CH EMS (R4)
2.0.0-ballot - ballot Switzerland flag

CH EMS (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-ems/ and changes regularly. See the Directory of published versions

Changelog

All significant changes to this FHIR implementation guide will be documented on this page.

v2.0.0-ballot (2026-06-10)

First version

published as an HL7.ch STU ballot.

Open Issues

See also open issues on GitHub.

Added

  • #2: Include 'Propose a change' link in the footer
  • #20: Integration of medical data
    • Composition.section:anamnesis.entry:allergyIntolerance -> 0..* CH EMS AllergyIntolerance
    • Composition.section:anamnesis.entry:medicationStatement -> 0..* CH EMS MedicationStatement
    • Composition.section:procedures.entry:medicationAdministration -> 0..* CH EMS MedicationAdministration
  • Add SCT#5558000 'Working diagnosis' to VS IVR Diagnosis Type
  • Introduction of the concept must support (incl. adding the data type profiles for CodeableConcept, Coding and Quantity with MS)
  • #37: Add logical model and model maps

Changed / Updated

  • Updates according the current published version 6.0.0-ballot of CH Core (see also changelog)
    • Change the links to the Swiss terminology implementation guide because of its renaming from CH EPR Term to CH Term
    • Remove outdated (CDA) extensions: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid, http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber
    • Change the value for AHVN13 in example 1-ThomasMueller, because CH Core integrated a check on it
    • Update license and copyright like other Swiss IGs (see here) from 'CC-BY-SA-4.0' to 'CC0-1.0'
    • Include automatic generated sections IP Statements, Cross Version Analysis, Dependency Table, Globals Table on Home
    • Use new introduced CH Core ServiceRequest as parent profile for CH EMS ServiceRequest
    • Define slice Encounter.identifier:missionNumber because underlying profile already sliced this element and add code 'MN' (Einsatznummer) to IVR Code System to be able to define the required identifier type
    • #35: Remove previously requested name element in the example for CH EMS Location: Ambulance
  • Change outdated discriminator type 'pattern' to 'value'
  • #3: Remove fixed display values
  • #4: Remove 'Profile' from profile title
  • #5: Usage of URL instead of OID for IVR CodeSystem
  • #10: Update intro text: date of birth is also required for an EPR document
  • #9: Update use cases (DE/FR)
    • Text links to resources contained in the document (Bundle)
    • Rename persons for simpler understanding (Hans Beispiel -> Hans Transportsanitäter; Hans Notarzt -> Pierre Urgentiste; Hans Spezialarzt -> Claude Spitalarzt; Peter & Erika Muster -> Thomas & Erika Müller)
    • Use the same personal names for DE and FR so that it matches the contents of the resources
    • Adjust times according to the use case
    • Consequent use of the terms primary ans secondary mission
    • Some clarifications in the story board
    • Update of the process images
  • #11: Add involved participant slice with relationship code 'thirdParty'
  • #24: Add slices for all Bundle.entry
    • Add a CH EMS Observation base profile with all common observation requirements defined
    • Add a CH EMS Procedure base profile with all common procedure requirements defined (rename former CH EMS Procedure to CH EMS Procedure: Pretreatment)
  • #18: Add value set binding to profiles/elements
    • Add CH EMS Observation: Death Manner
    • Add CH EMS Procedures: Precautions Infection, Transportation, Wound Treatment
    • Add CH EMS Location: Ambulance (rename former CH EMS Location to CH EMS Location: Location and Destination)
    • Add CH EMS Device
    • Add CH EMS Extensions: Urgency Adequate, Emergency Doctor System, Valuables Patient, Identification, Disinfection, Violence, Owner
  • #19: Include all ABCDE sections in section findings and procedures
    • Add CH EMS Observations: Breathing, Heat Exposure, Cold Exposure, Heart Rate, Blood Pressure, Pupil Shape, Pupil Size
    • Add a CH EMS Procedure base profile with all common procedure requirements defined
    • Rename CH EMS Procedure to CH EMS Procedure: Pretreatment
    • Add CH EMS Procedures: Airways, Breathing
  • #33: Add structured data to the use case 1 example
  • #15: Include the new elements in the illustration of the FHIR document
  • #17: Update metadata of value sets, incl. changes in titles and descriptions
  • #21: Value set content update
    • #22: Add new codes (arrival time emergency doctor, pick-up time emergency doctor) in IVR valueset role mission time (and IVR Code System)
    • #36: Use Swiss VS for Allergies (remove VS IVR Allergy)
    • #8: Change inactive codes for 'left' and 'right', add VS Laterality
    • #7: Change inactive code for 'yellow'
    • #28: Change inactive codes for 'Traffic accident' and 'Otalgia'
    • #12: Add ICD-10 slice with fixed code system value

Fixed

  • 40: Use http://fhir.de/CodeSystem/bfarm/icd-10-gm for icd-10-gm
  • 42: Clean Error in ConceptMaps
  • Replace ci-build links with links to stable version
  • #27: Add expansion-parameter for the usage of SNOMED CT Swiss Extension
  • #39: Add pin-canonicals parameter to define the handling of unversioned canonical references
  • #38: Replace deprecated extension ordinalValue

v1.9.0 (2020-08-25)

Initial published version.
eCH-0207 v2.0.0 (2021-03-02) is based on this version.