CH Core (R4)
2.0.0 - STU 2

CH Core (R4), published by HL7 Switzerland. This is not an authorized publication; it is the continuous build for version 2.0.0). 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 Composition Profile EPR

Base definition for a composition in the context of the electronic patient record (EPR).

CH Core Composition Profile

Base definition for a composition with the CH Core profiles.

CH Core Coverage Profile

The Coverage referenced in the CH Core profiles.

CH Core Document Profile EPR

Base definition for a document in the context of the electronic patient record (EPR).

CH Core Document Profile

Base definition for a document with the CH Core profiles.

CH Core DocumentReference Profile EPR

Base definition for a document reference in the context of the electronic patient record (EPR).

CH Core DocumentReference Profile

Base definition for a document reference with the CH Core profiles.

CH Core Patient Profile EPR

Core patient definition 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 Consent EPR Profile

Base profile for a consent profile 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 has an EPR and this needs to be verified at the time of document publishing or reading. In addition a patient can reqeuest that specific information will not be published from the organization to the EPR.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 Patient Profile

Core patient definition in the swiss context. Relevant are definitions by the eCH-0010 V7.0 data standard mailing address and eCH-0011 V8.1 data standard pesond data and CDA-CH V2 definitions. 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 Encounter Profile

The Encounter referenced in the CH Core profiles.

CH Core Location Profile

Defines basic constraints and extensions on the Location resource for use with other CH Core resources

CH Core Organization Profile EPR

Core organization definition in the context of the electronic patient record (EPR).

CH Core Organization Profile

Defines basic constraints and extensions on the Organization resource for use with other CH Core resources

CH Core Practitioner Profile EPR

Core practitioner definition in the context of the electronic patient record (EPR).

CH Core Practitioner Profile

Core practitioner definition in the swiss context.

CH Core Practitioner Role Profile

Core PractitionerRole definition in the swiss context.

CH Core Practitioner Role Profile EPR

Core PractitionerRole definition in the swiss 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

Human Name

Name with extensions for ech-11

CH Core Address Profile

address incorporating eCH-0010 postal address extensions

CH Core Postal Address Profile

Postal address according to eCH-0010

Address for place of Origin

Place of Origin for eCH-0011

Address for place of Birth

PlaceOfBirth for ech-11

Structures: Extension Definitions

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

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

BFS Extension Medical Statistic: Admit Role for Encounter

BFS Extension Admit Role for Encounter

BFS Extension Medical Statistic: Discharge Décision for Encounter

BFS Extension Discharge Décision for Encounter

BFS Extension Medical Statistic: Discharge Destination for Encounter

BFS Extension Discharge Destination for Encounter

eCH-0007 municipalityId – BFS Gemeindenummer

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

Address line type

eCH-0010: Extension to define line types for addresses

FirstName

eCH-0011: Extension to define first name type

Name

eCH-0011: Extension to define name type

MaritalData - 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.

Encounter, suspected readmission

Encounter Extension for suspected readmission

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, equivalent to the dataEnterer from a CDA document

EPR Information Recipient

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

EPR Section ID

Extension to define a section identifier. A CDA section has an optional identifier. With this extension the CDA section identifier can be added to the section of the FHIR composition.

EPR Time

CDA documents have the ability to add additional timestamps for the author or other elements. This extensions allows to add CDA timestamps to the respective FHIR elements.

EPR Version Number

A CDA document can have a versionNumber element. This element MUST contain the value 1 for the very first version of that document. For later versions, the version number MUST be increased by 1 each. With this extension the versionNumber can be specified for a FHIR Composition

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.

Terminology: Value Sets

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

BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione

BFS defines variables for medical statistic (german, french, italian) see BFS. Unmittelbarer Aufenthaltsort vor dem Eintritt. Wo befand sich BFS der Patient / die Patientin?

BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero

BFS defines variables for medical statistic (german, french, italian) see BFS. Beschreibung der Umstände des Eintritts. Wie wurde der BFS Patient / die Patientin aufgenommen?

BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante

BFS defines variables for medical statistic (german, french, italian) see BFS. Unmittelbarer Aufenthaltsort vor dem Eintritt. Wo befand sich BFS der Patient / die Patientin?

BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento

BFS defines variables for medical statistic (german, french, italian) see BFS. Angabe der Behandlungsart

BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe

BFS defines variables for medical statistic (german, french, italian) see BFS. Im Rahmen des Spitalaufenthaltes belegte Liegeklasse, nicht BFS die Versicherungskategorie. Bei Wechsel der Klasse ist die im Wesentlichen beanspruchte Klasse anzugeben.

BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wer hat den Klinikaustritt veranlasst?

BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wohin wurde der Patient entlassen?

BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Behandlung, Pflege, Rehabilitation nach dem Spitalaufenthalt. Es geht darum, den Behandlungserfolg resp. den Abhängigkeitsgrad bei Austritt anzugeben. Nur die am besten zutreffende Kategorie auswählen.

ChCoreEncounterParticipationType

This value set defines a set of codes that can be used to indicate how an individual participates in an encounter. In Switzerland the primary care physician is added to the extensible base ValueSet.

ChCoreMaritalStatus

MaritalStatus combined by fhir and eCH-11. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

eCH-010 Address Line Type

eCH-010 defines different address lines (addressLine1,2 and street)

eCH-011 FirstNameDataTypes

eCH-011 defines different nameData Types, this ValueSet is the subset for the firstnames

eCH-011 NameDataTypes

eCH-011 defines different nameData Types, this ValueSet is the subset for the family name

eCH-011 MaritalStatus

eCH-011 defines maritalStaus Types

eCH-011 MaritalData Separation

eCH-011 defines maritalData separation types

eCH-011 Sex

eCH-011 defines these sex types

Terminology: Code Systems

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

BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione

BFS defines variables for medical statistic (german, french, italian) see BFS. Unmittelbarer Aufenthaltsort vor dem Eintritt. Wo befand sich BFS der Patient / die Patientin?

BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero

BFS defines variables for medical statistic (german, french, italian) see BFS. Beschreibung der Umstände des Eintritts. Wie wurde der BFS Patient / die Patientin aufgenommen?

BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante

BFS defines variables for medical statistic (german, french, italian) see BFS. Wer hat die Initiative für die Klinikeinweisung ergriffen?

BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento

BFS defines variables for medical statistic (german, french, italian) see BFS. Angabe der Behandlungsart

BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe

BFS defines variables for medical statistic (german, french, italian) see BFS. Im Rahmen des Spitalaufenthaltes belegte Liegeklasse, nicht BFS die Versicherungskategorie. Bei Wechsel der Klasse ist die im Wesentlichen beanspruchte Klasse anzugeben.

BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wer hat den Klinikaustritt veranlasst?

BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wohin wurde der Patient entlassen?

BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Behandlung, Pflege, Rehabilitation nach dem Spitalaufenthalt. Es geht darum, den Behandlungserfolg resp. den Abhängigkeitsgrad bei Austritt anzugeben. Nur die am besten zutreffende Kategorie auswählen.

eCH-010 Types

eCH-010 defines different Types for a postal adresse

eCH-011 MaritalStatus

eCH-011 defines different maritalStatus Types. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

eCH-011 MaritalData Separation

eCH-011 defines different maritalData separation zypes. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

eCH-011 Types

eCH-011 defines different Types like Names, contactAdress etc. They are further described from the BFS in ‘Amtlicher Katalog der Merkmale’ (Official catalogue of characteristics), Copyright BFS, Neuchâtel 2014, ISBN 978-3-303-00504-0

eCH-011 Sex

eCH-011 defines different sex Types. See https://www.ech.ch/vechweb/page?p=dossier&documentNumber=eCH-0011&documentVersion=8.13.3.5 3.3.3.3 sex

Terminology: Naming Systems

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

ahvn13-navs13

The AHVN13 / NAVS13 - (abbreviation for new thirteen-digit Social Security number) - is an administrative identifier for natural persons in Switzerland. It is issued, announced and administered by the Central Compensation Office. It is available to all organisations and communities for which there is a legal basis.

ber

The Business and Enterprise Register (BER) contains all enterprises and business in private and public law which are domiciled and exercise an economic activity in Switzerland. (in French, Registre des entreprises et des établissements (REE)) (in German, Betriebs- und Unternehmensregister (BUR)) (in Italian, Registro delle imprese e degli stabilimenti (RIS))

epr-spid

EPR-SPID: The Central Compensation Office (ZAS; CCO) assigns and manages the new patient identification number according to the EPRA (EPR-SPID), which is only linked internally in the CCO with the AHV number. It maintains the UPI identification database (Unique Personal Identifier Database), which the EPR communities may access. The law regulates how the the EPR-SPID can be used. SR 816.111 states (Art. 10 para. 3 EPDV) that communities must ensure that the EPR-SPID number cannot be not stored in document repositories or document registries.

gln

Each healthcare partner (natural or legal person) is referenced with a unique code of type GLN (former name: EAN code) of the GS1 system. See refdata

uidb

Unique IDentification Business (UIDB) number (in French, numéro d’IDentification suisse des Enterprises (IDE)) (in German, Schweizer Unternehmens-IDentifikationsnummer (UID)) (in Italian, numero d’IDentificazione svizzero delle Imprese (IDI)) Organizations Covered By System: All Companies/organizations registered in the public Swiss Registers such as the Swiss Register of Commerce, the Value Added Tax (VAT) register, the Social security agencies Registers, Cantons registers, etc., and publish in the UID Register.

zsr

The ZSR number is issued to self-employed, natural or legal persons (organisations) who can and want to work at the expense of health insurance. See Sasis

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide

BFS Encounter Class to FHIR mapping

BFS Encounter Class to FHIR mapping

DocumentEntry.confidentialityCode to FHIR mapping

DocumentEntry.confidentialityCode to FHIR mapping

MaritalStatus eCH-011 to FHIR mapping

MaritalStatus mapping form eCH-011 to FHIR. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

Sex eCH-011 to FHIR mapping

Sex eCH-011 to FHIR mapping

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-ZuweisungZurRadiologischenDiagnostik-FHIR

Example for EPR-Bundle

CdaContainingOriginalRepresentationAsPdfA

Example for EPR-Bundle

ZuweisungZurRadiologischenDiagnostik

Example for EPR-Composition

CoverageBroennimann

Example for Coverage

Docu

Example for DocumentReference

EncounterAmbulantBroennimann

Example for Encounter

EncounterAccidentBroennimann

Example for Encounter which is flagged as an accident

GruppenpraxisCH

Example for EPR-Organization

Radiologieinstitut

Example for EPR-Organization

SpitalSeeblick

Example for Organization

ElisabethBroennimannByBFH

Example for Patient

FranzMuster

Example for Patient

MaxMuster

Example for EPR-Patient

PersonEch011

Example for Patient

UpiEprTestKrcmarevic

Example for Patient

AgparMarc

Example for Practitioner

AllzeitBereit

Example for EPR-Practitioner

HanspeterWengerByBFH

Example for Practitioner

SchreibKraft

Example for Practitioner

HPWengerRole

Example for PractitionerRole

SchreibKraft

Example for PractitionerRole as Data Enterer

Consent for Swiss EPR

Example for a consent that Patient has a Swiss EPR

Consent for Swiss EPR with Encounter exclusions

Example for a consent that Patient has a Swiss EPR but exclude it for a specific encounter