Profile Comparison between http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory-microbiology vs http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory-microbiology

Left:CH ELM Observation Results for Microbiology studies (set) (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory-microbiology)
Right:CH ELM Observation Results for Microbiology studies (set) (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory-microbiology)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.15.1' vs '1.16.0'
InformationStructureDefinition.dateValues for date differ: '2026-08-14T07:28:03+00:00' vs '2026-10-30T14:02:35+00:00'
ErrorObservation.subjectType Mismatch: Reference([CanonicalType[http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient]]) vs Reference([CanonicalType[http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient]])

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory
      copyrightCC0-1.0
        date2026-08-14T07:28:03+00:002026-10-30T14:02:35+00:00
        • Values Differ
        descriptionThis CH ELM profile constrains the Observation resource for the purpose of laboratory test reports.
          experimental
            fhirVersion4.0.1
              jurisdiction
                jurisdiction / jurisdiction[0]urn:iso:std:iso:3166#CH
                  kindresource
                    nameChElmObservationResultsLaboratoryMicrobiology
                      publisherFederal Office of Public Health FOPH
                        purpose
                          statusactive
                            titleCH ELM Observation Results for Microbiology studies (set)
                              typeObservation
                                urlhttp://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory-microbiology
                                  version1.15.11.16.0
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  Observation C0..*ChElmObservationResultsLaboratoryCH ELM Observation Results: Laboratory
                                  This profile also imposes the profile Observation Results: laboratory
                                  Constraints: ch-elm-interpretation-code-loinc, ch-elm-interpretation-code-snomedct, ch-elm-observation-profile-loinc, ch-elm-observation-profile-snomedct, ch-elm-expecting-organism-specification
                                  C0..*ChElmObservationResultsLaboratoryCH ELM Observation Results: Laboratory
                                  This profile also imposes the profile Observation Results: laboratory
                                  Constraints: ch-elm-interpretation-code-loinc, ch-elm-interpretation-code-snomedct, ch-elm-observation-profile-loinc, ch-elm-observation-profile-snomedct, ch-elm-expecting-organism-specification
                                    Observation.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                                      Observation.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                                        Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                                          Observation.language 0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.
                                          Additional BindingsPurpose
                                          ??Max Binding
                                          0..1codeLanguage of the resource content
                                          Binding: ?? (preferred): A human language.
                                          Additional BindingsPurpose
                                          ??Max Binding
                                            Observation.text 0..1NarrativeText summary of the resource, for human interpretation
                                            This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                            0..1NarrativeText summary of the resource, for human interpretation
                                            This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                              Observation.contained 0..*ResourceContained, inline Resources
                                              0..*ResourceContained, inline Resources
                                                Observation.Slices for extension 0..*ExtensionLaboratory Test Kit
                                                Slice: Unordered, Open by value:url
                                                0..*ExtensionLaboratory Test Kit
                                                Slice: Unordered, Open by value:url
                                                  Observation.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                                  This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                                    Observation.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                                    This element is included in summaries. 0..*IdentifierBusiness Identifier for observation
                                                      Observation.basedOn This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                      This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                        Observation.partOf This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                        This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                          Observation.status This element is a modifier element. This element is included in summaries. 1..1codeStatus of this observation (e.g. preliminary, final,...)
                                                          Binding: ?? (required): Codes providing the status of an observation.
                                                          Required Pattern: final (extensions allowed)
                                                          This element is a modifier element. This element is included in summaries. 1..1codeStatus of this observation (e.g. preliminary, final,...)
                                                          Binding: ?? (required): Codes providing the status of an observation.
                                                          Required Pattern: final (extensions allowed)
                                                            Observation.Slices for category 1..*CodeableConceptClassification of type of observation
                                                            Slice: Unordered, Open by value:$this
                                                            Binding: ?? (preferred): Codes for high level observation categories.
                                                            1..*CodeableConceptClassification of type of observation
                                                            Slice: Unordered, Open by value:$this
                                                            Binding: ?? (preferred): Codes for high level observation categories.
                                                              Observation.code This element is included in summaries. 1..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellType of observation (code / type)
                                                              Binding: ?? (extensible)
                                                              This element is included in summaries. 1..1??Type of observation (code / type)
                                                              Binding: ?? (extensible)
                                                                Observation.subject This element is included in summaries. 1..1Reference(CH ELM Patient)Who and/or what the observation is about This element is included in summaries. 1..1Reference(CH ELM Patient)Who and/or what the observation is about
                                                                • Type Mismatch: Reference([CanonicalType[http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient]]) vs Reference([CanonicalType[http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient]])
                                                                Observation.subject.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                  Observation.subject.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                  Slice: Unordered, Open by value:url
                                                                  0..*ExtensionAdditional content defined by implementations
                                                                  Slice: Unordered, Open by value:url
                                                                    Observation.subject.reference This element is included in summaries. C1..1stringLiteral reference, Relative, internal or absolute URL This element is included in summaries. C1..1stringLiteral reference, Relative, internal or absolute URL
                                                                      Observation.subject.type This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                                      This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                                        Observation.subject.identifier This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known
                                                                          Observation.subject.display This element is included in summaries. 0..1stringText alternative for the resource This element is included in summaries. 0..1stringText alternative for the resource
                                                                            Observation.focus This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                            This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                              Observation.encounter This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                                Observation.Slices for effective[x] This element is included in summaries. 1..1dateTimeClinically relevant time/time-period for observation
                                                                                Slice: Unordered, Closed by type:$this
                                                                                Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                                This element is included in summaries. 1..1dateTimeClinically relevant time/time-period for observation
                                                                                Slice: Unordered, Closed by type:$this
                                                                                Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                                  Observation.Slices for effective[x].id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                    Observation.Slices for effective[x].Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                    Slice: Unordered, Open by value:url
                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                    Slice: Unordered, Open by value:url
                                                                                      Observation.issued This element is included in summaries. 0..1instantDate/Time this result was made available This element is included in summaries. 0..1instantDate/Time this result was made available
                                                                                        Observation.performer This element is included in summaries. 1..1Reference(CH ELM Organization: Lab)Who is responsible for the observation
                                                                                        This element is included in summaries. 1..1Reference(CH ELM Organization: Lab)Who is responsible for the observation
                                                                                          Observation.performer.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                            Observation.performer.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                            Slice: Unordered, Open by value:url
                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                            Slice: Unordered, Open by value:url
                                                                                              Observation.performer.reference This element is included in summaries. C0..1stringLiteral reference, Relative, internal or absolute URL This element is included in summaries. C0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                                Observation.performer.type This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                                                                Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                                                                This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                                                                Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                                                                  Observation.performer.identifier This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known
                                                                                                    Observation.performer.display This element is included in summaries. 0..1stringText alternative for the resource This element is included in summaries. 0..1stringText alternative for the resource
                                                                                                      Observation.Slices for value[x] This element is included in summaries. C0..1string, Ratio, Quantity, CodeableConceptActual result
                                                                                                      Slice: Unordered, Closed by type:$this
                                                                                                      This element is included in summaries. C0..1string, Ratio, Quantity, CodeableConceptActual result
                                                                                                      Slice: Unordered, Closed by type:$this
                                                                                                        Observation.dataAbsentReason C0..1CodeableConceptsee also 'Guidance - Laboratory Result'
                                                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                        C0..1CodeableConceptsee also 'Guidance - Laboratory Result'
                                                                                                        Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                          Observation.interpretation 1..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellsee also 'Guidance - Laboratory Result'
                                                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                          1..1??see also 'Guidance - Laboratory Result'
                                                                                                          Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                            Observation.note 0..*AnnotationComments about the observation
                                                                                                            0..*AnnotationComments about the observation
                                                                                                              Observation.bodySite 0..1CodeableConceptObserved body part
                                                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                                                              0..1CodeableConceptObserved body part
                                                                                                              Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                                                                Observation.method 0..1CodeableConceptHow it was done
                                                                                                                Binding: ?? (preferred)
                                                                                                                0..1CodeableConceptHow it was done
                                                                                                                Binding: ?? (preferred)
                                                                                                                  Observation.specimen 1..1Reference(CH ELM Specimen: Laboratory)Specimen used for this observation1..1Reference(CH ELM Specimen: Laboratory)Specimen used for this observation
                                                                                                                    Observation.device 0..1Reference(Device | DeviceMetric)Measuring instrument0..1Reference(Device | DeviceMetric)Measuring instrument
                                                                                                                      Observation.referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                                                      C0..*BackboneElementProvides guide for interpretation
                                                                                                                        Observation.referenceRange.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                          Observation.referenceRange.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                            Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                            This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                              Observation.referenceRange.low C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellLow Range, if relevantC0..1??Low Range, if relevant
                                                                                                                                Observation.referenceRange.high C0..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellHigh Range, if relevantC0..1??High Range, if relevant
                                                                                                                                  Observation.referenceRange.type 0..1CodeableConceptReference range qualifier
                                                                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                                                  0..1CodeableConceptReference range qualifier
                                                                                                                                  Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                                                    Observation.referenceRange.appliesTo 0..*CodeableConceptReference range population
                                                                                                                                    Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                                                    0..*CodeableConceptReference range population
                                                                                                                                    Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                                                      Observation.referenceRange.age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                                                        Observation.referenceRange.text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                                                          Observation.hasMember This element is included in summaries. 0..*Reference(CH LAB-Report Observation Results: Laboratory Report)Related resource that belongs to the Observation group
                                                                                                                                          This element is included in summaries. 0..*Reference(CH LAB-Report Observation Results: Laboratory Report)Related resource that belongs to the Observation group
                                                                                                                                            Observation.derivedFrom This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                                                            This element is included in summaries. 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
                                                                                                                                              Observation.component This element is included in summaries. 0..*BackboneElementLaboratory result
                                                                                                                                              This element is included in summaries. 0..*BackboneElementLaboratory result
                                                                                                                                                Observation.component.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                  Observation.component.Slices for extension 0..*ExtensionExtension
                                                                                                                                                  Slice: Unordered, Open by value:url
                                                                                                                                                  0..*ExtensionExtension
                                                                                                                                                  Slice: Unordered, Open by value:url
                                                                                                                                                    Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                    This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                      Observation.component.code This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                                                      Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                                                                      This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                                                      Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                                                                        Observation.component.Slices for value[x] This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                                                        Slice: Unordered, Open by type:$this
                                                                                                                                                        This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                                                        Slice: Unordered, Open by type:$this
                                                                                                                                                          Observation.component.dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                                                                          Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                                                          C0..1CodeableConceptWhy the component result is missing
                                                                                                                                                          Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                                                            Observation.component.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                                                            Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                                                            0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                                                            Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                                                              Observation.component.referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                                                                              0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                                                                                doco Documentation for this format