CH EMS (R4)
2.1.0-ci-build - ci-build Switzerland flag

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

Changelog

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

v2.1.0 (ballot publication planned for 2026)

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    • Remove outdated (CDA) extensions: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-setid, http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-versionnumber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  • Change outdated discriminator type 'pattern' to 'value'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

  • 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.