CH EMS (R4)
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CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-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-ems/ and changes regularly. See the Directory of published versions

Resource Profile: CH EMS Medication

Official URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-medication Version: 2.1.0-ci-build
Active as of 2026-01-26 Computable Name: CHEmsMedication

Copyright/Legal: CC0-1.0

This profile constrains the Medication resource for representing the medication for the purpose of making statements about use and administering.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CHCoreMedication CH EMS Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 0..1 CHEmsCodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ 0..* Coding GTIN for Swiss products
...... system Σ 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:ATC Σ 0..* Coding ATC for foreign products
...... system Σ 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... code Σ 1..1 code Symbol in syntax defined by the system
... form S 0..1 CHEmsCodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount SΣ 0..1 CHCoreRatioWithEmedUnits Amount of drug in package
... ingredient 0..* BackboneElement Active or inactive ingredient
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item[x] S 1..1 CHEmsCodeableConcept The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.code Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred EDQM - Pharmaceutical Dose Form 📦3.2.0 CH Term v3.2
Medication.ingredient.​item[x] Base preferred ActivePharmaceuticalIngredient 📦3.2.0 CH Term v3.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from CHCoreMedication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CHCoreMedication CH EMS Medication
... code S 0..1 CHEmsCodeableConcept Codes that identify this medication
... form S 0..1 CHEmsCodeableConcept powder | tablets | capsule +
... amount S 0..1 CHCoreRatioWithEmedUnits Amount of drug in package
.... item[x] S 1..1 CHEmsCodeableConcept The actual ingredient or content

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CHCoreMedication CH EMS Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code SΣ 0..1 CHEmsCodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ 0..* Coding GTIN for Swiss products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ATC Σ 0..* Coding ATC for foreign products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form S 0..1 CHEmsCodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount SΣ 0..1 CHCoreRatioWithEmedUnits Amount of drug in package
... ingredient 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item[x] S 1..1 CHEmsCodeableConcept The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 CHCoreRatioWithEmedUnits Quantity of ingredient present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Medication.code Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred EDQM - Pharmaceutical Dose Form 📦3.2.0 CH Term v3.2
Medication.ingredient.​item[x] Base preferred ActivePharmaceuticalIngredient 📦3.2.0 CH Term v3.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from CHCoreMedication

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CHCoreMedication CH EMS Medication
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 0..1 CHEmsCodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ 0..* Coding GTIN for Swiss products
...... system Σ 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... code Σ 1..1 code Symbol in syntax defined by the system
..... coding:ATC Σ 0..* Coding ATC for foreign products
...... system Σ 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... code Σ 1..1 code Symbol in syntax defined by the system
... form S 0..1 CHEmsCodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount SΣ 0..1 CHCoreRatioWithEmedUnits Amount of drug in package
... ingredient 0..* BackboneElement Active or inactive ingredient
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item[x] S 1..1 CHEmsCodeableConcept The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.code Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred EDQM - Pharmaceutical Dose Form 📦3.2.0 CH Term v3.2
Medication.ingredient.​item[x] Base preferred ActivePharmaceuticalIngredient 📦3.2.0 CH Term v3.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from CHCoreMedication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CHCoreMedication CH EMS Medication
... code S 0..1 CHEmsCodeableConcept Codes that identify this medication
... form S 0..1 CHEmsCodeableConcept powder | tablets | capsule +
... amount S 0..1 CHCoreRatioWithEmedUnits Amount of drug in package
.... item[x] S 1..1 CHEmsCodeableConcept The actual ingredient or content

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Medication 0..* CHCoreMedication CH EMS Medication
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for this medication
... code SΣ 0..1 CHEmsCodeableConcept Codes that identify this medication
Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:GTIN Σ 0..* Coding GTIN for Swiss products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Global Trade Item Number (GS1)
Fixed Value: urn:oid:2.51.1.1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ATC Σ 0..* Coding ATC for foreign products
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Anatomical Therapeutic Chemical (ATC) Classification
Fixed Value: http://www.whocc.no/atc
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
... manufacturer Σ 0..1 Reference(Organization) Manufacturer of the item
... form S 0..1 CHEmsCodeableConcept powder | tablets | capsule +
Binding: EDQM - Pharmaceutical Dose Form (preferred)
... amount SΣ 0..1 CHCoreRatioWithEmedUnits Amount of drug in package
... ingredient 0..* BackboneElement Active or inactive ingredient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... item[x] S 1..1 CHEmsCodeableConcept The actual ingredient or content
Binding: ActivePharmaceuticalIngredient (preferred)
.... isActive 0..1 boolean Active ingredient indicator
.... strength 0..1 CHCoreRatioWithEmedUnits Quantity of ingredient present
... batch 0..1 BackboneElement Details about packaged medications
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... lotNumber 0..1 string Identifier assigned to batch
.... expirationDate 0..1 dateTime When batch will expire

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Medication.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Medication.code Base example SNOMED CT Medication Codes 📦4.0.1 FHIR Std.
Medication.status Base required Medication status codes 📍4.0.1 FHIR Std.
Medication.form Base preferred EDQM - Pharmaceutical Dose Form 📦3.2.0 CH Term v3.2
Medication.ingredient.​item[x] Base preferred ActivePharmaceuticalIngredient 📦3.2.0 CH Term v3.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error Medication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Medication If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Medication If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Medication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Medication A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from CHCoreMedication

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron