CH Core (R4)
4.0.1 - trial-use Switzerland flag

This page is part of the CH Core (R4) (v4.0.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

CH Core Composition

Base definition for a composition with the CH Core profiles.

CH Core Composition EPR

Base definition for a composition in the context of the electronic patient record (EPR).

CH Core Coverage

The Coverage referenced in the CH Core profiles.

CH Core Document

Base definition for a document with the CH Core profiles.

CH Core Document EPR

Base definition for a document in the context of the electronic patient record (EPR).

CH Core DocumentReference

Base definition for a document reference with the CH Core profiles.

CH Core DocumentReference EPR

Base definition for a document reference in the context of the electronic patient record (EPR).

CH Core EPR-Consent

Base profile for a consent profile to document that a patient has an Electronic Patient Record (EPR) in Switzerland. The actual consent conditions are held within the EPR, this consent is the documentation in an organization that the patient has stated he has an EPR and this needs to be verified at the time of document publishing or reading. In addition a patient can request that specific information will not be published from the organization to the EPR. This can be documented with one or more references to encounters to exclude the consent for these.

CH Core Encounter

The Encounter referenced in the CH Core profiles.

CH Core Location

Defines basic constraints and extensions on the Location resource for use with other CH Core resources

CH Core Organization

Defines basic constraints and extensions on the Organization resource for use with other CH Core resources

CH Core Organization EPR

Core organization definition in the context of the electronic patient record (EPR).

CH Core Patient

Core patient definition in the swiss context. Relevant are definitions by the eCH-0010 V7.0 data standard mailing address and eCH-0011 V8.1 data standard pesond data. The CH Core Patient is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements in Switzerland. See also BFS for further information

CH Core Patient EPR

Core patient definition in the context of the electronic patient record (EPR). It is used to include the patient in an EPR document (referenced in Composition/DocumentReference).

CH Core Practitioner

Core practitioner definition in the swiss context.

CH Core Practitioner EPR

Core practitioner definition in the context of the electronic patient record (EPR).

CH Core PractitionerRole

Core PractitionerRole definition in the swiss context.

CH Core PractitionerRole EPR

Core PractitionerRole definition in the swiss context of the electronic patient record (EPR).

Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

AHVN13 / NAVS13 Identifier

Identifier holding a 13 digit social security number. The number shall have exactly 13 digits and shall not contain point characters for separation.

Address for Place of Birth

PlaceOfBirth for ech-11

Address for Place of Origin

Place of Origin for eCH-0011

BER Identifier

Identifier holding a number for BER (Business and Enterprise Register), BUR (Betriebs- und Unternehmensregister), REE (Registre des entreprises et des établissements), RIS (Registro delle imprese e degli stabilimenti)

CH Core Address

address incorporating eCH-0010 postal address extensions

CH Core ContactPoint eCH-0046 Email

E-mail address as contact point of a person or organization according to eCH-0046

CH Core ContactPoint eCH-0046 Internet

Internet address as contact point of a person or organization according to eCH-0046

CH Core ContactPoint eCH-0046 Phone

Phone number as contact point of a person or organization according to eCH-0046

CH Core Postal Address

Postal address according to eCH-0010

EPR-SPID Identifier

EPR-SPID Identifier (https://www.fedlex.admin.ch/eli/cc/2017/205/de)

GLN Identifier

Identifier holding a 13 digit GLN

Human Name

Name with extensions for ech-11

Insurance Card Number (Identifier)

Identifier in 20-digit format. The number shall have exactly 20 digits and start with 756.

UIDB Identifier

Identifier holding a number for UIDB (Unique Identification Business), UID (Verwendung der Unternehmens-Identifikationsnummer), IDE (Utilisation du numéro d’identification des entreprises), IDI (Utilizzo del numero d’identificazione delle imprese)

ZSR Identifier

Identifier holding a number for ZSR (Zahlstellenregister), RCC (Registre des codes-créanciers), RCC (Registro dei codici creditori)

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Address Line Type

eCH-0010: Extension to define line types for addresses

Author of the content

Extension to reference the person (and her/his organization) who is responsible for the content (e.g. an author of an eMedication document or a recorder of an immunization). This extension is used to differentiate on entry level between the author of the content (represented with this extension) and the author of the medical decision or the performer of an event (represented e.g. with Resource.performer/informationSource).

BFS Extension Medical Statistic: Admit Role for Encounter

BFS Extension Admit Role for Encounter

BFS Extension Medical Statistic: Discharge Destination for Encounter

BFS Extension Discharge Destination for Encounter

BFS Extension Medical Statistic: Discharge Décision for Encounter

BFS Extension Discharge Décision for Encounter

EPR Confidentiality Code

Extension for the confidentiality code according to the Swiss EPR regulation

EPR Data Enterer

Extension to define the information about the person and organisation that entered data and the time of the data input

EPR Information Recipient

Extension for a recipient of this document (corresponds to the addressee of a letter - person or organization)

EPR Time

Additional timestamp for the author or other elements.

Encounter, Suspected Readmission

Encounter Extension for suspected readmission

Entry Resource Cross References

Extension to make a reference beween resources as entries in i.e. document bundles.

First Name

eCH-0011: Extension to define first name type

If an encounter is caused by an accident

Extension to define an encounter that is caused by an accident and at which time the accident happened

Marital Data - Separation Type

eCH-0011: Extension to define the separation type. For married but separated persons and for persons in a registered partnership but living separately.

Name

eCH-0011: Extension to define name type

Place of Birth according to eCH-0011

The registered place of birth of the patient.

Place of Origin according to eCH-0011

The place of origin of the patient.

eCH-0007 Municipality Id – BFS Gemeindenummer

eCH-0007: Extension to define a BFS Number for a municipality

eCH-0046 Email Category

Extension to define the e-mail category according to eCH-0046

eCH-0046 Internet Category

Extension to define the internet category according to eCH-0046

eCH-0046 Phone Category

Extension to define the phone category according to eCH-0046

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione

BFS defines variables for medical statistic (german, french, italian) see BFS. Unmittelbarer Aufenthaltsort vor dem Eintritt. Wo befand sich BFS der Patient / die Patientin?

BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero

BFS defines variables for medical statistic (german, french, italian) see BFS. Beschreibung der Umstände des Eintritts. Wie wurde der BFS Patient / die Patientin aufgenommen?

BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante

BFS defines variables for medical statistic (german, french, italian) see BFS. Unmittelbarer Aufenthaltsort vor dem Eintritt. Wo befand sich BFS der Patient / die Patientin?

BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento

BFS defines variables for medical statistic (german, french, italian) see BFS. Angabe der Behandlungsart

BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe

BFS defines variables for medical statistic (german, french, italian) see BFS. Im Rahmen des Spitalaufenthaltes belegte Liegeklasse, nicht BFS die Versicherungskategorie. Bei Wechsel der Klasse ist die im Wesentlichen beanspruchte Klasse anzugeben.

BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wer hat den Klinikaustritt veranlasst?

BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wohin wurde der Patient entlassen?

BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Behandlung, Pflege, Rehabilitation nach dem Spitalaufenthalt. Es geht darum, den Behandlungserfolg resp. den Abhängigkeitsgrad bei Austritt anzugeben. Nur die am besten zutreffende Kategorie auswählen.

ChCoreEncounterParticipationType

This value set defines a set of codes that can be used to indicate how an individual participates in an encounter. In Switzerland the primary care physician is added to the extensible base ValueSet.

ChCoreMaritalStatus

MaritalStatus combined by fhir and eCH-11. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

eCH-0007 Canton Abbreviation

eCH-0007: Each municipality has a unique cantonal affiliation, which can be defined by the cantonal abbreviation commonly used in Switzerland.

eCH-0007 Canton Abbreviation incl. FL (Fürstentum Liechtenstein)

eCH-0007: Analogous to cantonAbbreviation, but contains the entry ‘FL’ for the Principality of Liechtenstein in addition to the actual cantons.

eCH-0046 Email Category

eCH-0046 defines these types of e-mail categories

eCH-0046 Internet Category

eCH-0046 defines these types of internet categories

eCH-0046 Phone Category

eCH-0046 defines these types of phone categories

eCH-010 Address Line Type

eCH-010 defines different address lines (addressLine1,2 and street)

eCH-011 FirstNameDataTypes

eCH-011 defines different nameData Types, this ValueSet is the subset for the firstnames

eCH-011 MaritalData Separation

eCH-011 defines maritalData separation types

eCH-011 MaritalStatus

eCH-011 defines maritalStaus Types

eCH-011 NameDataTypes

eCH-011 defines different nameData Types, this ValueSet is the subset for the family name

eCH-011 Sex

eCH-011 defines these sex types

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

BFS Medizinische Statistik - 17 1.2.V02 - Aufenthaltsort vor dem Eintritt / Séjour avant l’admission / Luogo di soggiorno prima dell’ammissione

BFS defines variables for medical statistic (german, french, italian) see BFS. Unmittelbarer Aufenthaltsort vor dem Eintritt. Wo befand sich BFS der Patient / die Patientin?

BFS Medizinische Statistik - 18 1.2.V03 - Eintrittsart / Mode d’admission / Genere di ricovero

BFS defines variables for medical statistic (german, french, italian) see BFS. Beschreibung der Umstände des Eintritts. Wie wurde der BFS Patient / die Patientin aufgenommen?

BFS Medizinische Statistik - 19 1.2.V04 - Einweisende Instanz / Décision d’envoi / Istanza ricoverante

BFS defines variables for medical statistic (german, french, italian) see BFS. Wer hat die Initiative für die Klinikeinweisung ergriffen?

BFS Medizinische Statistik - 20 1.3.V01 - Behandlungsart / Type de prise en charge / Genere di trattamento

BFS defines variables for medical statistic (german, french, italian) see BFS. Angabe der Behandlungsart

BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe

BFS defines variables for medical statistic (german, french, italian) see BFS. Im Rahmen des Spitalaufenthaltes belegte Liegeklasse, nicht BFS die Versicherungskategorie. Bei Wechsel der Klasse ist die im Wesentlichen beanspruchte Klasse anzugeben.

BFS Medizinische Statistik - 27 1.5.V02 - Entscheid für Austritt / Décision de sortie / Décisione dell’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wer hat den Klinikaustritt veranlasst?

BFS Medizinische Statistik - 28 1.5.V03 - Aufenthalt nach Austritt / Séjour après la sortie / Destinazione dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Wohin wurde der Patient entlassen?

BFS Medizinische Statistik - 29 1.5.V04 - Behandlung nach Austritt / Prise en charge après la sortie / Trattamento dopo l’uscita

BFS defines variables for medical statistic (german, french, italian) see BFS. Behandlung, Pflege, Rehabilitation nach dem Spitalaufenthalt. Es geht darum, den Behandlungserfolg resp. den Abhängigkeitsgrad bei Austritt anzugeben. Nur die am besten zutreffende Kategorie auswählen.

eCH-0007 Canton Abbreviation incl. FL (Fürstentum Liechtenstein)

eCH-0007 defines cantonAbbreviation/cantonFLAbbreviation (Kantonskürzel inkl. Fürstentum Liechtenstein), see here.

eCH-0046 Email Category

eCH-0046 defines different types for e-mail categories. See https://www.ech.ch/de/ech/ech-0046/5.0 4.3.1 emailCategory

eCH-0046 Internet Category

eCH-0046 defines different types for internet categories. See https://www.ech.ch/de/ech/ech-0046/5.0 4.5.1 internetCategory

eCH-0046 Phone Category

eCH-0046 defines different types for phone categories. See https://www.ech.ch/de/ech/ech-0046/5.0 4.4.1 phoneNumberCategory

eCH-010 Types

eCH-010 defines different Types for a postal address

eCH-011 MaritalData Separation

eCH-011 defines different maritalData separation zypes. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

eCH-011 MaritalStatus

eCH-011 defines different maritalStatus Types. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

eCH-011 Sex

eCH-011 defines different sex Types. See https://www.ech.ch/vechweb/page?p=dossier&documentNumber=eCH-0011&documentVersion=8.13.3.5 3.3.3.3 sex

eCH-011 Types

eCH-011 defines different Types like Names, contactAdress etc. They are further described from the BFS in ‘Amtlicher Katalog der Merkmale’ (Official catalogue of characteristics), Copyright BFS, Neuchâtel 2014, ISBN 978-3-303-00504-0

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

AHVN13 / NAVS13

The AHVN13 / NAVS13 - (abbreviation for new thirteen-digit Social Security number) - is an administrative identifier for natural persons in Switzerland. It is issued, announced and administered by the Central Compensation Office. It is available to all organisations and communities for which there is a legal basis. The AHVN13 / NAVS13 shall not contain point characters for separation.

BER

The Business and Enterprise Register (BER) contains all enterprises and business in private and public law which are domiciled and exercise an economic activity in Switzerland. French: (REE) Registre des entreprises et des établissements. German: (BUR) Betriebs- und Unternehmensregister, Italian: (RIS) Registro delle imprese e degli stabilimenti.

EPR-SPID

EPR-SPID: The Central Compensation Office (ZAS; CCO) assigns and manages the new patient identification number according to the EPRA (EPR-SPID), which is only linked internally in the CCO with the AHV number. It maintains the UPI identification database (Unique Personal Identifier Database), which the EPR communities may access. The law regulates how the the EPR-SPID can be used. SR 816.111 states (Art. 10 para. 3 EPDV) that communities must ensure that the EPR-SPID number cannot be not stored in document repositories or document registries.

GLN

Each healthcare partner (natural or legal person) is referenced with a unique code of type GLN (former name: EAN code) of the GS1 system. See refdata

UIDB

Unique IDentification Business (UIDB) number (in French, numéro d’IDentification suisse des Enterprises (IDE)) (in German, Schweizer Unternehmens-IDentifikationsnummer (UID)) (in Italian, numero d’IDentificazione svizzero delle Imprese (IDI)) Organizations Covered By System: All Companies/organizations registered in the public Swiss Registers such as the Swiss Register of Commerce, the Value Added Tax (VAT) register, the Social security agencies Registers, Cantons registers, etc., and publish in the UID Register.

ZSR

The ZSR number is issued to self-employed, natural or legal persons (organisations) who can and want to work at the expense of health insurance. See Sasis. German: ZSR (Zahlstellenregister), French: RCC (Registre des codes-créanciers), Italian: RCC (Registro dei codici creditori).

ch-core-forum-datenaustausch-tariff

Identification for Forum Datenaustausch tariff types.

The detailed tariff list is avaible at this url

Naming Convention for fore each tariff type is:

http://forum-datenaustausch.ch/tariff/[A-Z0-9]{3}

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

BFS Encounter Class to FHIR mapping

BFS Encounter Class to FHIR mapping

DocumentEntry.confidentialityCode to FHIR mapping

DocumentEntry.confidentialityCode to FHIR mapping

MaritalStatus eCH-011 to FHIR mapping

MaritalStatus mapping from eCH-011 to FHIR. See maritalData - Zivilstandsangaben eCH-11 and/or BFS Amtlicher Katalog der Merkmale.

Sex eCH-011 to FHIR mapping

Sex eCH-011 to FHIR mapping

eCH-0046 Email Category to FHIR Mapping

ConceptMap to show the mapping from eCH-0046 e-mail category to FHIR

eCH-0046 Internet Category to FHIR Mapping

ConceptMap to show the mapping from eCH-0046 internet category to FHIR

eCH-0046 Phone Category to FHIR Mapping

ConceptMap to show the mapping from eCH-0046 phone category to FHIR

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Agpar Marc

Practitioner with GLN and name

Allzeit Bereit

Practitioner EPR with name with prefixes (salutation, academic title, legal status) and suffix (‘Facharzt für Allgemeine Medizin’)

Consent for Swiss EPR

Consent that Patient has a Swiss EPR

Consent for Swiss EPR with Encounter exclusions

Consent that Patient has a Swiss EPR but exclude it for a specific Encounter

Coverage Broennimann

Coverage with Mrs. Broenimann as beneficiary and the health insurance Sanitas as issuer of the policy (represented as contained resource)

DocumentReference to a PDF

DocumentReference with metadata about the document and the referenced document (PDF) as Base64 attachment

Dokument Eintrag referenz zu anderem Eintrag in einem anderen Dokument

Ein Beispieldokument mit einem Eintrag welcher die Extension zur kreuzreferenzierung auf einen anderen Eintrag in einem anderen Dokument enthält.

Elisabeth Broennimann by BFH

Patient with insurance card number as identifier, contact details, marital status (eCH & FHIR) and reference to the general practitioner (GP)

Encounter Accident Broennimann

Inpatient Encounter of Mrs. Broennimann which is flagged as an accident

Encounter Ambulant Broennimann

Ambulant Encounter of Mrs. Broennimann, representing the visit number (Fallnummer) and the BFS variables

Franz Muster

Patient with place of birth, place of origin (Heimatort), religion, local PID and language of correspondence

Gruppenpraxis CH

Organization EPR with GLN, different contact details (e.g. phone, email) and address

Hanspeter Wenger @ Spital Seeblick

PractitionerRole EPR with profession (role) and specialisation

Hanspeter Wenger by BFH

Practitioner with GLN and ZSR, name with prefixes, gender and birth date

Immunization example for Immunization Administration

An Immunization example with extension for cross dokument referencing.

Manuela Muster

Patient with EPR-SPID ending on 0

Marvin Muster

Patient with AHVN13/NAVS13 as identifier

Max Muster

Patient EPR with eCH-0011 family & and given name, eCH-0046 contact points and reference to the organization that is the custodian of the patient record

Patient Document 1 Stammgemeinschaft Composition

Example for Composition Immunization Administration

Person eCH-011

Patient eCH-011 with names, marital status and separation type, delivery address if it is not the address of the patient (detailed explanation in narrative)

Physiotherapie CH

Organization with GLN (ending on 0), UIDB, BER

Radiologieinstitut

Organization EPR with specified healthcare facility type (Diagnostic institution)

Schreib Kraft

Practitioner (physician assistants) with local identifier (neither GLN nor ZSR)

Schreib Kraft @ Gruppenpraxis CH

PractitionerRole with referenced practitioner and organization

Spital Seeblick

Organization with specified healthcare facility type (Hospital)

Transfer note for radiological diagnostics

Document EPR containing original representation as PDF-A (fullUrls of entries with ‘urn:uuid:’)

UPI EPR Test Krcmarevic

Test Patient from UPI for Swiss EPR Projectathon

Zuweisung zur radiologischen Diagnostik

Document EPR (fullUrls of entries with ‘http’)

Zuweisung zur radiologischen Diagnostik

Composition EPR with the information about the transfer in different sections