CH EMR (R4)
1.0.0-ballot - ballot
CH EMR (R4)
1.0.0-ballot - ballot
CH EMR (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emr/ and changes regularly. See the Directory of published versions
{
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"id" : "UC2-Bundle-emr-WalterSchmid",
"meta" : {
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},
"language" : "en",
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},
"type" : "document",
"timestamp" : "2026-06-02T08:00:00+02:00",
"entry" : [
{
"fullUrl" : "http://fhir.ch/ig/emr/Composition/UC2-Composition-emr-WalterSchmid",
"resource" : {
"resourceType" : "Composition",
"id" : "UC2-Composition-emr-WalterSchmid",
"meta" : {
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🔗 "http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-composition"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:22222222-aaaa-4222-8222-222222222222"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"date" : "2026-06-02T08:00:00+02:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/UC2-PractitionerRole-Hausarzt"
}
],
"title" : "Elektronischer Notfallpass — Walter Schmid",
"confidentiality" : "N",
"_confidentiality" : {
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{
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},
"section" : [
{
"title" : "Notfallkontakte",
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]
},
"text" : {
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},
"entry" : [
{
🔗 "reference" : "RelatedPerson/UC2-RelatedPerson-Spitex"
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},
{
"title" : "Behandelnde Gesundheitsfachperson",
"code" : {
"coding" : [
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}
]
},
"text" : {
"status" : "generated"
},
"entry" : [
{
🔗 "reference" : "Practitioner/UC2-Practitioner-Hausarzt"
},
{
🔗 "reference" : "PractitionerRole/UC2-PractitionerRole-Hausarzt"
}
]
},
{
"title" : "Reanimationsstatus",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "100822-6"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
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"code" : "unavailable",
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]
}
},
{
"title" : "Medikation",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0"
}
]
},
"text" : {
"status" : "generated"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-AspirinCardio"
},
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-Atorvastatin"
},
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-XigduoXR"
},
{
🔗 "reference" : "MedicationStatement/UC2-MedicationStatement-Epril"
}
]
},
{
"title" : "Impfungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
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"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Allergien oder Unverträglichkeiten",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2"
}
]
},
"text" : {
"status" : "generated"
},
"entry" : [
{
🔗 "reference" : "AllergyIntolerance/UC2-AllergyIntolerance-Penicillin"
}
]
},
{
"title" : "Risiken für Behandelnde",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46467-7"
}
]
},
"text" : {
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"emptyReason" : {
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}
]
}
},
{
"title" : "Probleme und Diagnosen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4"
}
]
},
"text" : {
"status" : "generated"
},
"entry" : [
{
🔗 "reference" : "Condition/UC2-Condition-Schlaganfall"
},
{
🔗 "reference" : "Condition/UC2-Condition-Splenektomie"
}
]
},
{
"title" : "Patientenverfügungen und Ärztliche Notfallanordnung",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3"
}
]
},
"text" : {
"status" : "generated"
},
"entry" : [
{
🔗 "reference" : "DocumentReference/UC2-DocumentReference-Patientenverfuegung"
}
]
},
{
"title" : "Andere Dokumente",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55108-5"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Implantate",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
},
{
"title" : "Schwangerschaft",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10162-6"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "notasked",
"display" : "Not Asked"
}
]
}
},
{
"title" : "Kognitive Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66610-7"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Information not available"
}
]
}
},
{
"title" : "Physische Beeinträchtigungen",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "96386-8"
}
]
},
"text" : {
"status" : "generated"
},
"entry" : [
{
🔗 "reference" : "Observation/UC2-PhysicalDisability-Aphasie"
}
]
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Patient/UC2-Patient-WalterSchmid",
"resource" : {
"resourceType" : "Patient",
"id" : "UC2-Patient-WalterSchmid",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-patient"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "urn:oid:2.16.756.5.30.1.123.100.1.1.1",
"value" : "80756012222222222222"
}
],
"name" : [
{
"use" : "official",
"family" : "Schmid",
"given" : [
"Walter"
]
}
],
"gender" : "male",
"birthDate" : "1947-04-12",
"address" : [
{
"line" : [
"Seestrasse 22"
],
"city" : "Luzern",
"postalCode" : "6003",
"country" : "CH"
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "de"
}
]
},
"preferred" : true
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/RelatedPerson/UC2-RelatedPerson-Spitex",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "UC2-RelatedPerson-Spitex",
"meta" : {
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]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"active" : true,
"patient" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"relationship" : [
{
"text" : "Spitex (Pflegedienst)"
}
],
"name" : [
{
"use" : "anonymous",
"text" : "Spitex Luzern (Pflegedienst)"
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+41 41 555 00 00",
"use" : "work",
"rank" : 1
}
],
"communication" : [
{
"language" : {
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{
"system" : "urn:ietf:bcp:47",
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]
},
"preferred" : true
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Practitioner/UC2-Practitioner-Hausarzt",
"resource" : {
"resourceType" : "Practitioner",
"id" : "UC2-Practitioner-Hausarzt",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-practitioner"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000000033"
}
],
"name" : [
{
"use" : "official",
"family" : "Hausarzt",
"given" : [
"UC2"
],
"prefix" : [
"Dr. med."
]
}
],
"qualification" : [
{
"code" : {
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"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/2011000195101",
"code" : "309343006"
}
],
"text" : "Arzt"
}
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/PractitionerRole/UC2-PractitionerRole-Hausarzt",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "UC2-PractitionerRole-Hausarzt",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-practitionerrole"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"active" : true,
"practitioner" : {
🔗 "reference" : "Practitioner/UC2-Practitioner-Hausarzt"
},
"organization" : {
🔗 "reference" : "Organization/UC2-Organization-Hausarztpraxis"
},
"code" : [
{
"coding" : [
{
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],
"text" : "Arzt"
}
],
"specialty" : [
{
"coding" : [
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"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/2011000195101",
"code" : "419772000"
}
],
"text" : "Allgemeine Innere Medizin"
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Organization/UC2-Organization-Hausarztpraxis",
"resource" : {
"resourceType" : "Organization",
"id" : "UC2-Organization-Hausarztpraxis",
"meta" : {
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]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "urn:oid:2.51.1.3",
"value" : "7601000000040"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/2011000195101",
"code" : "394802001"
}
],
"text" : "Allgemeine Innere Medizin"
}
],
"name" : "Hausarztpraxis UC2"
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Condition/UC2-Condition-Schlaganfall",
"resource" : {
"resourceType" : "Condition",
"id" : "UC2-Condition-Schlaganfall",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-condition"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
}
],
"code" : {
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"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/2011000195101",
"code" : "230690007"
}
]
},
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"onsetDateTime" : "2023",
"recordedDate" : "2023-01-01",
"recorder" : {
🔗 "reference" : "Practitioner/UC2-Practitioner-Hausarzt"
}
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Condition/UC2-Condition-Splenektomie",
"resource" : {
"resourceType" : "Condition",
"id" : "UC2-Condition-Splenektomie",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-condition"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
}
],
"code" : {
"text" : "Status nach Splenektomie (1969)"
},
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"onsetDateTime" : "1969",
"recordedDate" : "1969-01-01"
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Medication/UC2-Medication-AspirinCardio",
"resource" : {
"resourceType" : "Medication",
"id" : "UC2-Medication-AspirinCardio",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-medication"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"code" : {
"coding" : [
{
"system" : "urn:oid:2.51.1.1",
"code" : "7680517950680",
"display" : "ASPIRIN CARDIO Filmtabl 100 mg 28 Stk"
},
{
"system" : "http://www.whocc.no/atc",
"code" : "B01AC06",
"display" : "acetylsalicylic acid"
}
],
"text" : "Aspirin Cardio 100 mg (Acetylsalicylsäure)"
},
"form" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "10219000"
}
],
"text" : "Tablette"
},
"amount" : {
"numerator" : {
"value" : 28,
"unit" : "Tablette",
"system" : "http://snomed.info/sct|http://snomed.info/sct/2011000195101",
"code" : "732936001"
},
"denominator" : {
"value" : 1,
"unit" : "Packung",
"system" : "http://snomed.info/sct|http://snomed.info/sct/2011000195101",
"code" : "1681000175101"
}
}
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/MedicationStatement/UC2-MedicationStatement-AspirinCardio",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "UC2-MedicationStatement-AspirinCardio",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-medicationstatement"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "active",
"medicationReference" : {
🔗 "reference" : "Medication/UC2-Medication-AspirinCardio"
},
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"effectivePeriod" : {
"start" : "2023-02-01"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/UC2-Condition-Schlaganfall"
}
],
"dosage" : [
{
"sequence" : 1,
"timing" : {
"repeat" : {
"when" : [
"MORN"
]
}
},
"route" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "20053000"
}
],
"text" : "zum Einnehmen"
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "Tablette",
"system" : "http://snomed.info/sct|http://snomed.info/sct/2011000195101",
"code" : "732936001"
}
}
]
}
]
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/Medication/UC2-Medication-Atorvastatin",
"resource" : {
"resourceType" : "Medication",
"id" : "UC2-Medication-Atorvastatin",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-ips/StructureDefinition/ch-ips-medication"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"code" : {
"coding" : [
{
"system" : "urn:oid:2.51.1.1",
"code" : "7680540850605",
"display" : "SORTIS Filmtabl 40 mg 30 Stk"
},
{
"system" : "http://www.whocc.no/atc",
"code" : "C10AA05",
"display" : "atorvastatin"
}
],
"text" : "Sortis 40 mg (Atorvastatin)"
},
"form" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "10219000"
}
],
"text" : "Tablette"
},
"amount" : {
"numerator" : {
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"unit" : "Tablette",
"system" : "http://snomed.info/sct|http://snomed.info/sct/2011000195101",
"code" : "732936001"
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"denominator" : {
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"unit" : "Packung",
"system" : "http://snomed.info/sct|http://snomed.info/sct/2011000195101",
"code" : "1681000175101"
}
}
}
},
{
"fullUrl" : "http://fhir.ch/ig/emr/MedicationStatement/UC2-MedicationStatement-Atorvastatin",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "UC2-MedicationStatement-Atorvastatin",
"meta" : {
"profile" : [
🔗 "http://fhir.ch/ig/ch-emr/StructureDefinition/ch-emr-medicationstatement"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"status" : "active",
"medicationReference" : {
🔗 "reference" : "Medication/UC2-Medication-Atorvastatin"
},
"subject" : {
🔗 "reference" : "Patient/UC2-Patient-WalterSchmid"
},
"effectivePeriod" : {
"start" : "2023-02-01"
},
"reasonReference" : [
{
🔗 "reference" : "Condition/UC2-Condition-Schlaganfall"
}
],
"dosage" : [
{
"sequence" : 1,
"timing" : {
"repeat" : {
"when" : [
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]
}
},
"route" : {
"coding" : [
{
"system" : "urn:oid:0.4.0.127.0.16.1.1.2.1",
"code" : "20053000"
}
],
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