CapabilityStatement for receiving laboratory reports

Status of the processing of the document referenced by the DocumentReference

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

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

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

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

CH ELM profile for the Bundle resource with a stricter validation mechanism than the base profile via binding strength reinforcement for the leading code element and checking patient name requirements if possible.

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

CH ELM profile for the Observation resource with a stricter validation mechanism than the base profile via binding strength reinforcement for the leading code element.

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

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

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

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

Patient representation for HIV

Patient representation via Initials

Patient representation via a VCT Code

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

This profile constrains the PractitionerRole resource for the orderer:

• orderer organization and/or practitioner must be present
• a postalCode and city must be present from organization and/or practitioner

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

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

A profile on the DocumentReference resource for the publication response:

• must be status current
• must have an identifier

A profile on the DocumentReference resource with publication constraints:

• must be status current
• must have an identifier
• uses attachment.url to carry the document as a contained resource
• validation according to http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-document

A profile on the DocumentReference resource with publication constraints:

• must be status current
• must have an identifier
• uses attachment.url to carry the document as a contained resource
• strict validation according to http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-document-strict

A profile on the Find Document References Response message

Identifier holding a number for BER (Business and Enterprise Register), BUR (Betriebs- und Unternehmensregister), REE (Registre des entreprises et des établissements), RIS (Registro delle imprese e degli stabilimenti)

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

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

Name with extensions for data-absent-reason

Identifier holding the IDN Liechtenstein. It is a 13-digit number without check digit and without special characters.

Identifier holding a number for UIDB (Unique Identification Business), UID (Verwendung der Unternehmens-Identifikationsnummer), IDE (Utilisation du numéro d’identification des entreprises), IDI (Utilizzo del numero d’identificazione delle imprese)

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

This CH ELM extension enables to proivde the HIV Code.

This CH ELM extension enables to proivde the VCT Code.

Extension to define the status of the processing of the document

This CH ELM value set includes the leading codes for the laboratory test results, which have to be completed by another code for the expecting organism.

This CH ELM value set includes the leading codes for the laboratory test results, which have to be completed by another code for the expecting specimen.

This CH ELM resource defines the codes which identify possible patient name schemas to be used.

This CH ELM value set includes the code for positive interpretation code.

This CH ELM value set includes the code for positive and negative interpretation codes.

This CH ELM value set includes the code for resistant and susceptible interpretation codes.

This CH ELM value set includes the value set URLs as interpretation codes to map in the concept maps the leading codes.

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

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

The “CH ELM Results Camp Diar Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Camp Diar Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

The “CH ELM Results Camp Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Camp Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

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

The “CH ELM Results Complete Spec” material group provides a curated set of codes representing specific materials. Each code within this group is selected to ensure consistency and accuracy for medical coding related to the primary LOINC codes. Clients using the “CH ELM Results Complete Spec” group should refer to the provided codes to ensure they capture and report material information correctly and consistently.

This CH ELM value set includes the value set URLs as codes to map in the concept maps the leading codes, which must be completed with additional codes.

The “CH ELM Results Cpe Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Cpe Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

The “CH ELM Results Geni Spec” material group provides a curated set of codes representing specific materials. Each code within this group is selected to ensure consistency and accuracy for medical coding related to the primary LOINC codes. Clients using the “CH ELM Results Geni Spec” group should refer to the provided codes to ensure they capture and report material information correctly and consistently.

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

The “CH ELM Results Leg Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Leg Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

The “CH ELM Results Mal Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Mal Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

The “CH ELM Results Sal Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Sal Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

The “CH ELM Results Shi Org” organism group provides a curated set of codes representing specific organisms. Each code within this group has been selected to ensure precise representation and consistency in relation to the primary LOINC codes. Clients utilizing the “CH ELM Results Shi Org” group should refer to the provided codes to accurately and uniformly capture and report organism-related information.

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

This CH ELM code system describes specific business rules of the FOPH, which are applied during processing. Please note that the set of rules detailed herein only covers processes explicitly declared by the FOPH. Additional rules, not included in this code system, are applied by the FHIR validation logic, resulting in further codes. For more information about these additional codes, consult the official FHIR documentation and the implementation guideline.

This CH ELM resource defines the codes which identify possible patient name schemas to be used.

The codes contained in this code system represent URLs of value sets that can be used as target codes in ConceptMaps. These value sets define the codes that are permitted to indicate the observation interpretation in relation to the leading code.

The codes contained in this code system represent URLs of value sets that can be used as target codes in ConceptMaps. These value sets define the codes that are permitted for specifying the organism or specimen in relation to the leading code.

The IDN is a unique identification number generated for each person with health insurance in Liechtenstein. For more details please visit https://www.llv.li/de/privatpersonen/gesundheit-vorsorge-und-pflege/elektronisches-gesundheitsdossier/datenschutzhinweis.

This CH ELM concept map shows which leading codes have to be completed by an additional code to specify the organism. The target code shows the URL of the value set containing the permitted codes for the organism specification.

This CH ELM concept map shows which leading codes have to be completed by an additional code to specify the specimen. The target code shows the URL of the value set containing the permitted codes for the specimen specification.

This CH ELM concept map specifies the required mode of patient representation for each leading code. It determines whether the full name, initials, or a unique code (e.g., for HIV patients) should be used, based on the specific LOINC code associated with the laboratory data. This ensures consistent and appropriate handling of patient identity in accordance with the type of pathogen reported.

This CH ELM concept map specifies the interpretation codes for each leading code. E.g. if positive, positive and negative or resistant-susceptible values are allowed

Example Document for Legionella

Example Document for Malaria

Example Document for Monkeypox

Example Document for Shigella

Example for a CH ELM Composition: Laboratory Report

Example for a CH ELM DiagnosticReport: Laboratory Report

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

Example for a CH ELM Observation Results: Laboratory

Example for a CH ELM Organization: Orderer

Example for a CH ELM Organization: Lab and Author

Example for a CH ELM PractitionerRole: Orderer

Example for a CH ELM Patient (only with initials)

Example for a CH ELM Practitioner: Orderer

Example for a CH ELM ServiceRequest: Laboratory Order

Example for a CH ELM Specimen: Laboratory

Example for a CH ELM Composition: Laboratory Report

Example for a CH ELM DiagnosticReport: Laboratory Report

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

Example for a CH ELM Observation Results: Laboratory

Example for a CH ELM Organization: Author

Example for a CH ELM Organization: Lab

Example for a CH ELM ServiceRequest: Laboratory Order

Example for a CH ELM Specimen: Laboratory

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

Example for a CH ELM Document: Laboratory Report collection material in addition to the leading LOINC code and Patient with Patient VCT code

Example for a CH ELM Document: Laboratory Report (organism in addition to the leading LOINC code)

Example for a CH ELM Document: Laboratory Report

Example for a CH ELM Document: Laboratory Report (SNOMED CT as leading code)

Example for a CH ELM Document: Laboratory Report

Example for a CH ELM Document: Laboratory Report (document in French, patient with full name)

Document for Hepatite B

Example Document for Hepatite C

Example for a CH ELM DocumentReference: Laboratory Report - completed

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

Example for a CH ELM DocumentReference: Laboratory Report - failed

Example for a CH ELM DocumentReference: Laboratory Report

Example for a CH ELM DocumentReference: Laboratory Report

Example for a CH ELM DocumentReference: Laboratory Report

Example for a CH ELM DocumentReference: Laboratory Report

Example for a CH ELM DocumentReference: Laboratory Report

Example for a CH ELM DocumentReference: Laboratory Report

Example for a CH ELM DocumentReference: Laboratory Report

Example of a Find Document References Bundle Search Set with a single DocumentReference

Example for a CH ELM Organization: Orderer

Example for a CH ELM Organization: Orderer

Example for a CH ELM Organization: Orderer

Example for a CH ELM PractitionerRole: Orderer

Example for a CH ELM PractitionerRole: Orderer

Example for a CH ELM Patient - full name

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

Example for a CH ELM Patient - initials

Example for a CH ELM Patient - full name (and full address)

Example for a CH ELM Patient - IDN Liechtenstein

Example for a CH ELM Patient with VCT Code

Example for a CH ELM Practitioner: Orderer

Example for a CH ELM Practitioner: Orderer

Test bundle to verify if incorrect BerUid Gln are detected with warnings

Test script to verify if incorrect BerUid Gln are detected with warnings

Test DocumentReference with contained Bundle provoking error for full name for Influenca (must be initials)

Test script to verify error if full name is provided by Influenca (must be initials)

Test script to verify if warning is ignored for Binding for path (.+) has no source