Ein Beispieldokument mit einem Eintrag welcher die Extension zur kreuzreferenzierung auf einen anderen Eintrag in einem anderen Dokument enthält.

Elisabeth Broennimann by BFH

Patient with insurance card number as identifier, contact details, marital status (eCH & FHIR) and reference to the general practitioner (GP)

Encounter Accident Broennimann

Inpatient Encounter of Mrs. Broennimann which is flagged as an accident

Encounter Ambulant Broennimann

Ambulant Encounter of Mrs. Broennimann, representing the visit number (Fallnummer) and the BFS variables

Franz Muster

Patient with place of birth, place of origin (Heimatort), religion, local PID and language of correspondence

Gruppenpraxis CH

Organization EPR with GLN, different contact details (e.g. phone, email) and address

Hanspeter Wenger @ Spital Seeblick

PractitionerRole EPR with profession (role) and specialisation

Hanspeter Wenger by BFH

Practitioner with GLN and ZSR, name with prefixes, gender and birth date

Immunization example for Immunization Administration

An Immunization example with extension for cross dokument referencing.

Manuela Muster

Patient with EPR-SPID ending on 0

Marvin Muster

Patient with AHVN13/NAVS13 as identifier

Max Muster

Patient EPR with eCH-0011 family & and given name, eCH-0046 contact points and reference to the organization that is the custodian of the patient record

Medication Administration Fentanyl

Example for MedicationAdministration

Patient Document 1 Stammgemeinschaft Composition

Example for Composition Immunization Administration

Person eCH-011

Patient eCH-011 with names, marital status and separation type, delivery address if it is not the address of the patient (detailed explanation in narrative)

Physiotherapie CH

Organization with GLN (ending on 0), UIDB, BER

Radiologieinstitut

Organization EPR with specified healthcare facility type (Diagnostic institution)

Schreib Kraft

Practitioner (physician assistants) with local identifier (neither GLN nor ZSR)

Schreib Kraft @ Gruppenpraxis CH

PractitionerRole with referenced practitioner and organization

Spital Seeblick

Organization with specified healthcare facility type (Hospital)

Transfer note for radiological diagnostics

Document EPR containing original representation as PDF-A (fullUrls of entries with ‘urn:uuid:’)

UPI EPR Test Krcmarevic

Test Patient from UPI for Swiss EPR Projectathon

Urticaria

Example for Condition

Zuweisung zur radiologischen Diagnostik

Document EPR (fullUrls of entries with ‘http’)

Zuweisung zur radiologischen Diagnostik

Composition EPR with the information about the transfer in different sections