0.1.0 - 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 0.1.0 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: 0.1.0
Draft as of 2024-01-18 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 intention of this CH IPS FHIR implementation guide is to provide a structure that allows the use of the Swiss core profiles while ensuring conformity with the International Patient Summary Implementation Guide.
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.: Schematic representation of the dependency mechanism of the implementation guides

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

The specification herewith documented is work in progress.

Changelog with significant changes, open and closed issues.

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


TODO MustSupport definition

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 standardisation. It cannot influence organisational 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

.. CH IPS (R4)
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#1.0.0R4Automatically added as a dependency - all IGs depend on the HL7 Extension Pack
... HL7 Terminology (THO)hl7.terminology#5.4.0R4
... International Patient Summary Implementation Guidehl7.fhir.uv.ips#1.1.0R4
.... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
.... fhir.dicom#2022.4.20221006R4
... CH Core (R4)
.... CH Term (R4)
..... IHE FormatCode Vocabularyihe.formatcode.fhir#1.1.0R4
... CH-AllergyIntolerance (R4)
.... CH Core (R4)
..... CH EPR
.... International Patient Summary Implementation Guidehl7.fhir.uv.ips#1.0.0R4
... Implementation Guide CH
.... CH EMED (R4)
... CH eTOC (R4)
.... CH ORF (R4)
..... Structured Data Capturehl7.fhir.uv.sdc#3.0.0R4
...... FHIR R4 package : Exampleshl7.fhir.r4.examples#4.0.1R4

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#1.1.0

Implementation Guide for IHE defined FormatCode vocabulary. (built Thu, Feb 24, 2022 16:55-0600-06:00)


Implementation Guide for Swiss Terminologies (built Thu, Feb 8, 2024 17:00+0000+00:00)


FHIR implementation guide CH Core (built Tue, Feb 20, 2024 10:22+0000+00:00)


Implementation guide for the meta data specified in the framework of Annex 3 and 9 of the FDHA Ordinance on the electronic patient record in Switzerland (built Tue, Dec 19, 2023 12:36+0100+01:00)


FHIR implementation guide CH Core (built Thu, Dec 28, 2023 08:42+0100+01:00)

Package hl7.fhir.uv.ips#1.0.0

International Patient Summary (IPS) FHIR Implementation Guide (built Tue, May 19, 2020 18:36+0000+00:00)


Implementation guide CH-AllergyIntolerance (R4) (built Thu, Dec 28, 2023 10:34+0100+01:00)


Implementation Guide for the eMedication in Switzerland. (built Thu, Dec 28, 2023 09:59+0100+01:00)

Package hl7.fhir.r4.examples#4.0.1

Example resources in the R4 version of the FHIR standard

Package hl7.fhir.uv.sdc#3.0.0

The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR.
This includes two components:
* Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains.
*Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)


Order & Referral by Form - Implementation Guide (CH ORF) (built Thu, Dec 28, 2023 11:35+0100+01:00)


Implementation guide for eTOC based on CH ORF (built Thu, Dec 28, 2023 11:48+0100+01:00)

Globals Table

There are no Global profiles defined