CH EPR FHIR (R4)
4.0.1 - trial-use Switzerland flag

This page is part of the CH EPR FHIR (R4) (v4.0.1: DSTU 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

Open Issues / Change Log

DSTU4 Informative Ballot Release 2024-12-18

Open Issues

  • Unknown code '26' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/object-role' version '1.0.0': waiting to be added, see #190
  • in review: ITI-71: Conflict between OAuth2 scope and ITI-71 scope #245

Resolved Issues

  • switch deprecated discriminator type 'pattern' to 'value' #239
  • set status for extensions, profiles and datatypes to active #244
  • mCSD: add the feed transaction (CH:mCSD-1) #158
  • mCSD: require only one identifier for organizations #210
  • mCSD: set the system for LDAP DNs and add a slice to identifiers #209
  • mCSD: add the community as example #200
  • PIXm: allow requesting the EPR-SPID as only targetSystem in PIXm queries #223
  • PDQm: fix the name search parameter #212
  • PDQm: replace the ITI-78 transaction with the ITI-119 transaction #224
  • MHD: fix minimal cardinality of extension slice in the SubmissionSet #211
  • MHD: specify usage of token search parameters in ITI-67 #221
  • MHD: make the DocumentReference title mandatory #219
  • MHD: update the MHD version and date in references #213
  • Audit: add example of AuditEvent with Trace Context #186
  • Uniformize the traceparent requirement wording on transaction pages #236

DSTU4 Informative Ballot 2024 - Resolved Issues

  • Relax Document Reference masterIdentifier requirements #199
  • Adapt IHE profiles for the Trace Context support #153
  • Remove XDS on FHIR option requirement for MHD #193
  • clarified the use of the redirect-uri as callback URL #189
  • new sequence diagram for publication hcp and tcu #192
  • No Usage of contact (PersonalRelationship in V3), consistency between PIXV3, PDQV3 and PIXm, PDQm #191
  • MHD Find Document Lists transaction [ITI-66] not applicable for EPR #180

DSTU4 Informative Ballot 2024

  • 4.0.1 technical corrector because plantuml files were not generated major updates on the IG have been made:
  • Renamed the ImplementationGuide from ch-epr-mhealth to ch-epr-fhir #159
  • MHD: Require EPR-SPID as a query patient.identifier #166
  • MHD: support ITI-67 creation search parameter #170
  • MHD: extension to support restricted metadata update #25
  • IUA: IUA JWT Extension for homeCommunityId #165
  • IUA Client Registration #146 and others
  • PPQm: Integrated CH EPR PPQm into this guide and introduce 304 Consent template #164)

  • Define AuditEvent profile to define Trace Context #185

  • complete changelog

The following items are under current development:

  • Cross community access #92
  • mCSD additional transaction for Feed #158
  • Audit Examples together with IUA and adapted to EPR requirements #186

DSTU3 Informative Ballot 2023 - Resolved Issues

  • Upgrade dependencies and fix IG link labels #103
  • Add links in the documentation to facilitate navigation and rework structure #82
  • PIXmPatientFeed profile can't be used for PDQm responses #115
  • Fixed typos #106
  • PDQm Query: the telecom search parameter shall not be used #117
  • PIXm Feed: update requirements to the new Amendment 1 of Annex 5 EPRO-FDHA #111
  • Add CapabilityStatements for the RESTful ATNA profile #107
  • The targetSystem in PIXm queries shall be the MPI-PID and the EPR-SPID #112
  • Remove URN-prefix in AuditEvent.source.site #108
  • Add missing mCSD CapabilityStatement imports in mHealth App and API #70
  • PDQm Supplier actor name misspelled in mHealth API CapabilityStatement #87
  • Missing Swiss specific PDQ V3 Error message in PDQm #80
  • Disallow non-contained Patient resources in ITI-65 requests #75
  • Updated sequence diagrams, standalone launch is not possible #69 #98
  • Removed the fhirVersion from Accept header examples #149

DSTU3 Informative Ballot 2023 - Raised Issues

The implementation guide was under an informative ballot by HL7 Switzerland until September 30th, 2023. The following comments have been raised

General IG considerations:

  • Rename Menu 'Profiles' to 'IHE Profiles' and menu 'Profiles' #83
  • Missing links to profiles and examples #82
  • Introduction #76
  • Sequence Diagrams: patient get document – generic mHealth option - local ID #69 and precisions #76
  • Typos, outdated links: #81, #75

IUA

  • Discrepancy with OAuth 2.1 specification #79
  • Comments on ITI-71 #72
  • Varia #78
  • Metadata attributes #77 and #71

PIxm/PDQm

  • Missing Swiss specific PDQ V3 Error message in PDQm #80
  • Various Issues #73

MHD

  • Patient should not be allowed #75

RESTful ATNA

mCDS

  • Missing mCSD CapabilityStatement #70

DSTU3 Informative Ballot 2023 - Start

  • added ITI-78 / Mobile Demographics Query to transactions #52
  • added the mCSD profile (transaction ITI-90) #43

Open Issues

See open issues on GitHub

DSTU2 Informative Ballot 2022 - Resolved Issues

  • Changes due to the adjustments in the new version of the derived IHE ITI MHD IG #47/#50:
    • Update canonical URLs to 'https://profiles.ihe.net/ITI/MHD/' (https instead of http)
    • Change package id from 'ihe.mhd.fhir' to 'ihe.iti.mhd'
    • Provide Document Bundle [ITI-65]: according to MHD should the entryUUID not be added by the Document Source (need to be added by the DocumentResponder)
      • Remove List.identifier requirements (http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-mhd-submissionset-comprehensive)
      • Remove List.identifier with 'use = official' (examples 2-7-BundleProvideDocument, 2-7-DocRefMedicationCard, 2-7-DocSubMedicationCard)
      • Remove DocumentReference.identifier requirements (http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-mhd-documentreference-comprehensive)
      • Remove DocumentReference.identifier (example 2-7-BundleProvideDocument)
      • Remove 'use = official' from DocumentReference.identifier (example Bundle-FindDocumentReferences)
    • SearchParameter 'https://profiles.ihe.net/ITI/MHD/SearchParameter/List-SourceId' changed from type 'reference' to 'token' (MHD Document Consumer (client)/MHD Document Responder (server))
  • Changes due to the adjustments in the new version of the derived IHE ITI PIXm IG #58:
    • Update canonical URLs to 'https://profiles.ihe.net/ITI/PIXm/' (https instead of http)
    • Change package id from 'IHE.ITI.PIXm' to 'ihe.iti.pixm'
  • Update sequence diagrams (appendix) #51
  • Typos #49/#51
  • Add new IG fragments (IP Statements, Cross Version Analysis, Dependency Table, Globals Table) #53
  • Add missing element 'experimental' to CS/VS #54
  • Add missing element 'caseSensitive' to CS #55
  • Remove reference to process flow with sequence diagram #46

DSTU1 Informative Ballot 2021 - Resolved Issues

  • MHD Find DocumentReferences - attachment.url not a full URL #27
  • CH MHD DocumentManifest/DocumentReference profiles - Various issues #28
  • Adjusted Description CH Extension Author AuthorRole #29
  • PIXm Patient Identifier Cross-reference Manager (server) - JSON Representation #30
  • Typos #31
  • Add download link for npm package on home page #32
  • Correct fullUrl and add id in searchset #36
  • Record Audit Event [ITI-20] #38
  • Get Access Token, correct EPR-SPID example #39