The secure digital e-prescription for the Swiss healthcare sector
The E-prescription Switzerland service enables doctors to issue digital prescriptions – easily and in accordance with the law. The QR code enables pharmacies to record and validate them automatically. This means that processes in doctor's practices and pharmacies are more secure and more efficient. The E-prescription Switzerland service is a functionality of HIN Sign. The use of this service is linked to HIN membership.
Use cases
The E-prescription Switzerland service includes the following use cases for doctors and pharmacists:
- Signing e-prescriptions
- Verifying e-prescriptions
- Revoking e-prescriptions
- (Partial) dispensing of e-prescriptions
- Cancelling these actions
E-prescription as part of HIN Sign
The E-prescription Switzerland service is part of the HIN Sign service and is therefore available via the same integration. The component only needs to be integrated once and can be used to sign documents and/or e-prescriptions.
For integrators, this means:
- An existing or new "HIN Sign document signature"-integration can also make use of the e-prescription functionality.
- An existing or new "E-prescription Switzerland service"-integration can also be used to sign documents.
The HIN Sign document signature can be used to sign documents, which don't require a handwritten signature by law. Examples:
- Medical prescriptions (exception: narcotic prescriptions)
- Certificates of incapacity for work
- Reports and expert opinions
- Clinical findings
- Forms
The E-prescription Switzerland service QR code contains the e-prescription data in machine-readable form, as well as an electronic signature.
The QR Code contains:
- A link to the e-prescription information page
- The e-prescription data in CHMED16A1 format
- The signature data for verification
The use of a “URL fragment” in the link ensures that the e-prescription data is only available locally and is not sent to a server.
Applications that want to verify the e-prescription can do so by using the link in the QR code as the input for the verify command. Example:
https://eprescription.hin.ch/#CHMED16A1...AA==&q07lE0g4asrIIR9mdBgSIHUVsf9k9QIF+74331de34a747ea1a786dc369be50ac7bf222dde9788d8a170df8b6f593f1e8306eea7a79bcbfe9ae843308b1f860653886de77629cf1ae040537bfe817edd3601&i=FirstName%20Surname%20%28HIN%20Id%29&t=1637579060&s=74331de34a747ea1a786dc369be50ac7bf222dde9788d8a170df8b6f593f1e8306eea7a79bcbfe9ae843308b1f860653886de77629cf1ae040537bfe817edd3601
The e-prescription data is located in the link in the QR code between the "#" and the "&". It is based on the CHMED16A specification. Because the link should be as short as possible, only the compressed variant CHMED16A1 should be used.
The QR code signature ensures the integrity and authenticity of the e-prescription and enables it to be verified. A key pair is used to save space. The signature is about 250 to 300 characters in length.
The signature contains:
- Identity of the actor (Name and HIN eID)
- Timestamp
- Cryptographic signature
Example:
&i=Firstname%Lastname%20%28HIN%20eID%29&t=1637579060&s=74331de34a747ea1a786dc369be50ac7bf222dde9788d8a170df8b6f593f1e8306eea7a79bcbfe9ae843308b1f860653886de77629cf1ae040537bfe817edd3601
An ECDSA key is used for the signature. It is stored and managed on a secure access-controlled server. The key can be rotated or renewed if necessary. To ensure that past e-prescriptions remain valid during and after a rotation, a list of all valid keys is kept.
Every action triggers an entry in a HIN Sign audit log. It contains the following information:
- Type of action (signature, revocation, dispensation, cancellation)
- Action data
- E-prescription ID
- Any other action parameters
- Actor (user identity)
- Timestamp of action
The audit log should ensure that the use of the service is transparent. The audit log can also be used to identify and correct any misuse. The corrections can be done in bulk. However, they are limited to the revoking of wrongly issued e-prescriptions.
The audit log does not contain any e-prescription data, with the exception of its ID.
| Action | Rules |
| Create | - CHMED16A e-prescription ID must be a randomly generated ID, according to the UUID standard - CHMED16A e-prescription ID must be unique and not issued yet |
| Revoke | CHMED16A e-prescription ID must exist |
| Dispense | - CHMED16A e-prescription ID must exist - CHMED16A e-prescription ID must not have been revoked - If the CHMED16A e-prescription ID was fully dispensed, further dispensations must be forced (see 4.2.4. Recording an e-prescription Dispensation) |
| Verify | n/a |
| Cancel | The event to be cancelled must: - exist - have been created by the same HIN eID - not have been cancelled already |
Events record the lifecycle of an e-prescription.
| Revoke | The e-prescription is marked as void and is not valid anymore. This has nothing to do with dispensations and should only be used for wrongly issued e-prescriptions. |
| Partial dispense | One or multiple prescribed medicaments are dispensed. The e-prescription still contains medicaments that were not dispensed. Partial dispenses of revoked e-prescriptions are not allowed. Partial dispenses of fully dispensed e-prescriptions must be forced (see 4.2.4. Recording an e-prescription Dispensation). In the case of forced dispensations, the responsibility lies with the dispensers (pharmacists). |
| Full dispense | The e-prescription or all medicaments contained in it are dispensed. If all medicaments contained in the e-prescription have been dispensed through partial dispense, a full dispense must be made afterwards (this is not done automatically). Dispenses of revoked e-prescriptions are not allowed. Full dispenses of fully dispensed e-prescriptions must be forced (see 4.2.4. Recording an e-prescription Dispensation). In the case of forced dispensations, the responsibility lies with the dispensers (pharmacists). |
| Cancel | An event (Revoke, Partial dispense, Full dispense, Cancel) is cancelled. |
Revocations, (partial) dispensations and cancellations contain the following data:
| Field name | Mandatory? | Description | |||||||||||||||
| Id | mandatory | Internal Id of an event | |||||||||||||||
| Type | mandatory | Event type
The following event types exist:
|
|||||||||||||||
| Reference | mandatory | Reference to the "Id" field of the CHMED16A e-prescription | |||||||||||||||
| Dispenses | optional | For partial_dispense:
A list of medicament dispenses with the following fields:
*The Id is the field “Id” from the list of “Medicaments” from the CHMED16A data received as input. It does not regard the IdTypes and therefore works with all of them, assuming no collision between the different Types. |
|||||||||||||||
| Event data | optional |
For
|
|||||||||||||||
| Timestamp | mandatory | Timestamp of the event | |||||||||||||||
| Actor HIN eID | mandatory | The actor's HIN eID | |||||||||||||||
| Actor name | mandatory | The actor's name |
The event data is hosted in anonymised form (without the content of the e-prescription and without patient information) by HIN in Switzerland.
Issuing systems (PIS/KIS) integrate the E-prescription Switzerland service via the CLI, as shown in the diagram below. Patient and e-prescription data remains local and is never sent to HIN.
For the various actions of the E-prescription Switzerland service, there are different requirements regarding the strength of authentication and authorisation.
Overview
| Action | Authentication | Tech | Authorisation |
| Create | Personal HIN eID with hardening 20 (person code 10) | Auth-Service (based on SAML) | HIN membership |
| Revoke | Personal HIN eID with hardening 20 | Auth-Service (based on SAML) | HIN membership |
| Verification | None | None | None |
| Dispense | - Personal HIN eID
- Team HIN eID |
OAuth via HIN ACS | HIN membership |
| Cancel | - Personal HIN eID with hardening 20
- Team HIN eID |
- Auth-Service (based on SAML)
- OAuth via HIN ACS |
HIN membership
& only self-created events |
Note on the authentication with “Personal HIN eID with hardening 20”:
This authentication is done via the HIN/ADSwiss Auth-Service, which ensures that the user was a correctly identified and recently authenticated. HIN Sign also uses the person code 10 to ensure that the person is a doctor.
EPD authentication
The issuance of e-prescriptions requires authentication on EPD level. The HIN/ADSwiss Auth-Service is used for this, as per the diagram below:
This section is an addendum to the Certifaction CLI documentation in the context of creating, revoking, redeeming and verifying e-prescription QR codes.
Please refer to the main documentation for a general description of the Certifaction CLI.
The e-prescription functionality is available from version v1.0.x and above.
The binary can be downloaded here.
To unlock the specific e-prescription commands and HTTP endpoints, you will need to define the following environment variables:
ENABLE_EPRESCRIPTION=true
The Certifaction CLI command generates e-prescriptions signatures for e-prescriptions based on the CHMED16A1 standard as described under QR code specification.
Please refer to E-prescription endpoints for the list of all available endpoints.
Please see chapter Authentication and Authorisation.
When indicated, the requests must be authenticated as following (an environment is provided for testing that does not enforce authentication):
HTTP Server Mode (OAuth via HIN ACS):
Authorization: Bearer acs:<token>
HTTP Server Mode (Auth-Service):
Authorization: Bearer epdg:<token>
If the request is not authenticated a HTTP 401 Unauthorized or a HTTP 403 Forbidden response is returned.
For the creation of e-prescription the elevated EPD-Level Authentication based on SAML artifacts is mandatory. Please refer to the respective section for further details.
This section describes the additional endpoints available when the e-prescription mode is enabled.
When the e-prescription mode is enabled, the following new endpoints are enabled:
| POST /ePrescription/create | Return a signed e-prescription QR code from the valid JSON document provided in the body. |
| POST /ePrescription/verify | Return verification information about a signed e-prescription QR code provided in the body. |
| POST /ePrescription/revoke/<id> | Invalidate a signed e-prescription QR code by registering it as revoked. |
| POST /ePrescription/dispense/<id> | Registers a full or partial dispensation for a signed e-prescription. |
| POST /ePrescription/cancel/<id>/event/<eventid> | Registers a cancelation of an event (revoke, dispense, cancel). |
The HTTP endpoints directly mirror the CLI commands.
Usage
POST /ePrescription/create
Description
Generate a signed e-prescription QR code from a valid input JSON document in the body. The available output formats are the following:
- a QR Code image binary data in PNG format, or
- the signed QR Code data as string
Authenticated
Yes
Query parameters
| Parameter | Value | Default | Description |
| output-format | data or qrcode | qrcode | Sets the output format:
|
| size | Value in pixels | Can be used with the --output-format qrcode to indicate the size of the resulting QR Code in pixels (optional) |
Response
| 200 OK | Returns the requested signed QR code in the required format |
| 400 Bad Request | Failed to parse QR code size |
| 409 Conflict | Prescription already exists |
Depending on the value of the output-format query parameter:
| MIME type | Content |
| image/png | The signed e-prescription QR Code image as a PNG |
| application/json | The signed QR code data as string in JSON |
Usage
POST /ePrescription/verify
Description
Returns verification information about a signed e-prescription QR code provided in the body.
Authenticated
No
Request Body
A signed e-prescription QR Code in its string form.
Response
The verification information consists of the following information:
| Valid | True if the QR code is correctly signed and not tampered with |
| Revoked | True if the QR code has been marked as revoked |
| Dispensed | True if the QR code has been marked as fully dispensed |
| Dispensations | If available, an array containing each Medicament with a recorded Dispensation event and a list of those events |
Example Response
{
"prescription_id":"00000000-0000-0000-0000-000000000000",
"issued_at":"0000-00-00T00:00:00+00:00",
"issued_by":"Dr. Test Test 1 (test1)",
"valid":true,
"revoked":false,
"dispensed":true,
"dispensed_at":"0000-00-00T00:00:00.000000000Z",
"dispensed_by":"HIN|pharma1",
"events":[
{
"id":"00000000-0000-0000-0000-000000000000",
"type":"full_dispense",
"reference":"00000000-0000-0000-0000-000000000000",
"timestamp":"0000-00-00T00:00:00.000000000Z",
"actor":"pharma1",
"actor_name":"Pharmacist 1"
}
]
}
Usage
POST /ePrescription/revoke/<id>
Description
Invalidate a signed e-prescription QR code by registering it as revoked
Authenticated
Yes
Query parameters
| Parameter | Value | Description |
| Id | string | The Id of the e-prescription to be revoked |
Response
| 200 OK | The e-prescription has been successfully revoked |
Usage
POST /ePrescription/dispense/<id>
Description
Registers a full or partial dispensation for a signed e-prescription. Dispensations on revoked e-prescriptions are not allowed. Dispensations on fully dispensed e-prescriptions need to be forced (see below)
Authenticated
Yes
Query parameters
| Parameter | Value | Description |
| Id | string | The Id of the e-prescription to be dispensed |
| Body | See below | Optional list of Medicament dispensation to record a partial dispensation |
| force | boolean | Optional parameter to force a dispensation if the prescription was fully dispensed |
Request Body
The request body optionally contains a list of Medicament dispensation to record a partial dispensation.
The input consists of the following fields:
| Parameter | Value | Description |
| id | string | The Id of the Medicament |
| amount | int | Amount dispensed |
| substitute | string | Substitute medicament |
| substitute_id_type | int | Substitute Id type |
Example Request
[
{
"id":"2333266",
"amount":1
}
]Please check the event data section for more information about what data is stored.
Response
| 200 OK | Successfully recorded dispensation event |
| 400 Bad Request | Unable to parse dispensation record |
Usage
POST /ePrescription/cancel/<id>/event/<eventId>
Description
Registers a cancellation of a previously created event (revocation, dispensation, or other cancellation)
Authenticated
Yes
Query parameters
| Parameter | Value | Description |
| Id | string | The Id of the e-prescription |
| EventId | string | The Id of the e-prescription’s event to be canceled |
Request Body
none
Response
| 200 OK | Successfully recorded cancellation event |
Test data
Create a valid-chmed16a1.json file containing a valid CHMED16A1 data set.
Server mode
First start the server using the following command:
ENABLE_EPRESCRIPTION=true ./certifaction server --api https://oauth2.sign.hin.ch/api
Then post the e-prescription data to the /ePrescription/create endpoint as following to get the signed e-prescription QR code as response:
curl -X POST -H "Content-Type: application/json" -H "Authorization: Bearer epdg:<token>" --data @valid-chmed16a1.json http://localhost:8082/ePrescription/create?type=qrcode > test-ePrescription.png
A complete example commands incl. authentication can be found in Appendix A.
ENABLE_EPRESCRIPTION=true certifaction server --api https://api.testnet.certifaction.io --hin-api https://oauth2.sign-test.hin.ch/api
- A HIN Account
- A OAuth2 Client Id / Secret with permission for “ADSwiss_CI-Test”
-
Get Access Code http://apps.hin.ch/REST/v1/OAuth/GetAuthCode/ADSwiss_CI-Test?response_type=code&client_id=<client_id>&redirect_uri=http%3A%2F%2Flocalhost%2FgetAccessToken
or
Get OAuth2 auth code for “AD Swiss Convenience Interface Test” via https://apps.hin.ch -
Code to Token
curl -H "Content-Type: application/x-www-form-urlencoded" --data "grant_type=authorization_code&redirect_uri=http%3A%2F%2Flocalhost%2FgetAccessToken&code=<access_code>&client_id=<client_id>&client_secret=<client_secret>" https://oauth2.hin.ch/REST/v1/OAuth/GetAccessToken
-
Get Login URL
curl --request POST --url "https://oauth2.ci-prep.adswiss.hin.ch/authService/EPDAuth?targetUrl=http%3A%2F%2Flocalhost%2Fsuccess&style=redirect" --header "accept: application/json" --header "Authorization: Bearer <token>" -
Resolve Code to Handle
curl --request POST --url "https://oauth2.ci-prep.adswiss.hin.ch/authService/EPDAuth/auth_handle" -d "{\"authCode\":\"<auth_code>\"}" --header "accept: application/json" --header "Content-Type: application/json" --header "Authorization: Bearer <token>" -
Use handle as token in
Authorization: Bearer epdg:<token>header for calls to CLI
- A HIN Account
- A OAuth2 Client Id / Secret with permission for “HINSign”
-
http://apps.hin.ch/REST/v1/OAuth/GetAuthCode/HINSign?response_type=code&client_id=<client_id>&redirect_uri=http%3A%2F%2Flocalhost%2FgetAccessToken
or
Get OAuth2 auth code for “HIN Signaturservice” via https://apps.hin.ch (HIN Login enforced) -
Code to Token
curl -H 'Content-Type: application/x-www-form-urlencoded' --data 'grant_type=authorization_code&redirect_uri=&code=<AUTHORIZATION CODE>&client_id=<client_id>&client_secret=<client_secret>' https://oauth2.hin.ch/REST/v1/OAuth/GetAccessToken -
Use token in
Authorization: Bearer acs:<token>header for calls to CLI
$ cat testCHMED16A1.txt
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
-
Create a signed e-prescription
Option 1: Output as Data/URL
$ curl -X POST -H "Content-Type: application/json" --data @testCHMED16A1.txt -H "authorization: Bearer epdg:<token>" http://localhost:8082/ePrescription/create?output-format=data HTTP/200 OK {"SignedPrescriptionData":"https://eprescription.hin.ch/#CHMED16A1H4sIAA…lXGtoKAAA&i=Dr.+Test+Test+1&t=1642529665&s=70cd59558926868ca5dbf18e671eb44caffa6d0be491cf736ed39159ba25c4413177c83088a5f29bf7d5b6d78dc8daa4ab609d0a384dbc2834e00dbea4487db101"}Option 2: Output as PNG QR Code
$ curl -X POST -H "Content-Type: application/json" --data @testCHMED16A1.txt -H “authorization: Bearer epdg:<token>” http://localhost:8082/ePrescription/create?output-format=qrcode > testQrCode.png HTTP/200 OK -
Verify e-prescription
$ curl -X POST -H "Content-Type: application/json" -d 'https://eprescription.hin.ch/#CHMED16A1H4sIAA…lXGtoKAAA&i=Dr.+Test+Test+1&t=1642529665&s=70cd59558926868ca5dbf18e671eb44caffa6d0be491cf736ed39159ba25c4413177c83088a5f29bf7d5b6d78dc8daa4ab609d0a384dbc2834e00dbea4487db101' http://localhost:8082/ePrescription/verify HTTP/200 OK { "prescriptionId":"00000000-0000-0000-0000-000000000000", "issued_at":"0000-00-00T00:00:00+00:00", "issued_by":"Dr. Test Test 1 (Test1)", "valid":true, "revoked":false, "dispensed":false } -
Dispense e-prescription fully
$ curl -X POST -H "Content-Type: application/json" -H "authorization: Bearer acs:<token>" http://localhost:8082/ePrescription/dispense/00000000-0000-0000-0000-000000000000 HTTP/200 OK -
Verify e-prescription
$ curl -X POST -H "Content-Type: application/json" -d 'https://eprescription.hin.ch/#CHMED16A1H4sIAA…lXGtoKAAA&i=Dr.+Test+Test+1&t=1642529665&s=70cd59558926868ca5dbf18e671eb44caffa6d0be491cf736ed39159ba25c4413177c83088a5f29bf7d5b6d78dc8daa4ab609d0a384dbc2834e00dbea4487db101' http://localhost:8082/ePrescription/verify HTTP/200 OK { "prescription_id":"00000000-0000-0000-0000-000000000000", "issued_at":"0000-00-00T00:00:00+00:00", "issued_by":"Dr. Test Test 1 (test1)", "valid":true, "revoked":false, "dispensed":true, "dispensed_at":"0000-00-00T00:00:00.000000000Z", "dispensed_by":"HIN|pharma1", "events":[ { "id":"00000000-0000-0000-0000-000000000000", "type":"full_dispense", "reference":"00000000-0000-0000-0000-000000000000", "timestamp":"0000-00-00T00:00:00.000000000Z", "actor":"pharma1", "actor_name":"Pharmacist 1" } ] }
The following example, based on a specific use case, shows which data is recorded and how a pharmacist can interpret it to make a decision about a further dispensation.
E-prescription:
- 1 medicament with amount: 1
- No repetition specified, i.e. repeatable once (only if the indication still exists)
- No permanent prescription
- Issued on 27.01.2022 → Duration of validity depends on cantonal regulations
| Who | Event | Recorded dispense | ||||||||||||||||
| Patient | Receives new e-prescription | |||||||||||||||||
| Patient | Goes to pharmacy 1 | |||||||||||||||||
| Pharmacy 1 | Verifies e-prescription and identifies that there were no dispenses made yet -> Dispenses medicament according to e-prescription | |||||||||||||||||
| Pharmacy 1 | Records partial dispense | Partial dispense:
|
||||||||||||||||
| Patient | Goes to pharmacy 2 | |||||||||||||||||
| Pharmacy 2 | Verifies e-prescription and sees that one dispensation has already been made -> Dispenses medicament according to e-prescription | |||||||||||||||||
| Pharmacy 2 | Records partial dispense (optional) and records a full dispense | Partial dispense (optional):
|
||||||||||||||||
| Patient | Goes to pharmacy 3 | |||||||||||||||||
| Pharmacy 3 | Verifies e-prescription and identifies that it has already been fully validated -> Does not dispense medicament |
CHMED16 data
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
QR code content
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CHMED16 data
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