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Copyright and Registered Trademark Uses

• IG © 2023+ Federal Office of Public Health FOPH. Package ch.fhir.ig.ch-elm#1.16.0 based on FHIR 4.0.1. Generated 2026-10-22 Links: Table of Contents | QA Report | Propose a change ( src )
• 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 1.16.0 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 ( src )
• CH ELM is a project of the Swiss Federal Office of Public Health (FOPH), Communicable Diseases Division, to enable laboratories to send their observations of notifiable 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 ELM derives from the Swiss implementation guides and the European laboratory project (see graphical overview). ( src )
• FHIR® Implementation Guide for Laboratory Reports in Switzerland (built Tue, Dec 16, 2025 10:27+0000+00:00) ( src )
• HL7® FHIR® ( src )
• HL7®, HEALTH LEVEL SEVEN®, FHIR® and the FHIR [image]® are trademarks owned by Health Level Seven International, registered with the United States Patent and Trademark Office. ( src )
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage * LOINC: Bundle/10Doc-Legionella, Bundle/11Doc-Malaria... Show 116 more, Bundle/12Doc-Mpox, Bundle/13Doc-Shigella, Bundle/14Doc-Neisseriameningitidis-confirmationtest, Bundle/14Doc-Neisseriameningitidis-confirmationtest-originalorder, Bundle/15Doc-Measles-Seroconversion, Bundle/16Doc-Dengue-Titer, Bundle/17Doc-Neisseria, Bundle/18Doc-C-diphtheriae, Bundle/19Doc-S-pneumoniae, Bundle/1Doc-NeisseriaGonorrhoeae, Bundle/1bDoc-NeisseriaGonorrhoeae, Bundle/1cDoc-NeisseriaGonorrhoeae, Bundle/20Doc-Vibrio-cholerae, Bundle/21Doc-HepatiteE, Bundle/22Doc-H-influenzae, Bundle/23Doc-F-tularensis, Bundle/24Doc-Chikungunya, Bundle/25Doc-Tick-borne-encephalitis, Bundle/26Doc-HepatiteA, Bundle/28Doc-Listeria-monocytogenes, Bundle/29Doc-Rubella, Bundle/2Doc-ChlamydiaTrachomatis, Bundle/2Doc-ChlamydiaTrachomatis-Vct, Bundle/2Doc-ChlamydiaTrachomatis-Vct-Deprecated, Bundle/30Doc-Salmonella-enteritidis, Bundle/32Doc-Rubella-avidity, Bundle/33Doc-Salmonella-valueString, Bundle/34Doc-Brucella, Bundle/35Doc-CJD, Bundle/36Doc-Salmonella-paratyphi, Bundle/37Doc-Zika, Bundle/38Doc-Anthrax, Bundle/39Doc-Botulims, Bundle/3Doc-CPE, Bundle/40Doc-Crimean-Congo, Bundle/41Doc-Ebola, Bundle/42Doc-Lassa, Bundle/43Doc-Marburg, Bundle/44Doc-Mers-CoV, Bundle/45Doc-Sars-CoV, Bundle/46Doc-Yersinia-pestis, Bundle/47Doc-Variola, Bundle/48Doc-Mpox-Clade, Bundle/49Doc-HIV, Bundle/4Doc-Campylobacter, Bundle/50Doc-HIV-viremia, Bundle/51Doc-Gelbfieber, Bundle/52Doc-Hantavirus, Bundle/53Doc-InfluenzaHxNy, Bundle/54Doc-Poliomyelitis, Bundle/55Doc-Tollwut, Bundle/56Doc-Trichinella-spiralis, Bundle/57Doc-West-Nile, Bundle/58Doc-Coxiella, Bundle/59Doc-EHEC, Bundle/5Doc-TreponemaPallidum, Bundle/61Doc-Tb-Susceptibility, Bundle/63Doc-Tb-Genotyping, Bundle/65Doc-Tuberculosis, Bundle/66Doc-HivRecency, Bundle/67Doc-Emerging-Pathogen, Bundle/68Doc-CPE-Genotyping-Default, Bundle/69Doc-CPE-Genotyping-TwoComponents, Bundle/6Doc-Influenza, Bundle/70Doc-CPE-Genotyping-TwoComponentsFreetext, Bundle/71Doc-RSV, Bundle/72Doc-RSV, Bundle/7Doc-SARSCoV2, Bundle/8Doc-HepatiteB, Bundle/9Doc-HepatiteC, Bundle/ChlamydiaPatientMissingBirthdate, Bundle/ChlamydiaPatientMissingNameGiven, Bundle/ChlamydiaPatientPartialBirthdate, Bundle/UnknownPatientNameBirthDate, ChElmComposition, ChElmCompositionStrict, ChElmExpectingOrganismSpecification, ChElmExpectingSpecimenSpecification, ChElmLabStudyTypes, ChElmObservationResultsLaboratory, ChElmObservationResultsLaboratoryGenotyping, ChElmObservationResultsLaboratoryGenotypingStrict, ChElmObservationResultsLaboratoryHivRecencyStrict, ChElmObservationResultsLaboratoryMicrobiology, ChElmObservationResultsLaboratoryMicrobiologyStrict, ChElmObservationResultsLaboratorySusceptibility, ChElmObservationResultsLaboratorySusceptibilityStrict, ChElmResultsComponentAntibioticTb, ChElmResultsComponentGeneCpe, ChElmResultsComponentGeneTb, ChElmResultsLaboratoryObservation, ChElmResultsLaboratoryObservationComplete, ChElmResultsLaboratoryObservationGeno, ChElmResultsLaboratoryObservationSusc, ChElmServiceRequestLaboratoryOrder, Composition/1Comp-NeisseriaGonorrhoeae, Composition/1bComp-NeisseriaGonorrhoeae, DiagnosticReport/1DR-NeisseriaGonorrhoeae, DiagnosticReport/1bDR-NeisseriaGonorrhoeae, DiagnosticReport/1cDR-NeisseriaGonorrhoeae, DocumentReference/1-DocumentReferenceStrict, DocumentReference/1c-DocumentReferenceStrict, DocumentReference/2-DocumentReference, DocumentReference/2-DocumentReferenceStrict, DocumentReference/2-DocumentReferenceVctStrict, DocumentReference/Publish-1Doc-NeisseriaGonorrhoeae, DocumentReference/Publish-2Doc-ChlamydiaTrachomatis-Vct, DocumentReference/Publish-4Doc-Campylobacter, DocumentReference/Publish-5Doc-TreponemaPallidum, DocumentReference/Publish-6Doc-Influenza, DocumentReference/Publish-7Doc-SARSCoV2, Observation/1Obs-NeisseriaGonorrhoeae, Observation/1bObs-NeisseriaGonorrhoeae, ServiceRequest/1SR-Order, ServiceRequest/1bSR-Order and ServiceRequest/1cSR-Order ( src )
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage * DataAbsentReason: Bundle/14Doc-Neisseriameningitidis-confirmationtest, Bundle/14Doc-Neisseriameningitidis-confirmationtest-originalorder... Show 38 more, Bundle/15Doc-Measles-Seroconversion, Bundle/16Doc-Dengue-Titer, Bundle/18Doc-C-diphtheriae, Bundle/19Doc-S-pneumoniae, Bundle/20Doc-Vibrio-cholerae, Bundle/21Doc-HepatiteE, Bundle/22Doc-H-influenzae, Bundle/24Doc-Chikungunya, Bundle/26Doc-HepatiteA, Bundle/28Doc-Listeria-monocytogenes, Bundle/29Doc-Rubella, Bundle/32Doc-Rubella-avidity, Bundle/34Doc-Brucella, Bundle/35Doc-CJD, Bundle/37Doc-Zika, Bundle/38Doc-Anthrax, Bundle/39Doc-Botulims, Bundle/3Doc-CPE, Bundle/40Doc-Crimean-Congo, Bundle/41Doc-Ebola, Bundle/42Doc-Lassa, Bundle/43Doc-Marburg, Bundle/44Doc-Mers-CoV, Bundle/45Doc-Sars-CoV, Bundle/46Doc-Yersinia-pestis, Bundle/47Doc-Variola, Bundle/49Doc-HIV, Bundle/51Doc-Gelbfieber, Bundle/54Doc-Poliomyelitis, Bundle/55Doc-Tollwut, Bundle/56Doc-Trichinella-spiralis, Bundle/59Doc-EHEC, Bundle/63Doc-Tb-Genotyping, Bundle/67Doc-Emerging-Pathogen, Bundle/68Doc-CPE-Genotyping-Default, Bundle/69Doc-CPE-Genotyping-TwoComponents, Bundle/70Doc-CPE-Genotyping-TwoComponentsFreetext and Bundle/UnknownPatientNameBirthDate * Observation Category Codes: Bundle/10Doc-Legionella, Bundle/11Doc-Malaria... Show 95 more, Bundle/12Doc-Mpox, Bundle/13Doc-Shigella, Bundle/14Doc-Neisseriameningitidis-confirmationtest, Bundle/14Doc-Neisseriameningitidis-confirmationtest-originalorder, Bundle/15Doc-Measles-Seroconversion, Bundle/16Doc-Dengue-Titer, Bundle/17Doc-Neisseria, Bundle/18Doc-C-diphtheriae, Bundle/19Doc-S-pneumoniae, Bundle/1Doc-NeisseriaGonorrhoeae, Bundle/1bDoc-NeisseriaGonorrhoeae, Bundle/1cDoc-NeisseriaGonorrhoeae, Bundle/20Doc-Vibrio-cholerae, Bundle/21Doc-HepatiteE, Bundle/22Doc-H-influenzae, Bundle/23Doc-F-tularensis, Bundle/24Doc-Chikungunya, Bundle/25Doc-Tick-borne-encephalitis, Bundle/26Doc-HepatiteA, Bundle/28Doc-Listeria-monocytogenes, Bundle/29Doc-Rubella, Bundle/2Doc-ChlamydiaTrachomatis, Bundle/2Doc-ChlamydiaTrachomatis-Vct, Bundle/2Doc-ChlamydiaTrachomatis-Vct-Deprecated, Bundle/30Doc-Salmonella-enteritidis, Bundle/32Doc-Rubella-avidity, Bundle/33Doc-Salmonella-valueString, Bundle/34Doc-Brucella, Bundle/35Doc-CJD, Bundle/36Doc-Salmonella-paratyphi, Bundle/37Doc-Zika, Bundle/38Doc-Anthrax, Bundle/39Doc-Botulims, Bundle/3Doc-CPE, Bundle/40Doc-Crimean-Congo, Bundle/41Doc-Ebola, Bundle/42Doc-Lassa, Bundle/43Doc-Marburg, Bundle/44Doc-Mers-CoV, Bundle/45Doc-Sars-CoV, Bundle/46Doc-Yersinia-pestis, Bundle/47Doc-Variola, Bundle/48Doc-Mpox-Clade, Bundle/49Doc-HIV, Bundle/4Doc-Campylobacter, Bundle/50Doc-HIV-viremia, Bundle/51Doc-Gelbfieber, Bundle/52Doc-Hantavirus, Bundle/53Doc-InfluenzaHxNy, Bundle/54Doc-Poliomyelitis, Bundle/55Doc-Tollwut, Bundle/56Doc-Trichinella-spiralis, Bundle/57Doc-West-Nile, Bundle/58Doc-Coxiella, Bundle/59Doc-EHEC, Bundle/5Doc-TreponemaPallidum, Bundle/61Doc-Tb-Susceptibility, Bundle/63Doc-Tb-Genotyping, Bundle/65Doc-Tuberculosis, Bundle/66Doc-HivRecency, Bundle/67Doc-Emerging-Pathogen, Bundle/68Doc-CPE-Genotyping-Default, Bundle/69Doc-CPE-Genotyping-TwoComponents, Bundle/6Doc-Influenza, Bundle/70Doc-CPE-Genotyping-TwoComponentsFreetext, Bundle/71Doc-RSV, Bundle/72Doc-RSV, Bundle/7Doc-SARSCoV2, Bundle/8Doc-HepatiteB, Bundle/9Doc-HepatiteC, Bundle/ChlamydiaPatientMissingBirthdate, Bundle/ChlamydiaPatientMissingNameGiven, Bundle/ChlamydiaPatientPartialBirthdate, Bundle/UnknownPatientNameBirthDate, ChElmObservationResultsLaboratory, ChElmObservationResultsLaboratoryGenotyping, ChElmObservationResultsLaboratoryGenotypingStrict, ChElmObservationResultsLaboratoryHivRecencyStrict, ChElmObservationResultsLaboratoryMicrobiology, ChElmObservationResultsLaboratoryMicrobiologyStrict, ChElmObservationResultsLaboratorySusceptibility, ChElmObservationResultsLaboratorySusceptibilityStrict, DocumentReference/1-DocumentReferenceStrict, DocumentReference/1c-DocumentReferenceStrict, DocumentReference/2-DocumentReference, DocumentReference/2-DocumentReferenceStrict, DocumentReference/2-DocumentReferenceVctStrict, DocumentReference/Publish-1Doc-NeisseriaGonorrhoeae, DocumentReference/Publish-2Doc-ChlamydiaTrachomatis-Vct, DocumentReference/Publish-4Doc-Campylobacter, DocumentReference/Publish-5Doc-TreponemaPallidum, DocumentReference/Publish-6Doc-Influenza, DocumentReference/Publish-7Doc-SARSCoV2, Observation/1Obs-NeisseriaGonorrhoeae and Observation/1bObs-NeisseriaGonorrhoeae * Test script operation code: Test100Kosovo, Test101InvalidCountryCode... Show 9 more, Test102BirthDateFuture, Test92WarningBerUidGln, Test93ErrorFullNameInfluenca, Test94IgnoreSourceWarning, Test95IgnoreObservationInterpretationCodesWarning, Test96IgnoreObservationInterpretationCodesInformation, Test97CoaxiellaNoRatio, Test98HivInvalidCode and Test99CoaxiellaZeroDenominator * identifierType: Bundle/2Doc-ChlamydiaTrachomatis-Vct, ChElmPatient... Show 6 more, ChElmPatientHIV, ChElmPatientInitials, ChElmPatientVCT, DocumentReference/2-DocumentReferenceVctStrict, DocumentReference/Publish-2Doc-ChlamydiaTrachomatis-Vct and Patient/Pat-VCT * ObservationInterpretation: Bundle/10Doc-Legionella, Bundle/11Doc-Malaria... Show 88 more, Bundle/12Doc-Mpox, Bundle/13Doc-Shigella, Bundle/14Doc-Neisseriameningitidis-confirmationtest, Bundle/14Doc-Neisseriameningitidis-confirmationtest-originalorder, Bundle/16Doc-Dengue-Titer, Bundle/17Doc-Neisseria, Bundle/18Doc-C-diphtheriae, Bundle/19Doc-S-pneumoniae, Bundle/1Doc-NeisseriaGonorrhoeae, Bundle/1bDoc-NeisseriaGonorrhoeae, Bundle/1cDoc-NeisseriaGonorrhoeae, Bundle/20Doc-Vibrio-cholerae, Bundle/21Doc-HepatiteE, Bundle/22Doc-H-influenzae, Bundle/23Doc-F-tularensis, Bundle/24Doc-Chikungunya, Bundle/25Doc-Tick-borne-encephalitis, Bundle/26Doc-HepatiteA, Bundle/28Doc-Listeria-monocytogenes, Bundle/2Doc-ChlamydiaTrachomatis, Bundle/2Doc-ChlamydiaTrachomatis-Vct, Bundle/2Doc-ChlamydiaTrachomatis-Vct-Deprecated, Bundle/30Doc-Salmonella-enteritidis, Bundle/33Doc-Salmonella-valueString, Bundle/34Doc-Brucella, Bundle/35Doc-CJD, Bundle/36Doc-Salmonella-paratyphi, Bundle/37Doc-Zika, Bundle/38Doc-Anthrax, Bundle/39Doc-Botulims, Bundle/3Doc-CPE, Bundle/40Doc-Crimean-Congo, Bundle/41Doc-Ebola, Bundle/42Doc-Lassa, Bundle/43Doc-Marburg, Bundle/44Doc-Mers-CoV, Bundle/45Doc-Sars-CoV, Bundle/46Doc-Yersinia-pestis, Bundle/47Doc-Variola, Bundle/48Doc-Mpox-Clade, Bundle/49Doc-HIV, Bundle/4Doc-Campylobacter, Bundle/50Doc-HIV-viremia, Bundle/51Doc-Gelbfieber, Bundle/52Doc-Hantavirus, Bundle/53Doc-InfluenzaHxNy, Bundle/54Doc-Poliomyelitis, Bundle/55Doc-Tollwut, Bundle/56Doc-Trichinella-spiralis, Bundle/57Doc-West-Nile, Bundle/58Doc-Coxiella, Bundle/59Doc-EHEC, Bundle/5Doc-TreponemaPallidum, Bundle/61Doc-Tb-Susceptibility, Bundle/63Doc-Tb-Genotyping, Bundle/65Doc-Tuberculosis, Bundle/67Doc-Emerging-Pathogen, Bundle/68Doc-CPE-Genotyping-Default, Bundle/69Doc-CPE-Genotyping-TwoComponents, Bundle/6Doc-Influenza, Bundle/70Doc-CPE-Genotyping-TwoComponentsFreetext, Bundle/71Doc-RSV, Bundle/72Doc-RSV, Bundle/7Doc-SARSCoV2, Bundle/8Doc-HepatiteB, Bundle/9Doc-HepatiteC, Bundle/ChlamydiaPatientMissingBirthdate, Bundle/ChlamydiaPatientMissingNameGiven, Bundle/ChlamydiaPatientPartialBirthdate, Bundle/UnknownPatientNameBirthDate, ChElmInterpretationCodesPos, ChElmInterpretationCodesPosNeg, ChElmInterpretationCodesRes, ChElmInterpretationCodesResSus, ChElmInterpretationCodesTiter, DocumentReference/1-DocumentReferenceStrict, DocumentReference/1c-DocumentReferenceStrict, DocumentReference/2-DocumentReference, DocumentReference/2-DocumentReferenceStrict, DocumentReference/2-DocumentReferenceVctStrict, DocumentReference/Publish-1Doc-NeisseriaGonorrhoeae, DocumentReference/Publish-2Doc-ChlamydiaTrachomatis-Vct, DocumentReference/Publish-4Doc-Campylobacter, DocumentReference/Publish-5Doc-TreponemaPallidum, DocumentReference/Publish-6Doc-Influenza, DocumentReference/Publish-7Doc-SARSCoV2, Observation/1Obs-NeisseriaGonorrhoeae and Observation/1bObs-NeisseriaGonorrhoeae * RoleCode: ChElmPatient, ChElmPatientHIV, ChElmPatientInitials and ChElmPatientVCT ( src )

External References