This guide is a working specification. We anticipate that it will be implemented and tested by FHIR system producers whose feedback will help improve its content. With this standard for trial use, we are looking for feedback on whether the following goals have been met:
The guide provides guidance on essential resources for identifiers, code systems, value sets and naming systems in Switzerland, specifically in relation to the Swiss Electronic Patient Record (EPR).
The guide defines extensions that are necessary for local use in Switzerland.
The guide incorporates Federal Statistics Office (BFS) variables for medical statistics. See BFS (available in German, French and Italian).
Note: This implementation guide is not (yet) a FHIR API specification, this will be a goal for the next iteration.
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.
Download: You can download this implementation guide in NPM format from here.
Relation to the Swiss EPR
The Annexes to the Swiss Electronic Patient Record (EPR) law specify the technical and semantic requirements for interoperability.
Metadata (Annex 3 and Annex 9)
Metadata relating to the Swiss EPR is defined in Annexes 3 and 9 by the Ministry of Health. eHealth Suisse maintains the value sets with additional provided translations in ART-DECOR in the CH-EPR project. All code systems and value sets from the CH-EPR project are exported to the FHIR implementation guide CH Term, which forms the basis for CH Core.
Exchange formats (Annex 4)
Exchange formats for the Swiss EPR are defined in Annex 4. Exchange formats can be represented as FHIR documents.
Requirements for IHE XDS are given in Annex 5. The CH Core DocumentReference Profile EPR defines how metadata used in the EPR is to be mapped to XDS Metadata. Please note that the IHE MHD profile, which includes the document reference resource, is not yet specified in the Annexes, a draft implementation guide is CH EPR mHealth.
CH:ATC Profile (Annex 5, Amendment 2.2)
The CH ATC profile defines the requirements for a patient’s audit trail. CH ATC is a FHIR implementation guide based on FHIR STU3 and R4. There is currently no relationship between CH ATC and CH Core.
Scope
This document presents Swiss use concepts defined via FHIR processable artifacts:
Profiles - useful constraints of essential FHIR resources and data types for Swiss use.
Extensions - FHIR extensions that are added for local use, covering necessary Swiss concepts.
Terminology - defined or referenced code systems and value sets for Switzerland.
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: https://www.hl7.org/FHIR/safety.html.
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.
The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/getsnomed-ct or info@snomed.org.
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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)
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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)
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Implementation Guide for IHE defined FormatCode vocabulary. (built Tue, Mar 12, 2024 16:59-0500-05:00)
Package ch.fhir.ig.ch-term#3.0.0
Implementation Guide for Swiss Terminology (built Thu, May 16, 2024 10:33+0000+00:00)
® are trademarks owned by Health Level Seven International, registered with the United States Patent and Trademark Office.
CH Core (R4)
