CH EMED (R4)
5.0.0 - trial-use Switzerland flag

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

Definition of the medication

CH EMED Medication (MedicationDispense)

Definition of the medication for the medication dispense

CH EMED Medication Card Composition

Definition of the composition for the medication card document

CH EMED Medication Card Document

Definition of the bundle for the medication card document

CH EMED Medication Dispense Composition

Definition of the composition for the medication dispense document

CH EMED Medication Dispense Document

Definition of the bundle for the medication dispense document

CH EMED Medication List Composition

Definition of the composition for the medication list document

CH EMED Medication List Document

Definition of the bundle for the medication list document

CH EMED Medication Prescription Composition

Definition of the composition for the medication prescription document

CH EMED Medication Prescription Document

Definition of the bundle for the medication prescription document

CH EMED Medication Treatment Plan Composition

Definition of the composition for the medication treatment plan document

CH EMED Medication Treatment Plan Document

Definition of the bundle for the medication treatment plan document

CH EMED MedicationAdministration (DIS)

Definition of the medication administration for the medication dispense document

CH EMED MedicationAdministration (LIST)

Definition of the medication administration for the medication list document

CH EMED MedicationDispense (DIS)

Definition of the medication dispense for the medication dispense document

CH EMED MedicationDispense (LIST)

Definition of the medication dispense for the medication list document

CH EMED MedicationRequest (LIST)

Definition of the medication request for the medication list document

CH EMED MedicationRequest (PRE)

Definition of the medication request for the medication prescription document

CH EMED MedicationRequest Changed

Definition of the changed medication request for the pharmaceutical advice document

CH EMED MedicationRequest Changed (LIST)

Definition of the changed medication request for the medication list document

CH EMED MedicationStatement

Definition of the medication statement for the medication treatment plan document (and as basis medication statement)

CH EMED MedicationStatement (CARD)

Definition of the medication statement for the medication card document

CH EMED MedicationStatement (LIST)

Definition of the medication statement for the medication list document

CH EMED MedicationStatement Changed

Definition of the changed medication statement for the pharmaceutical advice document

CH EMED MedicationStatement Changed (LIST)

Definition of the changed medication statement for the medication list document

CH EMED Observation (LIST)

Definition of the observation for the medication list document

CH EMED Observation (PADV)

Definition of the observation for the pharmaceutical advice document

CH EMED Organization

Definition of the organization for the eMedication context

CH EMED Pharmaceutical Advice Composition

Definition of the composition for the pharmaceutical advice document

CH EMED Pharmaceutical Advice Document

Definition of the bundle for the pharmaceutical advice document

CH EMED Practitioner

Definition of the practitioner for the eMedication context

CH EMED PractitionerRole

Definition of the practitioner role for the eMedication context

Structures: Data Type Profiles

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

CH EMED Dosage (MedicationRequest)

Definition of the dosage (used in MedicationRequest)

CH EMED Dosage (MedicationStatement / MedicationDispense)

Definition of the dosage (used in MedicationStatement / MedicationDispense)

CH EMED Dosage Split

Definition of the split dosage (used in MedicationStatement / MedicationDispense / MedicationRequest)

Structures: Extension Definitions

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

CH EMED Extension Dispense

Extension to reference an external MedicationDispense/MedicationAdministration and the Medication Dispense document that contains it

CH EMED Extension Last Considered Document

Extension including the identifier of the last considered document for consolidating this MedicationStatement.

CH EMED Extension MedicationRequest Changed

Extension to represent the changed MedicationRequest

CH EMED Extension MedicationStatement Changed

Extension to represent the changed MedicationStatement

CH EMED Extension Pharmaceutical Advice

Extension to reference an external Observation and the Pharmaceutical Advice document that contains it

CH EMED Extension Prescription

Extension to reference an external MedicationRequest and the Medication Prescription document that contains it

CH EMED Extension Treatment Plan

Extension to reference an external MedicationStatement and the Medication Treatment Plan document that contains it

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 Composition for Medication Treatment Plan document

Example for Composition - Use case step 1-1: First entry (including header information, section(s) and references) in the MTP document.

1-1 Medication Statement with Medication Triatec

Example for MedicationStatement (MTP) - Use case step 1-1: The record of the medication Triatec, to be taken by Monika Wegmüller in the future.

1-1 Medication Treatment Plan document

Example for Bundle - Use case step 1-1: Decision for Triatec as medication treatment for Monika Wegmüller.

1-2 Composition for Medication Dispense document

Example for Composition - Use case step 1-2: First entry (including header information, section(s) and references) in the DIS document.

1-2 Medication Dispense document

Example for Bundle - Use case step 1-2: Medication dispense of Triatec to Monika Wegmüller.

1-2 Medication Dispense with Medication Beloc Zok

Example for MedicationDispense (DIS) - Use case step 2-4: The record of the supply of Beloc Zok.

1-2 Medication Dispense with Medication Triatec

Example for MedicationDispense (DIS) - Use case step 1-1: The record of the supply of Triatec.

2-1 Composition for Medication List document

Example for Composition - Use case step 2-1: First entry (including header information, section(s) and references) in the LIST document.

2-1 Medication Dispense with Medication Triatec

Example for MedicationDispense (LIST) - Use case step 2-1: Entry in the dynamically generated medication list for Monika Wegmüller.

2-1 Medication List document

Example for Bundle - Use case step 2-1: Dynamically generated medication list for Monika Wegmüller.

2-1 Medication Statement with Medication Triatec

Example for MedicationStatement (LIST) - Use case step 2-1: Entry in the dynamically generated medication list for Monika Wegmüller.

2-2 Composition for Pharmaceutical Advice document

Example for Composition - Use case step 2-2: First entry (including header information, section(s) and references) in the PADV document.

2-2 Observation for Pharmaceutical Advice document

Example for Observation (PADV) - Use case step 2-2: Cancellation of Triatec due to undesired side effects.

2-2 Pharmaceutical Advice document

Example for Bundle - Use case step 2-2: Cancellation of medication with Triatec due to undesired side effects of the active ingredient Ramipril.

2-3 Composition for Medication Treatment Plan document

Example for Composition - Use case step 2-3: First entry (including header information, section(s) and references) in the MTP document.

2-3 Medication Statement with Medication Beloc Zok

Example for MedicationStatement (MTP) - Use case step 2-3: The record of the medication Beloc Zok, to be taken by Monika Wegmüller in the future.

2-3 Medication Treatment Plan document

Example for Bundle - Use case step 2-3: Decistion for Beloc Zok as new medication treatment for Monika Wegmüller.

2-4 Composition for Medication Dispense document

Example for Composition - Use case step 2-4: First entry (including header information, section(s) and references) in the DIS document.

2-4 Medication Dispense document

Example for Bundle - Use case step 2-4: Medication dispense of Beloc Zok to Monika Wegmüller.

2-5 Composition for Medication Treatment Plan document

Example for Composition - Use case step 2-5: First entry (including header information, section(s) and references) in the MTP document. The authors of the document are represented as person and device.

2-5 Medication Statement with Medication Norvasc

Example for MedicationStatement (MTP) - Use case step 2-5: The record of the medication Norvasc, to be taken by Monika Wegmüller in the future.

2-5 Medication Treatment Plan document

Example for Bundle - Use case step 2-5: Decistion for Norvasc as new medication treatment for Monika Wegmüller.

2-6 Composition for Medication Prescription document

Example for Composition - Use case step 2-6: First entry (including header information, section(s) and references) in the PRE document.

2-6 Medication Prescription document

Example for Bundle - Use case 2-6: Prescription for Belok Zok for Monika Wegmüller.

2-6 Medication Request with Medication Norvasc

Example for MedicationRequest (PRE) - Use case step 2-6: The order for the supply of Norvasc.

2-6 PDF as original representation of the Medication Prescription document

Example for Binary - Use case step 2-6: Original representation (PDF) in the PRE document.

2-7 Composition for Medication Card document

Example for Composition - Use case step 2-7: First entry (including header information, section(s) and references) in the CARD document.

2-7 Medication Card document

Example for Bundle - Use case step 2-7: Medication plan for Monika Wegmüller, created by her general practitioner. The 'fullUrl' elements of the entries and the references use absolute URLs.

2-7 Medication Card document (with references/fullUrls as UUIDs)

Example for Bundle - Use case step 2-7: Medication plan for Monika Wegmüller, created by her general practitioner. The 'fullUrl' elements of the entries and the references use UUIDs.

2-7 Medication Statement with Medication Beloc Zok

Example for MedicationStatement (CARD) - Use case step 2-7: The record of Beloc Zok as part of the current medication of Monika Wegmüller.

2-7 Medication Statement with Medication Norvasc

Example for MedicationStatement (CARD) - Use case step 2-7: The record of Norvasc as part of the current medication of Monika Wegmüller.

2-7 PDF as original representation of the Medication Card document

Example for Binary - Use case step 2-7: Original representation (PDF) in the CARD document.

3-1 Composition for Medication Dispense document

Example for Composition - Use case step 3-1: First entry (including header information, section(s) and references) in the DIS document.

3-1 Medication Dispense document

Example for Bundle - Use case step 3-1: Documentation of the medication administration of NaCl to Max Moser.

3-2 Composition for Medication Dispense document

Example for Composition - Use case step 3-3: First entry (including header information, section(s) and references) in the DIS document.

3-2 Medication Dispense document

Example for Bundle - Use case step 3-2: Documentation of the medication administration of Fentanyl to Max Moser.

Composition - Change Dosage

Example for Composition - First entry (including header information, section(s) and references) in the PADV document with a dosage change.

Example Device

Example for Device - A device as (one of the) author(s) of a document.

Familien Hausarzt

Example for Practitioner - Use case steps 1.x-2.x: General practitioner with a GLN.

Familien Hausarzt @ Hausarzt

Example for PractitionerRole - Use case steps 1.x-2.x: Representing the relationship between 'Familien Hausarzt' (practitioner) and 'Hausarzt' (organization).

Hausarzt

Example for Organization - Use case steps 1.x-2.x: Organization with a GLN and the address.

Max Moser

Example for Patient - Use case steps 3.x: Male patient with a local patient identifier, date of birth and address.

Medication Administration Fentanyl

Example for MedicationAdministration (DIS) - Use case step 3-2: The record of the administration (consumation) of Fentanyl.

Medication Administration NaCL

Example for MedicationAdministration (DIS) - Use case step 3-1: The record of the administration (consumation) of NaCL.

Medication Dispense was not substituted

Example for MedicationDispense (DIS) - Triatec with the explicit statement, that is was NOT substituted.

Medication Dispense was substituted

Example for MedicationDispense (DIS) - Triatec with the statement, that is was substituted.

Medication Request - Changed Medication

Example for MedicationRequest - A new MedicationRequest with the new medication. It is referenced from Observation (PADV 'CHANGE') which includes the note to the change and it references the Observation itself.

Medication Request - Complex Dosage

Example for MedicationRequest - Order for the supply of Wallwurz Gel with a complex dosage (free text), as a reserve medication and without timing information.

Medication Statement with NOT recommended timing codes

Example for MedicationStatment - Norvasc with NOT recommended timing codes.

Medication Statement with a medication in reserve and a maximum dosage

Example for MedicationStatment - Nitrostat with the dosage instruction: 'Take 1 tablet as needed for chest pain, maximum 3 tablets in 15 minutes'.

Medication Statement with changed dosage

Example for MedicationStatment - A new MedicationStatement with the a new dosage. It is referenced from the Observation (PADV 'CHANGE') which includes the note to the change and it references the Observation itself.

Medication with 2 ingredients

Example for Medication - Exforge with the two ingredients Amlodipine and Valsartan.

Medication with ATC

Example for Medication - NaraDex as a foreign product (non-Swiss) and therefore using the ATC code.

Monika Wegmueller

Example for Patient - Use case steps 1.x-2.x: Female patient with a local patient identifier, date of birth and address.

Observation for Pharmaceutical Advice document

Example for Observation (PADV) - CHANGE with new MedicationStatement (change in dosage: 1 tablet in the morning instead of 0.5 tablet).

Observation for Pharmaceutical Advice document

Example for Observation (PADV) - CHANGE with new MedicationRequest (generic medication: Amlodipine instead of Norvasc).

Pharmaceutical Advice document to change the dosage

Example for Bundle - Documentation of a dosage change (1 tablet in the morning instead of 0.5 tablet) for the medication Triatec.

Priska Huber

Example for Practitioner - Use case steps 3.x: Paramedic with a GLN.

Priska Huber @ Rettungsdienst

Example for PractitionerRole - Use case steps 3.x: Representing the relationship between 'Priska Huber' (practitioner) and 'Rettungsdienst' (organization).

Rettungsdienst

Example for Organization - Use case steps 3.x: Organization with a GLN and the address.

Triatec with code not from VS

Example for Medication - Triatec with an ingredient code (SCT), which is NOT included in the SCT-VS which has an extensible binding.

Triatec with local codes

Example for Medication - Triatec with the defined GTIN and a local medication code.