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add guidance sct ch #244
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ziegm committed Oct 24, 2023
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1 change: 1 addition & 0 deletions input/pagecontent/changelog.md
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Expand Up @@ -4,6 +4,7 @@ All significant changes to this FHIR implementation guide will be documented on

#### Added
* [#233](https://github.com/hl7ch/ch-core/issues/233): CH Core Address: Include eCH-0007 cantonAbbreviation
* [#244](https://github.com/hl7ch/ch-core/issues/244): Guidance how to use SNOMED CT codes from the Swiss Extension

#### Changed / Updated
* [#242](https://github.com/hl7ch/ch-core/issues/242): Update the description for type of [CH Core Composition EPR](StructureDefinition-ch-core-composition-epr.html)
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42 changes: 42 additions & 0 deletions input/pagecontent/guidance.md
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### SNOMED CT Swiss Extension
Within the EPR, SNOMED CT is used for the metadata and in the exchange formats, see [here](index.html#metadata-annex-3-and-annex-9).
SNOMED CT is designed so that the International Edition can be complemented by creating extensions to meet national or local requirements. Since December 2021, the Swiss Extension is available and includes translations in German, French and Italian.

* [SNOMED CT Browser](https://browser.ihtsdotools.org/): International Edition & Swiss Extension
* [Swiss Extension](https://confluence.ihtsdotools.org/display/DOCEXTPG/4.4.2+Edition+URI+Examples):
* Focus Module ID: 2011000195101
* Edition URI: [http://snomed.info/sct/2011000195101](http://snomed.info/sct/2011000195101)

#### Usage in Swiss Exchange Formats
To illustrate how the SNOMED CT codes (international vs. Swiss extension) are used, examples of the CH EMED exchange format are shown below.

**SNOMED CT international**: 721912009 "Medication summary document (record artifact)"

Composition.type of a Medication Prescription document (see [full example](https://fhir.ch/ig/ch-emed/Bundle-2-6-MedicationPrescription.json.html)):
```json
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "761938008",
"display" : "Medicinal prescription record (record artifact)"
}
]
}
```

**SNOMED CT Swiss extension**: 82291000195104 "Medication dispense document (record artifact)"

Composition.type of a Medication Dispense document (see [full example](https://fhir.ch/ig/ch-emed/Bundle-1-2-MedicationDispense.json.html)):
```json
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"version" : "http://snomed.info/sct/2011000195101",
"code" : "82291000195104",
"display" : "Medication dispense document (record artifact)"
}
]
}
```
5 changes: 4 additions & 1 deletion sushi-config.yaml
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Expand Up @@ -146,17 +146,20 @@ resources:
pages:
index.md:
title: Home
guidance.md:
title: Guidance
profiles.md:
title: Profiles
extensions.md:
title: Extensions
terminology.md:
title: Terminology
changelog.md:
title: Change Log
title: Changelog

menu:
Home: index.html
Guidance: guidance.html
Profiles: profiles.html
Extensions: extensions.html
Terminology: terminology.html
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