CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.3.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions
Changelog
All significant changes to this FHIR implementation guide will be documented on this page.
ci-build
- #74: Check for BER and UIDB format
- #77: VCT and HIV Codes for patient (guidance)
- #81: Observation.value not mandatory
- #82: Adapt menu structure
1.2.0 2024/03/28
- #32: adding ValueSets/ConceptMaps for Interpretation Code
- #68: Add slice for DocumentReference.contained for improving validation output
- #71: Fix SARS-CoV-2 Strict validation
- #72: Einbau ValueSet Specimen.type
- #73: Change status of IG from Draft to Release for version 1.2.0
- #75: PractitionerRole: Orderer -> update constraints
- #78: Removed Observation code for example Bundle-6Doc-Influenza (http://loinc.org#100343-3)
1.1.0 2024/01/31
Added
- #56: add a search box to the ig #56
Changed / Updated
- #49: Update description of CS/VS CH ELM FOPH Patient Name Representation
- #52: CH ELM Organization: BUR and UID as identifiers 0..1, no ZSR anymore
- #6: Fix ig dependencies to published versions
- #60: Removal of rule that prevents a specimen code to be sent
- #61: postalCode / city required for Orderer (Practitioner and/or Organization)
Fixed
- #45: Fix minimum cardinality for Practitioner in Bundle
- #54: API fixed to Release FHIR R4
- #55: Fixed link to specimen in broker example 1bDoc - Neisseria Gonorrhoeae
- #58: Don’t indicated meta.profiles in examples
- #57: Patient address.line also specified, not only extension
1.0.0-release
Added
- New examples: Carbapenemase-producing Enterobacteriaceae (CPE), Campylobacter spp., Treponema pallidum, Influenza, SARS-CoV-2
- In order to have the possibility to react quickly to any changes in the reporting needs, a two-stage validation strength has been introduced:
- Profile CH ELM Document: Laboratory Report (strict): The leading code element has a required binding to the ValueSet CH ELM Results Laboratory Observation and initials are checked depending on the leading code
- Usage: For all examples in this published version of the implementation guide, use for validation of an implementation according to the current implementation guide
- Profile CH ELM Document: Laboratory Report: The leading code element has an extensible binding to the ValueSet CH ELM Results Laboratory Observation
- Potential usage: A new leading code to be reported is introduced, which could not yet get updated in the implementation guide
- Include a check (warning) if Observation.code and ServiceRequest.code are equal (so far no other requirements)
- #7: Add ConceptMap with the requirements to the patient name representation
- #29: Validation of Bundle for DocumentReference
- #39: Integration of FOPH business rules as CodeSystem
- #43: Add limits to string lengths
Changed / Updated
- #15: API update for search capabilities
- #14: Remove turtle definitions
- #11: Change level of flag MustSupport for Patient.country (Patient.country MS, Patient.country.extension:countrycode 1..)
- Adjustment to the changed names of the parent profiles of CH LAB-Order
- #19: Require DiagnosticReport.identifier (equal to Composition.identifier)
- #13: Update Fig. 6: Resource Overview with cardinalities
- #21: Usage of the IDN instead of the OASI for Patient.identifier Liechtenstein.
- Add a computable way for the concept of leading code and in some cases necessary addition of additional codes to the leading code, see Guidance - Laboratory Result
- #23: Include rules to check if the described mechanism is applied correctly
- #25: Renaming of the specimen-specific ValueSet ‘CH ELM Lab Specimen Types: Chlamydia Trachomatis’ to ValueSet ‘CH ELM Results Geni Spec’
- #26/#8: Remove ValueSet ‘CH ELM Lab Specimen Types’; now handled via the newly introduced mechanism
- #8: Change the fixed value for Specimen.type.text to a more general version: ‘Material declared by LOINC system axis’ -> ‘Material declared by Observation.code or non-mandatory’
- #35: Address.line now requires the explicit specification of streetName, houseNumber and postOfficeBoxNumber (via extensions)
- #34: Restriction of maximum cardinalities
Fixed
- #9: Set minimum cardinality of Patient.gender to 1 (according to the logical model)
