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
Changelog
All significant changes to this FHIR implementation guide will be documented on this page.
STU 5
Open Issues
During the ballot, the following comments came in, which will be taken into account in the further development of CH Core:
- #299:
- CH Term #41: Revision (harmonization, usage SCT) of code system and value set ServiceRequest Category
See also open issues on GitHub.
Added
Changed / Updated
- #303: Entry Resource Cross References, Usage/Description (Roeland Luykx,RALY GmbH)
- #294: Differentiation of severity of constraint ch-pat-1 for CH Core Patient (warning) and CH Core Patient EPR (error)
- #293: Clarification of the description for Patient.gender
- #300: Add guidance for readable representation of EPR documents and update example
Fixed
- #306: Replace deprecated discriminator (
pattern -> value)
Issues resolved without amendment (in IG)
- #289: Validation issue with display values; fixed with new version of IG publisher
STU 5 Ballot (2024-05-16)
Added
- #284: Check BER/UIDB identifiers
- #119: Introduce base profiles (from exchange formats) in CH Core
- CH Core MedicationStatement, CH Core MedicationAdministration, CH Core MedicationDispense, CH Core MedicationRequest, CH Core Medication
- CH Core Condition
- CH Core AllergyIntolerance
- CH Core Immunization, CH Core ImmunizationRecommendation
- CH Core ServiceRequest
- #116: Add value set bindings to these elements:
- Coverage.type -> http://fhir.ch/ig/ch-term/ValueSet/mainguarantor (preferred)
- Coverage.class.type -> http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-21-encountertype (extensible)
Changed / Updated
- #272: Update the CHCoreDocumentReference EPR-XDS mapping
- #269: max cardinality for only one gln for practitioner
- CH Term #23: Changes according to the renaming of CH EPR Term to CH Term
- #274: Move terminology to CH Term
- #287: Unified identifier slicing (Coverage, Practitioner)
Fixed
- #277: update the expression of constraints ch-docref-1/2
STU 4 (2023-12-28)
- #270: 4.0.1 Technical correction for invalid package
Added
- #233: CH Core Address: Include eCH-0007 cantonAbbreviation
- #244: Guidance how to use SNOMED CT codes from the Swiss Extension
- #254: Separate data type profile for identifiers (ZSR, UIDB, BER)
- #262: New extension to reference entries in i.e. other documents
Changed / Updated
- #242: Update the description for type of CH Core Composition EPR
- #238: Update context of Extension EPR Time with MedicationRequest.requester
- #246: Only allow an UUID as Bundle.identifier in the EPR context
- #181: Change slicing from Patient.contact:nameOfFahter/nameOfMother to Patient.contact:nameOfParent according to eCH RFC 2019-9: geschlechtsneutrale Bezeichnung für Namen der Eltern and remove chapter numbers in mapping of eCH
- #252: Technical Correction of FHIRPath constraints with .value
Fixed
- #235/#265: Fix GLN constraint/adapt Practitioner.identifier in example
- #247: Fix constraint text and refactor expression (ch-core-doc-1)
- #256: Fix references in example with UUID as fullUrl based on rules around matching relative references
- #257: Warning instead of errors for GLN, EPR-SPID, AHVN13 and VEKA datatype profiles
- #266: Fix error with ConceptMap
STU 4 Ballot (2023-06-27)
Added
- #196: Data type profile VEKAIdentifier for Coverage.identifier and new also for Patient.identifier
- #204: Introduce data type profiles for ContactPoints (email, phone, internet) according eCH-0046 (including extensions and terminology) and add them to the telecom element of Patient, Practitioner, Organization, Location
- #224: Forum Datenaustausch tariff Naming System
Changed / Updated
- #206: Improve acronyms definition
- #191: CH Core Patient - Relax max cardinality to * for EPR-SPID and AHVN13
- #195: CH Core Address - Add extension iso21090-ADXP-streetName to CH Core Address line
- #198: CH Core Composition EPR - Relax information recipient cardinality to zero
- #194: CH Core Composition EPR - Relax attester:legalAuthenticator.time cardinality to zero
- #200: Remove display values from patternCodeableConcepts or fixedValues, remove minimum cardinality = 1 for display values, using official display values in examples (valid with http://tx.fhir.org/r4).
- #193: Remove CDA elements (mapping, ch-ext-epr-sectionid, ch-ext-epr-versionnumber, adapt descriptions)
- #31: Improve profiling for identifiers to avoid duplicated elements in the snapshot table
- #205: Concretization of the mapping of Patient.telecom for versions as of HL7 v2.7
- #181: Updated used eCH standards (incl. versions) to introduction (home) (standards themselves currently have no updates)
- #217: Add language tag to instances, to be able to validate the translation of codes
- #215: Relax binding strength to value sets from 'required' to 'extensible'
- #225: Fix FHIRPath expression
- #226: Change license for ImplementationGuide / StructureDefinition to CC0 1.0 Universal (CC0 1.0)
- #222: PractitionerRole EPR: code binding
STU 3 (2022-12-20)
Added
- #172: Generic CH Core extension Author of the content (fusion of the extensions from CH EMED and CH VACD)
- #158, #189: Include new IG fragments (IP Statements, Cross Version Analysis, Dependency Table, Globals Table); CH Core can be used for both R4 and R4B, packages are available for both versions
Changed / Updated
- #150: Expansion of the context of the extension EPR Time
- #160: Slicing on repeating element
- #154: Improve description of example instances, see Artifacts
- #162: Update narrative text in examples
- #176: Clean up differentials
- #175: Rename the profile CH Core EPR-Consent
- #173: Define aggregation mode (contained, referenced) for Coverage.payor
- #170: Check the slicing and update suppressed messages
- #153: Rephrasing of the sentence for the exchange formats (current and general validity)
Fixed
- #163: Typo
- #159: Add element 'experimental' (false) to CS/VS
- #161: Use 'patternCodeableConcept' instead of 'fixedCodeableConcept' for Consent.policyRule
- #167: Fix URIs in ConceptMaps 'MaritalStatus eCH-011 to FHIR mapping', 'Sex eCH-011 to FHIR mapping'
- #152: Changes status form 'draft' to 'active'
Issues resolved without amendment (in IG)
- #39: Consent code for ch-epr has been added in hl7.terminology published 2022-09-14 (version 4.0.0)
- #174: Verification/confirmation that the eCH-011 values for gender are still up-to-date
- #157: Fixed dead link on the HL7.ch FHIR IG Balloting page
- #156: Change default branch from 'master' to 'main' to postponed to a later publication due to dependence on IG Publisher
STU 3 Ballot (2022-06-29)
Added
- #123 (#137, #140): GLN and EPR-SPID checks
- #135: Add an Identifier data type for AHVN13 with check for correctness
- #131: Update change log/STU note box according to the latest requirements
Changed / Updated
- #133: Fix example OIDs
- #129: Wrong slicing for Composition.author.extension:ch-ext-epr-time profiles/structures
- #144: Improve slicing that info entry[x] warnings are not shown (CH Core Document, CH Core Document EPR)
- #122: No fixed value for Status of Composition EPR
- #121: Relax Custodian cardinality in CH Core Composition EPR
- #118, #127, #142: Typos
- #132: Fix link of concept map
- #124: Fix description for a least one given/family HumanName if provided
- #145: Update title of the profiles
STU 2 (2021-04-24)
- #57 cardinality 0..1 for ch-ext-epr-versionNumber in Composition
- #58 IMP instead of INP in encounter
- #59 adapt extension EPR Information Recipient for ch-core
- #60 relax card. in CH Core Organization
- #61 slice setup incorrect on address lines
- #63 PractitionerRole example HPWengerRole has an invalid specialty coding
- #65 CH-Core dependsOn CH-EPR-TERM current
- #66 Encounter: specify a type for the visit number Fallnummer
- #67 Add CC license to ch-core implementation guide
- #70 fix resource narrative status if narrative text has been defined
- #77 ch-core-document: add check that fullUrl exists and is an absolute url
- #85 EPRDataEnterer: valueReference only to Practitioner (not Person)
- #90 description callName in eCH-011 Types
- #91 dataenterer as PractitionerRole
- #92 PDF requirements for CH Core Composition
- #93 EPR Data Enterer map to PractitionerRole instead of Practitioner
- #94 Precise description for salutation, title in HumanName
- #95 EPR Document fix Bundler.identifier to uuid
- #96, #97 Composition.identifier instead of setId Extension
- #98 renamed Composition Patient Profile EPR to Patient Profile EPR
- #100, #101, #102, #103 Reference to CH Core profiles
- #104 CH Core Consent Profile naming
STU 1 (2020-04-21)
