CH ELM (R4)
1.8.0-cibuild - ci-build Switzerland flag

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 1.8.0-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

Changelog

All significant changes to this FHIR implementation guide will be documented on this page.

1.8.0 unreleased

  • additional publication examples

1.7.0 2024/11/28

  • #130 update usecase to english
  • #128 updated ValueSets and new examples for Hanta fever, HIV, Influenza A new subtype, Poliomyelitis, Rabies, Trichinellosis, West-Nile-Fever and Yellow fever
  • #125 HIV not an example for use case 3
  • #124 HIV: Observation.valueQuantity for specific Code
  • #122 Allow ZSR for Practitioner Orderer
  • #121 DocumentReference for Publish Response should not contain bundle

1.6.0 2024/10/31

  • #118 Observation.value depending on leading code, see guidance
  • #117 New Interpretation Valueset «avidity»
  • Examples for Anthrax, Botulims, Brucellosis, CJD, Crimean-Congo, Ebola, Lassa fever, Marburg fever, MERS, Mpox, Paratyphoid fever, Plague, Q-fever, Rubella, SARS, Salmonellosis, Salmonellosis, Smallpox, Zika fever

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)