CH Core (R4)
2.1.0 - STU 3 Ballot
CH Core (R4)
2.1.0 - STU 3 Ballot
This page is part of the CH Core (R4) (v2.1.0: STU 3) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
| Official URL: http://fhir.ch/ig/ch-core/ImplementationGuide/ch.fhir.ig.ch-core | Version: 2.1.0 | |||
| Active as of 2022-07-06 | Computable Name: CH_Core | |||
Copyright/Legal: CC-BY-SA-4.0 |
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This implementation guide is provided to support the use of FHIR®© FHIR in Switzerland.
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:
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 ballot for STU 3 by HL7 Switzerland until September 30th, 2022 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.
The Annexes to the Swiss Electronic Patient Record (EPR) law specify the technical and semantic requirements for interoperability.
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 EPR Term, which forms the basis for CH Core.
There are currently three exchange formats defined in the draft of Annex 4. Those three exchange formats are based on CDA-CH V2. Exchange formats can also be represented with 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.
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.
This document presents Swiss use concepts defined via FHIR processable artefacts.
The CH Core implementation guide is managed by HL7 Switzerland in the HL7 Switzerland FHIR technical committee, see also source.
This guide is the product of collaborative work undertaken with participants from:
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 standardisation. It cannot influence organisational and contractual matters.
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Following is a non-exhaustive list of third-party artifacts and terminologies that may require a separate license:
SNOMED Clinical Terms® (SNOMED CT®) This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International (former known as International Health Terminology Standards Development Organisation IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of SNOMED International.
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