CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4)
0.0.1 - ci-build
CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-ekm/ImplementationGuide/ch.fhir.ig.ch-ekm | Version: 0.0.1 | |||
| Draft as of 2026-01-27 | Computable Name: CH_EKM | |||
Copyright/Legal: CC0-1.0 |
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CH EKM (Elektronische klinische Meldung) is a project of the Swiss Federal Office of Public Health (FOPH), Communicable Diseases Division, to enable clinicians to send their clinical findings of communicable infectious diseases to the FOPH electronically. A report is created as a specialized Clinical Document based on the HL7® FHIR® standard. This FHIR document is sent to the FOPH by a FHIR RESTful web API endpoint. CH EKM derives from the Swiss implementation guides
The specification herewith documented is work in progress. No liability can be inferred from the use or misuse of this specification, or its consequences.
Changelog with significant changes, open and closed issues.
Download: You can download this implementation guide in npm format from here.
This guide supports you as a clinical information system in the following way:
Use cases describe the different scenarios with respective example reports for specific organisms.
Value sets for the terminology are provided as FHIR resources which you can directly import from the npm package.
Further documentation for specific topics can be found on guidance and/or by contacting the FOPH directly.
FHIR R4 has a huge implementation community and offers various libraries to support the implementation of FHIR based solutions, for creating the FHIR document or providing a client for doing the FHIR API calls. For java we recommend hapi-fhir, for .NET firely-net-sdk, but there are also multiple other options. If you have questions about general FHIR questions do not hesitate to ask in chat.fhir.org.
To check if your report is valid to the requirements of this implementation guide you can check it with the FHIR Validator providing this package as a parameter and specifying the profile http://fhir.ch/ig/ch-ekm/StructureDefinition/profile-id.
Since the FHIR API is standardized you can test your client also against a public FHIR test server like hapi.
If you have general feedback this implementation guide you find at the bottom a "Propose a change" link where you can raise an issue.
For the CH EKM exchange format, the mustSupport flag set to true has the following meaning:
If the sending application has data for the element, it is required to populate the element with a non-empty value. If the value is not known, the element may be omitted.
HL7®, HEALTH LEVEL SEVEN®, FHIR® and the FHIR 
® are trademarks owned by Health Level Seven International, registered with the United States Patent and Trademark Office.
This publication includes IP covered under the following statements.
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (ch.fhir.ig.ch-ekm.r4) and R4B (ch.fhir.ig.ch-ekm.r4b) are available.
There are no Global profiles defined