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 1.5.0 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.
1.5.0 2024/09/24
- #115 reorganize FHIR document page and add examples for Chikungunya fever, Tick-borne encephalitis, Hepatitis A, Listeriosis and Rubella - reporting of a seroconversion, valuesets are also updated
1.4.0 2024/08/20
- #111 added examples for Neisseria (primary and secondary lab), Measles Seroconversion, Corynebacterium diphtheriae, Streptococcus pneumoniae, Vibrio cholerae, Hepatite E, Haemophilus influenzae, Francisella tularensis, Dengue Titer and updated valuesets
- #65: Update to the newest version hl7.fhir.eu.laboratory: 0.1.0 and ch.fhir.ig.ch-lab-report: 1.0.0-ballot
- #100: Fix Campylobacter example title
- #99: CH ELM Patient adaptions
- #98: Two new interpretation groups sero and titer
- #97: Improvement error message
- #89: add ServiceRequest.requisition for referencing original order id
- #103: change patient id references with serial numbers
- #110: change example names and description for meningo and dengue titer
- #102: patient.street, patient.telecom only allowed for full name representation
- #104: remove practitioner-orderer.telecom constraint 0..1
1.3.1 2024/06/17
- #88: Update ValueSets for malaria, new snomed codes legionalla
- #91: extension line not required and not must support, updated examples, removed narratives
- #92: Show validation warning for wrong BER / UIDB
- #93: patient name representation shall be incorrect (no distinction strict/non-strict for initials and vct)
- #94: Validator Check: Ignore warning about Binding for path (.+) has no source
- #95: Increase maximum size of E-Mail form 50 to 255
1.3.0 2024/05/16
- #74: Check for BER and UIDB format
- #77: VCT and HIV Codes for patient (guidance)
- #82: Adapt menu structure
- #85: Laboratory reports for additional organisms (Hepatite B, Hepatite C, Legionella, Malaria, Monkeypox, Shigella)
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)
