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

This page is part of the CH Core (R4) (v5.0.0: STU 5) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Changelog

All significant changes to this FHIR implementation guide will be documented on this page.

STU 5 (2024-12-17)

Open Issues

During the ballot, the following comments came in, which will be taken into account in the further development of CH Core:

See also open issues on GitHub.

Changed / Updated

  • #303: Entry Resource Cross References, Usage/Description
  • #294: Differentiation of severity of constraint ch-pat-1 for CH Core Patient (warning) and CH Core Patient EPR (error)
  • #293: Clarification of the description for Patient.gender
  • #300: Add guidance for readable representation of EPR documents and update example

Fixed

  • #306: Replace deprecated discriminator (pattern -> value)

Issues resolved without amendment (in IG)

  • #289: Validation issue with display values; fixed with new version of IG publisher

STU 5 Ballot (2024-05-16)

Added

  • #284: Check BER/UIDB identifiers
  • #119: Introduce base profiles (from exchange formats) in CH Core
    • CH Core MedicationStatement, CH Core MedicationAdministration, CH Core MedicationDispense, CH Core MedicationRequest, CH Core Medication
    • CH Core Condition
    • CH Core AllergyIntolerance
    • CH Core Immunization, CH Core ImmunizationRecommendation
    • CH Core ServiceRequest
  • #116: Add value set bindings to these elements:
    • Coverage.type -> http://fhir.ch/ig/ch-term/ValueSet/mainguarantor (preferred)
    • Coverage.class.type -> http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-21-encountertype (extensible)

Changed / Updated

  • #272: Update the CHCoreDocumentReference EPR-XDS mapping
  • #269: max cardinality for only one gln for practitioner
  • CH Term #23: Changes according to the renaming of CH EPR Term to CH Term
  • #274: Move terminology to CH Term
  • #287: Unified identifier slicing (Coverage, Practitioner)

Fixed

  • #277: update the expression of constraints ch-docref-1/2

STU 4 (2023-12-28)

  • #270: 4.0.1 Technical correction for invalid package

Added

  • #233: CH Core Address: Include eCH-0007 cantonAbbreviation
  • #244: Guidance how to use SNOMED CT codes from the Swiss Extension
  • #254: Separate data type profile for identifiers (ZSR, UIDB, BER)
  • #262: New extension to reference entries in i.e. other documents

Changed / Updated

  • #242: Update the description for type of CH Core Composition EPR
  • #238: Update context of Extension EPR Time with MedicationRequest.requester
  • #246: Only allow an UUID as Bundle.identifier in the EPR context
  • #181: Change slicing from Patient.contact:nameOfFahter/nameOfMother to Patient.contact:nameOfParent according to eCH RFC 2019-9: geschlechtsneutrale Bezeichnung für Namen der Eltern and remove chapter numbers in mapping of eCH
  • #252: Technical Correction of FHIRPath constraints with .value

Fixed

  • #235/#265: Fix GLN constraint/adapt Practitioner.identifier in example
  • #247: Fix constraint text and refactor expression (ch-core-doc-1)
  • #256: Fix references in example with UUID as fullUrl based on rules around matching relative references
  • #257: Warning instead of errors for GLN, EPR-SPID, AHVN13 and VEKA datatype profiles
  • #266: Fix error with ConceptMap

STU 4 Ballot (2023-06-27)

Added

  • #196: Data type profile VEKAIdentifier for Coverage.identifier and new also for Patient.identifier
  • #204: Introduce data type profiles for ContactPoints (email, phone, internet) according eCH-0046 (including extensions and terminology) and add them to the telecom element of Patient, Practitioner, Organization, Location
  • #224: Forum Datenaustausch tariff Naming System

Changed / Updated

  • #206: Improve acronyms definition
  • #191: CH Core Patient - Relax max cardinality to * for EPR-SPID and AHVN13
  • #195: CH Core Address - Add extension iso21090-ADXP-streetName to CH Core Address line
  • #198: CH Core Composition EPR - Relax information recipient cardinality to zero
  • #194: CH Core Composition EPR - Relax attester:legalAuthenticator.time cardinality to zero
  • #200: Remove display values from patternCodeableConcepts or fixedValues, remove minimum cardinality = 1 for display values, using official display values in examples (valid with http://tx.fhir.org/r4).
  • #193: Remove CDA elements (mapping, ch-ext-epr-sectionid, ch-ext-epr-versionnumber, adapt descriptions)
  • #31: Improve profiling for identifiers to avoid duplicated elements in the snapshot table
  • #205: Concretization of the mapping of Patient.telecom for versions as of HL7 v2.7
  • #181: Updated used eCH standards (incl. versions) to introduction (home) (standards themselves currently have no updates)
  • #217: Add language tag to instances, to be able to validate the translation of codes
  • #215: Relax binding strength to value sets from 'required' to 'extensible'
  • #225: Fix FHIRPath expression
  • #226: Change license for ImplementationGuide / StructureDefinition to CC0 1.0 Universal (CC0 1.0)
  • #222: PractitionerRole EPR: code binding

STU 3 (2022-12-20)

Added

  • #172: Generic CH Core extension Author of the content (fusion of the extensions from CH EMED and CH VACD)
  • #158, #189: Include new IG fragments (IP Statements, Cross Version Analysis, Dependency Table, Globals Table); CH Core can be used for both R4 and R4B, packages are available for both versions

Changed / Updated

  • #150: Expansion of the context of the extension EPR Time
  • #160: Slicing on repeating element
  • #154: Improve description of example instances, see Artifacts
  • #162: Update narrative text in examples
  • #176: Clean up differentials
  • #175: Rename the profile CH Core EPR-Consent
  • #173: Define aggregation mode (contained, referenced) for Coverage.payor
  • #170: Check the slicing and update suppressed messages
  • #153: Rephrasing of the sentence for the exchange formats (current and general validity)

Fixed

  • #163: Typo
  • #159: Add element 'experimental' (false) to CS/VS
  • #161: Use 'patternCodeableConcept' instead of 'fixedCodeableConcept' for Consent.policyRule
  • #167: Fix URIs in ConceptMaps 'MaritalStatus eCH-011 to FHIR mapping', 'Sex eCH-011 to FHIR mapping'
  • #152: Changes status form 'draft' to 'active'

Issues resolved without amendment (in IG)

  • #39: Consent code for ch-epr has been added in hl7.terminology published 2022-09-14 (version 4.0.0)
  • #174: Verification/confirmation that the eCH-011 values for gender are still up-to-date
  • #157: Fixed dead link on the HL7.ch FHIR IG Balloting page
  • #156: Change default branch from 'master' to 'main' to postponed to a later publication due to dependence on IG Publisher

STU 3 Ballot (2022-06-29)

Added

  • #123 (#137, #140): GLN and EPR-SPID checks
  • #135: Add an Identifier data type for AHVN13 with check for correctness
  • #131: Update change log/STU note box according to the latest requirements

Changed / Updated

  • #133: Fix example OIDs
  • #129: Wrong slicing for Composition.author.extension:ch-ext-epr-time profiles/structures
  • #144: Improve slicing that info entry[x] warnings are not shown (CH Core Document, CH Core Document EPR)
  • #122: No fixed value for Status of Composition EPR
  • #121: Relax Custodian cardinality in CH Core Composition EPR
  • #118, #127, #142: Typos
  • #132: Fix link of concept map
  • #124: Fix description for a least one given/family HumanName if provided
  • #145: Update title of the profiles

STU 2 (2021-04-24)

  • #57 cardinality 0..1 for ch-ext-epr-versionNumber in Composition
  • #58 IMP instead of INP in encounter
  • #59 adapt extension EPR Information Recipient for ch-core
  • #60 relax card. in CH Core Organization
  • #61 slice setup incorrect on address lines
  • #63 PractitionerRole example HPWengerRole has an invalid specialty coding
  • #65 CH-Core dependsOn CH-EPR-TERM current
  • #66 Encounter: specify a type for the visit number Fallnummer
  • #67 Add CC license to ch-core implementation guide
  • #70 fix resource narrative status if narrative text has been defined
  • #77 ch-core-document: add check that fullUrl exists and is an absolute url
  • #85 EPRDataEnterer: valueReference only to Practitioner (not Person)
  • #90 description callName in eCH-011 Types
  • #91 dataenterer as PractitionerRole
  • #92 PDF requirements for CH Core Composition
  • #93 EPR Data Enterer map to PractitionerRole instead of Practitioner
  • #94 Precise description for salutation, title in HumanName
  • #95 EPR Document fix Bundler.identifier to uuid
  • #96, #97 Composition.identifier instead of setId Extension
  • #98 renamed Composition Patient Profile EPR to Patient Profile EPR
  • #100, #101, #102, #103 Reference to CH Core profiles
  • #104 CH Core Consent Profile naming

STU 1 (2020-04-21)