CH ELM (R4)
1.14.0-cibuild - ci-build
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 1.14.0-cibuild 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
<Bundle xmlns="http://hl7.org/fhir">
<id value="72Doc-CPE-Susceptibility-ObsValue"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:b9a8b9ee-9157-44af-b46e-cfef3c69d6bd"/>
</identifier>
<type value="document"/>
<timestamp value="2026-01-17T12:00:00+02:00"/>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Composition/72Comp-Susceptibility-ObsValue"/>
<resource>
<Composition>
<id value="72Comp-Susceptibility-ObsValue"/>
<language value="de-CH"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:b9a8b9ee-9157-44af-b46e-cfef3c69d6bd"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/2011000195101"/>
<code value="4241000179101"/>
<display value="Laborbericht"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
</type>
<subject>
<reference value="Patient/68Pat"/>
</subject>
<date value="2026-01-17T12:00:00+02:00"/>
<author>🔗
<reference value="Organization/1Org-Labor"/>
</author>
<title value="Laborbericht vom 17.1.2026"/>
<section>
<title value="Analyseergebnisse der CPE Resistenzbestimmung"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18769-0"/>
<display value="Microbial susceptibility tests Set"/>
</coding>
</code>
<entry>
<reference value="Observation/72Obs-Susceptibility-ObsValue"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/DiagnosticReport/72DR-Susceptibility-ObsValue"/>
<resource>
<DiagnosticReport>
<id value="72DR-Susceptibility-ObsValue"/>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
<valueReference>
<reference value="Composition/72Comp-Susceptibility-ObsValue"/>
</valueReference>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:b9a8b9ee-9157-44af-b46e-cfef3c69d6bd"/>
</identifier>
<basedOn>
<reference value="ServiceRequest/72SR-Susceptibility-ObsValue"/>
</basedOn>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
</code>
<subject>
<reference value="Patient/68Pat"/>
</subject>
<performer>🔗
<reference value="Organization/1Org-Labor"/>
</performer>
<specimen>
<reference value="Specimen/72Spec-Susceptibility-ObsValue"/>
</specimen>
<result>
<reference value="Observation/72Obs-Susceptibility-ObsValue"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Patient/68Pat"/>
<resource>
<Patient>
<id value="68Pat"/>
<identifier>
<system value="urn:oid:2.16.756.5.32"/>
<value value="7561234567897"/>
</identifier>
<name>
<family value="Lirena"/>
<given value="Vostarel"/>
</name>
<telecom>
<system value="phone"/>
<value value="077000000"/>
</telecom>
<gender value="female"/>
<birthDate value="1981-02-07"/>
<address>
<use value="home"/>
<line value="Staginabet 2">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Staginabet"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="2"/>
</extension>
</line>
<city value="Carouge"/>
<state value="GE"/>
<postalCode value="1227"/>
<country value="CH">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-codedString">
<valueCoding>
<system value="urn:iso:std:iso:3166"/>
<code value="CH"/>
</valueCoding>
</extension>
</country>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Observation/72Obs-Susceptibility-ObsValue"/>
<resource>
<Observation>
<id value="72Obs-Susceptibility-ObsValue"/>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1085501000112104"/>
<display
value="Carbapenemase-producing Acinetobacter (organism)"/>
</coding>
</code>
<subject>
<reference value="Patient/68Pat"/>
</subject>
<effectiveDateTime value="2026-01-17T14:20:00+02:00"/>
<performer>🔗
<reference value="Organization/1Org-Labor"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="700398000"/>
<display value="Acinetobacter bereziniae (organism)"/>
</coding>
</valueCodeableConcept>
<specimen>
<reference value="Specimen/72Spec-Susceptibility-ObsValue"/>
</specimen>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="88462-7"/>
<display value="Carbapenem [Susceptibility]"/>
</coding>
</code>
<dataAbsentReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="not-applicable"/>
</coding>
</dataAbsentReason>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="R"/>
<display value="Resistant"/>
</coding>
</interpretation>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/Specimen/72Spec-Susceptibility-ObsValue"/>
<resource>
<Specimen>
<id value="72Spec-Susceptibility-ObsValue"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="258527002"/>
<display value="Anal swab (specimen)"/>
</coding>
</type>
<subject>
<reference value="Patient/68Pat"/>
</subject>
<collection>
<collectedDateTime value="2026-01-15T14:20:00+02:00"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="http://test.fhir.ch/r4/ServiceRequest/72SR-Susceptibility-ObsValue"/>
<resource>
<ServiceRequest>
<id value="72SR-Susceptibility-ObsValue"/>
<identifier>
<value value="36500923675"/>
</identifier>
<status value="completed"/>
<intent value="order"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1085501000112104"/>
<display
value="Carbapenemase-producing Acinetobacter (organism)"/>
</coding>
</code>
<subject>
<reference value="Patient/68Pat"/>
</subject>
<requester>🔗
<reference value="PractitionerRole/PR-PeterHauser"/>
</requester>
<specimen>
<reference value="Specimen/72Spec-Susceptibility-ObsValue"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Organization/1Org-Labor"/>
<resource>
<Organization>
<id value="1Org-Labor"/>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601002331470"/>
</identifier>
<name value="SanLab"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/PractitionerRole/PR-PeterHauser"/>
<resource>
<PractitionerRole>
<id value="PR-PeterHauser"/>
<practitioner>🔗
<reference value="Practitioner/Pract-PeterHauser"/>
</practitioner>
<organization>🔗
<reference value="Organization/Org-PeterHauser"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Practitioner/Pract-PeterHauser"/>
<resource>
<Practitioner>
<id value="Pract-PeterHauser"/>
<identifier>
<system value="urn:oid:2.51.1.3"/>
<value value="7601000000514"/>
</identifier>
<name>
<family value="Hauser"/>
<given value="Peter"/>
</name>
<telecom>
<system value="email"/>
<value value="peter.hauser@hauserpraxis.ch"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="+41 79 222 33 44"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://test.fhir.ch/r4/Organization/Org-PeterHauser"/>
<resource>
<Organization>
<id value="Org-PeterHauser"/>
<identifier>
<system value="urn:oid:2.16.756.5.45"/>
<value value="A74966168"/>
</identifier>
<name value="Praxis Dr. Hauser"/>
<address>
<line value="Hauptstrasse 10">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Hauptstrasse"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="10"/>
</extension>
</line>
<city value="Solothurn"/>
<postalCode value="4500"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>