CH ELM (R4)
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This page is part of the Observations of notifiable communicable infectious diseases (v1.0.0-trialuse: STU 1 Draft) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Document Recipient implementing Publish Option

Document Recipient implementing Publish

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

CH ELM Laboratory Report

The logical model represents the CH ELM laboratory report as an abstract data model. This data elements are defined by the ordinance of the Federal Office of Public Health (FOPH) and are then mapped to the FHIR document structure.

Cardinalities:

  • The cardinalities in the logical model show the so-called ‘best case’. This means that if these data are available, they must be submitted to the FOPH.
  • Since in reality the data is not always available, the CH ELM profiles define which elements are required or optional.
  • See also the concept ‘Must Support’, which is described on the ‘Home’ page of this implementation guide

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

CH ELM Composition: Laboratory Report

This CH ELM base profile constrains the Composition resource for the purpose of laboratory test reports.

CH ELM DiagnosticReport: Laboratory Report

This CH ELM base profile constrains the DiagnosticReport resource for the purpose of laboratory test reports.

CH ELM Document: Laboratory Report

This CH ELM base profile constrains the Bundle resource for the purpose of laboratory test reports.

CH ELM Observation Results: Laboratory

This CH ELM base profile constrains the Observation resource for the purpose of laboratory test reports.

CH ELM Organization: Author

This CH ELM base profile constrains the Organization resource for the author of the laboratory report.

CH ELM Organization: Lab

This CH ELM base profile constrains the Organization resource for the reporting laboratory.

CH ELM Organization: Orderer

This CH ELM base profile constrains the Organization resource for the orderer.

CH ELM Patient

This CH ELM base profile constrains the Patient resource for the purpose of laboratory orders and test reports.

CH ELM Practitioner: Orderer

This CH ELM base profile constrains the Practitioner resource for the orderer.

CH ELM PractitionerRole: Orderer

This CH ELM base profile constrains the PractitionerRole resource for the orderer.

CH ELM ServiceRequest: Laboratory Order

This CH ELM base profile constrains the ServiceRequest resource for the purpose of laboratory orders.

CH ELM Specimen: Laboratory

This CH ELM base profile constrains the Specimen resource for the purpose of laboratory test reports.

DocumentReference for Publish

A profile on the DocumentReference resource for Publish constraints.

Publish

  • must be status current
  • must have an masterIdentifer
  • uses attachment.url to carry the document as a contained resource
DocumentReference for Publish Response

A profile on the DocumentReference resource for Publish Response constraints.

Publish Response

  • must be status current
  • must have an identifer

Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

CH ELM CodeableConcept

This profile represents the constraint applied to the CodeableConcept data type by this IG to use the ‘CH ELM CodeableConcept’ data type profile.

CH ELM Coding

This profile represents the constraints applied to the Coding data type by this IG used in the ‘CH ELM Coding’ data type profile.

OASI LI Identifier

Identifier holding the OASI number of the Principality of Liechtenstein. It is a number between 4 and 12 digits, without check digit and without special characters.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

CH ELM Extension: Department

This CH ELM extension enables the representation of a department (name) of an organization directly in the resource Organization itself.

Status of the processing of the document

Extension to define the status of the processing of the document

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

CH ELM Lab Specimen Types

This CH ELM value set includes the codes for the laboratory specimen.

CH ELM Lab Specimen Types: Chlamydia Trachomatis

This restricted CH ELM value set includes the codes for the laboratory specimen if, in addition to the leading LOINC code, the collection material must be given in coded form.

CH ELM Lab Study Types

This CH ELM value set includes the codes for the laboratory specialties.

CH ELM Observation Interpretation Codes

This CH ELM value set includes the codes for the qualitative interpretation of the observation values (susceptible/resistant).

CH ELM Results Coded Values Laboratory

This CH ELM value set includes the codes for the laboratory test results (presence/absence).

CH ELM Results Laboratory Observation

This CH ELM value set includes the codes for the laboratory test results (organism).

CH ELM Status

This CH ELM value set includes the codes for the laboratory specialties.

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

OASI Number Principality of Liechtenstein

DRAFT - DO NOT USE YET! The OASI number (old-age and survivors’s insurance) is an administrative identifier for natural persons in the Principality of Liechtenstein. For more information please see https://www.ahv.li/.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

1Comp - Neisseria Gonorrhoeae

Example for a CH ELM Composition: Laboratory Report

1DR - Neisseria Gonorrhoeae

Example for a CH ELM DiagnosticReport: Laboratory Report

1Doc - Neisseria Gonorrhoeae

Example for a CH ELM Document: Laboratory Report (where the ‘Lab’ is the same as the ‘Author’)

1Obs - Neisseria Gonorrhoeae

Example for a CH ELM Observation Results: Laboratory

1Org - Kantonsspital ABC

Example for a CH ELM Organization: Orderer

1Org - Labor

Example for a CH ELM Organization: Lab and Author

1PR - Monika Giacometti @ Kantonsspital abc

Example for a CH ELM PractitionerRole: Orderer

1Pat - DM

Example for a CH ELM Patient (only with initials)

1Pract - Monika Giacometti

Example for a CH ELM Practitioner: Orderer

1SR - Order

Example for a CH ELM ServiceRequest: Laboratory Order

1Spec - Neisseria Gonorrhoeae

Example for a CH ELM Specimen: Laboratory

1bComp - Neisseria Gonorrhoeae

Example for a CH ELM Composition: Laboratory Report

1bDR - Neisseria Gonorrhoeae

Example for a CH ELM DiagnosticReport: Laboratory Report

1bDoc - Neisseria Gonorrhoeae

Example for a CH ELM Document: Laboratory Report (where the ‘Lab’ is NOT the same as the ‘Author’ -> Broker Scenario)

1bObs - Neisseria Gonorrhoeae

Example for a CH ELM Observation Results: Laboratory

1bOrg - Broker

Example for a CH ELM Organization: Author

1bOrg - Labor

Example for a CH ELM Organization: Lab

1bSpec - Neisseria Gonorrhoeae

Example for a CH ELM Specimen: Laboratory

2Doc - Chlamydia Trachomatis

Example for a CH ELM Document: Laboratory Report (collection material in addition to the leading LOINC code, with references/fullUrls as UUIDs)

DocumentReference Response for Neisseria Gonorhoeae completed

Example for a CH ELM DocumentReference: Laboratory Report - completed

DocumentReference Response for Neisseria Gonorhoeae in progress

Example for a CH ELM DocumentReference: Laboratory Report - in-progress

DocumentReference for Neisseria Gonorhoeae - falied

Example for a CH ELM DocumentReference: Laboratory Report - failed

DocumentReference for reporting Neisseria Gonorhoeae

Example for a CH ELM DocumentReference: Laboratory Report

Pat - E5

Example for a CH ELM Patient - special case HIV/AIDS

Pat - ET

Example for a CH ELM Patient - initials

Pat - Ernst Karl Tanner

Example for a CH ELM Patient - full name

Pat - Lilly Liechtenstein

Example for a CH ELM Patient - OASI number of the Principality of Liechtenstein