1.0.0-ci-build - ci-build Switzerland flag

CH IPS (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of and changes regularly. See the Directory of published versions


Official URL: Version: 1.0.0-ci-build
Active as of 2024-05-17 Computable Name: CH_IPS

Copyright/Legal: CC0-1.0


An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. As specified in EN 17269 and ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care’, but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.

The CH IPS is an implementable, testable FHIR specification based on the IPS specification as defined by HL7 and ISO.
The CH IPS profile set is closely aligned with the HL7 IPS-UV specification while still supporting localized needs for Switzerland and reducing barriers to early adoption.
To be able to guarantee this, the CH IPS profiles are derived from the respective CH Core profiles and conformity with the corresponding IPS profile is ensured with the imposeProfile extension.

Fig. 1: Schematic representation of the dependency mechanism of the implementation guides

Fig. 1: Schematic representation of the dependency mechanism of the implementation guides

This implementation guide is under STU ballot by HL7 Switzerland until September 30th, 2024 midnight.
Please add your feedback via the ‘Propose a change’-link in the footer on the page where you have comments.

Changelog with significant changes, open and closed issues.

Download: You can download this implementation guide in the npm package format from here.

Principles & Design

CH IPS follows the Design Conventions and Principles of the International Patient Summary IG. Please check the detailed information there.
In the CH IPS IG, only a few key points are highlighted and visualized in a simplified form:

  • The IPS is composed of different elements and sections, see the description in the IPS IG. The CH IPS Document is based on this structure.
  • The principles for representing “known absent” and “not known” described in the IPS IG apply for CH IPS and are illustrated in Fig. 2.
  • In this IG no elements are actively flagged as mustSupport = true. Must Support in CH IPS applies to the same elements as defined in IPS and the same rules also take effect.

Fig. 2: Summary illustration of some principles for the sections

Fig. 2: Summary illustration of some principles for the sections

Profiling in CH IPS is kept to a minimum and focuses on Swiss use. In order to avoid duplication, which could lead to conflicts in future versions, not all restrictions (e.g. must support, cardinalities, constraints) of the IPS are repeated in the CH IPS profiles. The imposeProfile extension ensures the validation of conformity with both profiles.

Safety Considerations

This implementation guide defines data elements, resources, formats, and methods for exchanging healthcare data between different participants in the healthcare process. As such, clinical safety is a key concern. Additional guidance regarding safety for the specification’s many and various implementations is available at:

Although the present specification does gives users the opportunity to observe data protection and data security regulations, its use does not guarantee compliance with these regulations. Effective compliance must be ensured by appropriate measures during implementation projects and in daily operations. The corresponding implementation measures are explained in the standard. In addition, the present specification can only influence compliance with the security regulations in the technical area of standardization. It cannot influence organizational and contractual matters.

IP Statements

This document is licensed under Creative Commons “No Rights Reserved” (CC0).

HL7®, HEALTH LEVEL SEVEN®, FHIR® and the FHIR ® are trademarks owned by Health Level Seven International, registered with the United States Patent and Trademark Office.

This implementation guide contains and references intellectual property owned by third parties (“Third Party IP”). Acceptance of these License Terms does not grant any rights with respect to Third Party IP. The licensee alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize Third Party IP in connection with the specification or otherwise.

This publication includes IP covered under the following statements.

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 ( and R4B ( are available.

Dependency Table

Package hl7.fhir.uv.extensions.r4#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.extensions.r4#1.0.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.ips#1.1.0

International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package ihe.formatcode.fhir#1.2.0

Implementation Guide for IHE defined FormatCode vocabulary. (built Tue, Mar 12, 2024 16:59-0500-05:00)


Implementation Guide for Swiss Terminology (built Thu, May 16, 2024 10:33+0000+00:00)


FHIR implementation guide CH Core (built Fri, May 17, 2024 12:19+0000+00:00)

Globals Table

There are no Global profiles defined