Validation Results for USCore

Generated Wed May 08 16:19:13 UTC 2024, FHIR version 4.0.1 for hl7.fhir.us.core#7.0.0 (canonical = http://hl7.org/fhir/us/core (history)). See Full QA Report

Quality Checks
Publisher Version:	IG Publisher Version: v1.6.6
Publication Code:	core . PackageId = hl7.fhir.us.core, Canonical = http://hl7.org/fhir/us/core
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ Profiles: All OK
Publication Request:	package-id hl7.fhir.us.core version 7.0.0 path http://hl7.org/fhir/us/core/STU7 Pub-Mode milestone status trial-use Release-Label STU7 sequence STU7 desc The changes in this annual update to US Core have been reviewed and commented upon by the public through the January 2024 HL7 balloting process. The HL7 International Cross-Group Projects work group members have agreed to and voted on the resolution of the community comments. For a detailed list of the changes for this version, see the Change Notes: http://hl7.org/fhir/us/core/STU7/changes.html. descmd The changes in this annual update to US Core have been reviewed and commented upon by the public through the January 2024 HL7 balloting process. The HL7 International Cross-Group Projects work group members have agreed to and voted on the resolution of the community comments. For a detailed list of the changes for this version, see the Change Notes. changes changes.html No Messages found - all good
Supressed Messages:	63 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.core 7.0.0 R4 http://hl7.org/fhir/us/core hl7.terminology.r4 5.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 hl7.fhir.uv.smart-app-launch 2.0.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2 Latest Release is 2.2.0 us.nlm.vsac 0.18.0 M R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 hl7.fhir.r4.examples 4.0.1 O R4 http://hl7.org/fhir http://hl7.org/fhir/R4 Latest Release is 5.0.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads hl7.fhir.uv.extensions 5.1.0-cibuild V R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0-snapshot1 FHIR Version Mismatch hl7.terminology.r5 5.3.0 O R5 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 FHIR Version Mismatch. Latest Release is 5.5.0 Templates: hl7.fhir.template#current -> hl7.base.template#current -> fhir.base.template#current. Tools: 0.1.0
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4 (details)
HTA Analysis:	All OK
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (17 uses), Ordinal Value (54 uses), FHIR Defined Concept Properties (1 uses), observation-vitalsigns (83 uses), CommonLanguages (55 uses), CarePlan (37 uses), DeviceRequest (26 uses), ImmunizationRecommendation (30 uses), MedicationRequest (32 uses), NutritionOrder (29 uses), ServiceRequest (37 uses), MedicationAdministration (26 uses), MedicationDispense (27 uses), MedicationStatement (26 uses), Procedure (31 uses), Immunization (27 uses), ImagingStudy (54 uses), ObservationCategoryCodes (46 uses), Encounter (30 uses), Practitioner (55 uses), PractitionerRole (60 uses), Organization (65 uses), CareTeam (33 uses), RelatedPerson (47 uses), VitalSignsUnits (43 uses), SNOMEDCTBodyStructures (31 uses), ObservationMethods (25 uses), Specimen (29 uses), Device (68 uses), DeviceMetric (25 uses), ObservationReferenceRangeMeaningCodes (25 uses), ObservationReferenceRangeAppliesToCodes (25 uses), QuestionnaireResponse (52 uses), MolecularSequence (53 uses), DocumentReference (29 uses), Media (29 uses), AllergyIntolerance (3 uses), AllergyIntoleranceClinicalStatusCodes (2 uses), AllergyIntoleranceVerificationStatusCodes (2 uses), AllergyIntoleranceType (1 uses), AllergyIntoleranceCategory (1 uses), AllergyIntoleranceCriticality (1 uses), SubstanceCode (1 uses), SNOMEDCTClinicalFindings (7 uses), AllergyIntoleranceSeverity (1 uses), SNOMEDCTRouteCodes (3 uses), LOINCCodes (25 uses), BodyLengthUnits (4 uses), BodyTemperatureUnits (2 uses), BodyWeightUnits (2 uses), PlanDefinition (4 uses), Questionnaire (3 uses), Measure (3 uses), ActivityDefinition (4 uses), RequestStatus (3 uses), CarePlanIntent (2 uses), CarePlanCategory (2 uses), Group (35 uses), Condition (22 uses), Goal (4 uses), CarePlanActivityOutcome (1 uses), Appointment (2 uses), CommunicationRequest (1 uses), Task (1 uses), VisionPrescription (1 uses), RequestGroup (1 uses), CarePlanActivityKind (1 uses), ProcedureCodes(SNOMEDCT) (1 uses), DiagnosticReport (9 uses), CarePlanActivityStatus (1 uses), Location (11 uses), HealthcareService (3 uses), Medication (4 uses), Substance (7 uses), SNOMEDCTMedicationCodes (1 uses), CareTeamStatus (2 uses), CareTeamCategory (1 uses), ConditionClinicalStatusCodes (4 uses), ConditionVerificationStatus (4 uses), ConditionCategoryCodes (3 uses), Condition/DiagnosisSeverity (2 uses), ConditionStage (2 uses), ClinicalImpression (2 uses), ConditionStageType (2 uses), ManifestationAndSymptomCodes (2 uses), CommonTags (4 uses), Coverage (3 uses), FinancialResourceStatusCodes (1 uses), SubscriberRelationshipCodes (2 uses), CoverageClassCodes (3 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), DiagnosticReportStatus (4 uses), DiagnosticServiceSectionCodes (3 uses), DocumentReferenceStatus (2 uses), CompositionStatus (1 uses), DocumentRelationshipType (1 uses), EncounterStatus (2 uses), ServiceType (1 uses), EpisodeOfCare (3 uses), ParticipantType (1 uses), EncounterReasonCodes (1 uses), DiagnosisRole (1 uses), Account (1 uses), AdmitSource (1 uses), Diet (1 uses), SpecialCourtesy (1 uses), SpecialArrangements (1 uses), EncounterLocationStatus (1 uses), LocationType (2 uses), GoalLifecycleStatus (2 uses), GoalAchievementStatus (1 uses), GoalCategory (1 uses), GoalPriority (1 uses), GoalStartEvent (1 uses), RiskAssessment (1 uses), ImmunizationStatusCodes (2 uses), ImmunizationStatusReasonCodes (2 uses), ImmunizationOriginCodes (1 uses), CodesForImmunizationSiteOfAdministration (1 uses), ImmunizationRouteCodes (1 uses), ImmunizationFunctionCodes (1 uses), ImmunizationReasonCodes (1 uses), ImmunizationSubpotentReason (1 uses), ImmunizationProgramEligibility (1 uses), ImmunizationFundingSource (1 uses), ImmunizationTargetDiseaseCodes (1 uses), DeviceDefinition (1 uses), UDIEntryType (1 uses), FHIRDeviceStatus (1 uses), FHIRDeviceStatusReason (1 uses), DeviceNameType (1 uses), FHIRDeviceTypes (3 uses), LocationStatus (1 uses), LocationMode (1 uses), Endpoint (3 uses), Medication Status Codes (1 uses), SNOMEDCTFormCodes (1 uses), MedicationDispense Status Codes (1 uses), DetectedIssue (3 uses), MedicationDispense Status Reason Codes (1 uses), MedicationDispense Category Codes (1 uses), MedicationDispense Performer Function Codes (1 uses), UCUMCodes (6 uses), Common UCUM units (6 uses), SNOMEDCTAdditionalDosageInstructions (2 uses), SNOMEDCTMedicationAsNeededReasonCodes (3 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (2 uses), SNOMEDCTAdministrationMethodCodes (2 uses), DoseAndRateType (2 uses), Provenance (5 uses), medicationrequest Status (2 uses), medicationRequest Status Reason Codes (1 uses), medicationRequest Intent (2 uses), medicationRequest Category Codes (3 uses), RequestPriority (2 uses), ProcedurePerformerRoleCodes (2 uses), medicationRequest Course of Therapy Codes (1 uses), ClaimResponse (2 uses), OrganizationType (1 uses), ContactEntityType (1 uses), EventStatus (2 uses), ProcedureCategoryCodes(SNOMEDCT) (1 uses), ProcedureOutcomeCodes(SNOMEDCT) (1 uses), Composition (1 uses), Condition/Problem/DiagnosisCodes (1 uses), ProcedureFollowUpCodes(SNOMEDCT) (1 uses), ProcedureDeviceActionCodes (1 uses), ProvenanceActivityType (1 uses), SecurityRoleType (3 uses), ProvenanceParticipantType (2 uses), ProvenanceEntityRole (1 uses), regex (1 uses), QuestionnaireResponseStatus (1 uses), QuestionnaireAnswerCodes (1 uses), PatientRelationshipType (2 uses), SpecimenStatus (1 uses), FHIRSpecimenCollectionMethod (1 uses), SpecimenProcessingProcedure (1 uses), SpecimenContainerType (1 uses), NarrativeStatus (1 uses), Value Set Expansion (2 uses), clinical-status (1 uses), patient (14 uses), category (1 uses), date (6 uses), status (1 uses), status (1 uses), abatement-date (1 uses), category (1 uses), clinical-status (1 uses), code (5 uses), encounter (1 uses), _lastUpdated (4 uses), onset-date (1 uses), recorded-date (1 uses), patient (1 uses), patient (1 uses), status (1 uses), type (1 uses), category (1 uses), status (1 uses), category (1 uses), date (1 uses), _id (8 uses), period (1 uses), status (1 uses), type (2 uses), class (1 uses), identifier (1 uses), location (1 uses), status (1 uses), lifecycle-status (1 uses), target-date (1 uses), status (1 uses), address-city (1 uses), address-postalcode (1 uses), address-state (1 uses), address (1 uses), name (1 uses), status (2 uses), type (1 uses), authoredon (1 uses), encounter (1 uses), intent (1 uses), category (1 uses), status (1 uses), address (1 uses), name (1 uses), birthdate (1 uses), death-date (1 uses), family (1 uses), gender (1 uses), given (1 uses), identifier (1 uses), name (1 uses), identifier (1 uses), name (1 uses), practitioner (1 uses), specialty (1 uses), status (1 uses), authored (1 uses), patient (1 uses), questionnaire (1 uses), status (1 uses), name (1 uses), patient (1 uses), authored (1 uses), category (1 uses), status (1 uses), patient (1 uses), RequestIntent (1 uses), ServiceRequestCategoryCodes (2 uses), ServiceRequestOrderDetailsCodes (1 uses), ParticipantRoles (1 uses) hl7.fhir.uv.extensions#5.1.0-cibuild: TargetElement (1 uses), SDStatusDerivation (420 uses), TypeMustSupport (458 uses) hl7.fhir.uv.sdc#3.0.0: StructuredDataCapture (1 uses), SDCBaseQuestionnaire (15 uses), SDCQuestionnaireResponse (3 uses), ItemMedia (1 uses), ItemAnswerMedia (1 uses) hl7.fhir.uv.tools#0.1.0: ResourceSortExt (424 uses) hl7.terminology.r4#5.5.0: ObservationCategoryCodes (164 uses), EndpointConnectionType (2 uses), UsageContextType (1 uses), AllergyIntoleranceClinicalStatusCodes (3 uses), AllergyIntoleranceVerificationStatus (3 uses), ProvenanceParticipantType (5 uses), ConditionVerificationStatus (5 uses), ConditionCategoryCodes (8 uses), SubscriberRelationshipCodes (1 uses), CoverageClassCodes (6 uses), OrganizationType (4 uses), ObservationReferenceRangeMeaningCodes (17 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 6.1.0 Comparison with version 5.0.1 Comparison with version 4.0.0 Comparison with version 3.1.1
IPA Comparison:	n/a
IPS Comparison:	n/a
Narratives Suppressed	Bundle/docref-example-1, Bundle/docref-example-2, DocumentReference/discharge-summary, Patient/example-targeted-provenance, Provenance/example-targeted-provenance
Summary:	errors = 5, warn = 0, info = 0, broken links = 1

n/a Show Validation Information

C:\temp\hl7.fhir.us.core#7.0.0\input\examples\observation-satO2-fiO2.json Show Validation Information (2)

C:\temp\hl7.fhir.us.core#7.0.0\input\resources\StructureDefinition-us-core-vital-signs.json Show Validation Information (1)

C:\temp\hl7.fhir.us.core#7.0.0\input\resources\ValueSet-simple-language.json Show Validation Information (1)

C:\temp\hl7.fhir.us.core#7.0.0\fsh-generated\resources\ImplementationGuide-hl7.fhir.us.core.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

=== Added this STU NOTE: This profile is technically non-conformant with the base FHIR ver 4.0.1 vitals profile which defines a required binding that excludes the concept for L/min for Observation.component.value(x). This is a known issue and it means validation errors may occur when validating against this version of the US Core Pulse Oximetry Profile. This has been corrected in base FHIR ver 4.3.0 (“Release 4B”) which will correct this error when this guide is based a newer version of FHIR. ===

• ERROR: Observation/satO2-fiO2: Observation.component[0].value.ofType(Quantity): The code provided (http://unitsofmeasure.org#L/min) was not found in the value set 'Vital Signs Units' (http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1), and a code from this value set is required: The provided code 'http://unitsofmeasure.org#L/min' was not found in the value set 'http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1' (1 uses)
• ERROR: US Core Vital Signs Profile.Observation.component.value[x]: illegal attempt to change the binding on Observation.component.value[x] from required to extensible (1 uses)

=== Code System not recognized due to AHA NUBC Patient Discharge Status Codes IP issues, these codes were checked manually (updated text from 7.0.0)===

• INFORMATION: Encounter/1036: Encounter.hospitalization.dischargeDisposition.coding[0].system: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the code cannot be validated (1 uses)
• WARNING: Encounter/1036: Encounter.hospitalization.dischargeDisposition: A definition for CodeSystem 'https://www.nubc.org/CodeSystem/PatDischargeStatus' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition|7.0.0' because the code system https://www.nubc.org/CodeSystem/PatDischargeStatus was not found (1 uses)
• WARNING: Encounter/1036: Encounter.hospitalization.dischargeDisposition: Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition|7.0.0' because the code system https://www.nubc.org/CodeSystem/PatDischargeStatus was not found (1 uses)
• WARNING: ValueSet.where(id = 'us-core-discharge-disposition'): Error from http://tx.fhir.org/r4: Unable to provide support for code system https://www.nubc.org/CodeSystem/PatDischargeStatus (1 uses)

=== Code from extensibly bound to NUCC for US Core and not from base FHIR preferred c80-practice-codes valueset (1)===

• None of the codings provided are in the value set 'Practice Setting Code Value Set' (http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1), and a coding is recommended to come from this value set) (codes = http://nucc.org/provider-taxonomy#208D00000X) (1 uses)

=== Examples provided in Bundle (e.g. PractitionerRole_Practitioner_Endpoint_Bundle_Example, Allergyintolerance Provenance Example) (2)===

• INFORMATION: StructureDefinition.where(url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)

=== In this example, representing the concept clearly with a human readable annotations {pack-years} is not misleading. It clearly illustrates how to use the Observation with the code and is a clinical need that outweighs the concerns about using the annotation. new in ver 7.0.0 ===

• WARNING: Observation/pack-years-example: Observation.value.ofType(Quantity): UCUM Codes that contain human readable annotations like {pack-years} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked (1 uses)

=== Several examples derived from this profile are provided in this guide (1) ===

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs'): The Implementation Guide contains no examples for this profile (1 uses)

=== The 'no-narrative' parameter is used for these resources instances because they are displayed as inline json examples for transaction and the narrative degrades human readability ===

• WARNING: Bundle/docref-example-1: Bundle.entry[0].resource/*DocumentReference/ccd123*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Bundle/docref-example-2: Bundle.entry[0].resource/*DocumentReference/procedure-note123*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Bundle/docref-example-2: Bundle.entry[1].resource/*DocumentReference/procedure-note456*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Bundle/docref-example-2: Bundle.entry[2].resource/*DocumentReference/discharge*/: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: DocumentReference/discharge-summary: DocumentReference: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Patient/example-targeted-provenance: Patient: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Provenance/example-targeted-provenance: Provenance: Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)

=== The US Core Observation Profile are based on US Vendor and Community input and decided that the `Observation.performer` element is optional for Many Observation profiles. ===

• Best Practice Recommendation: In general, all observations should have a performer (59 uses)

=== The following comment is understood and acknowledged. In some cases it inherits binding from core and A change request to correct this has been applied to the base FHIR ver 4.3.0 (“Release 4B”) to clarify the binding applies to the Quantity data type. Will need to slice value[x] in future ===

• INFORMATION: StructureDefinition/us-core-vital-signs: StructureDefinition.differential.element[14].binding: The element Observation.component.value[x] has a binding, and has multiple types subject to bindings ([dateTime, boolean, string, SampledData, Quantity, Period, Ratio, integer, time, Range, CodeableConcept]). The binding will apply to all the types (1 uses)
• The element Observation.value[x] has a binding, and has multiple types subject to bindings ([dateTime, boolean, string, SampledData, Quantity, Period, Ratio, integer, time, Range, CodeableConcept]). The binding will apply to all the types (1 uses)

=== These Examples demonstrate use of additional Codes or Identifiers not defined in US Core profiles Updated from 7.0.0-ballot ===

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure|7.0.0 (1 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|7.0.0 (2 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0 (4 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance|7.0.0 (1 uses)
• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry|7.0.0 (1 uses)

=== These errors awaiting updates to the terminology and extension dependencies or IG publisher to resolve. new in ver 7.0.0 ===

• ERROR: ImplementationGuide/hl7.fhir.us.core: ImplementationGuide.definition.extension[161].extension[0].value.ofType(code): The value provided ('auto-oid-root') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'auto-oid-root' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0'; The provided code '#auto-oid-root' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0') (1 uses)
• ERROR: ImplementationGuide/hl7.fhir.us.core: ImplementationGuide.definition.extension[81].extension[0].value.ofType(string): The value provided ('auto-oid-root') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'auto-oid-root' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0'; The provided code '#auto-oid-root' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0') (1 uses)

=== These questionnaires are created using NLM tooling based on LOINC LFORMs. They use standard FHIR Questionnaire Extensions that "extend" the base SDC profile ===

• This element does not match any known slice defined in the profile http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|3.0.0 (14 uses)

=== This Search Parameter expression `Goal.target.due as date` is inherited from the FHIR base. This is a legitimate warning and in R5 the expression has been udpated to `(Goal.target.due.ofType(date))`. Since US Core inherits from the FHIR R4 base this warning is acknowledged as an issue with the base specification. ===

• WARNING: SearchParameter/us-core-goal-target-date: SearchParameter.expression: The left side is inherently a collection, and so the expression 'Goal.target.due as date' may fail or return false if there is more than one item in the content being evaluated (1 uses)

=== US Core Goal Description Binding is extensible which allow for text only and guidance to use free text for Goal.description is given in the US Core Goal Implementation Guidance (1). There are 2 Goal examples, Goal/goal-sdoh-2 uses a code this one does not. ===

• No code provided, and a code should be provided from the value set 'US Core Goal Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0) (1 uses)

=== Using standard extension capabilitystatement-expectation for CapabilityStatement in additional contexts to fully express intended capabilities: see FHIR-12419 (115) (updated text from 7.0.0-ballot) ===

• This element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination|5.1.0-cibuild (this may not be a problem, but you should check that it's not intended to match a slice) (142 uses)

=== Using the extension US Core Extension Questionnaire URI pointing to a pdf form of the Questionnaire for this example. Regarding the message: "No questionnaire is identified, so no validation can be performed against the base questionnaire" ===

• INFORMATION: QuestionnaireResponse/glascow-coma-score: QuestionnaireResponse: No questionnaire is identified, so no validation can be performed against the base questionnaire (1 uses)

=== these CodeSystems and ValueSets are in FHIR Core/THO and not under the direct control of US Core editors (updated text from 7.0.0) ===

• Reference to draft CodeSystem http://hl7.org/fhir/narrative-status|4.0.1 (1 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category|1.0.0 (5 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/coverage-class|1.0.0 (4 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|1.0.0 (55 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/organization-type|2.0.0 (4 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/provenance-participant-type|1.0.0 (5 uses)
• Reference to draft CodeSystem urn:iso:std:iso:11073:10101|2023-04-26 (1 uses)

==== The US Core Team is aware of this and will budget accordingly in a future publication cycle ===

• Most code systems defined in HL7 IGs will need to move to THO later during the process. Consider giving this code system a THO URL now (See https://confluence.hl7.org/display/TSMG/Terminology+Play+Book, and/or talk to TSMG) (5 uses)

==== The following code system are not discoverable because they are code systems in THO, but THO doesn't define the codes. They have been checked and the identifiers are correct (updated text from 7.0.0) ===========

• INFORMATION: Bundle/66c8856b-ba11-4876-8aa8-467aad8c11a2: Bundle.entry[1].resource/*Practitioner/Practitioner-1011*/.qualification[0].code.coding[0].system: A definition for CodeSystem 'http://example.org/michigan.gov/lara/license-type' could not be found, so the code cannot be validated (1 uses)
• WARNING: Observation/observation-occupation-industry-unknown: Observation.value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated (1 uses)
• WARNING: Observation/observation-occupation-industry-unknown: Observation.value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation-industry-unknown: Observation.value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation-unknown: Observation.component[0].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated (1 uses)
• WARNING: Observation/observation-occupation-unknown: Observation.component[0].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation-unknown: Observation.component[0].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation: Observation.component[0].value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated (1 uses)
• WARNING: Observation/observation-occupation: Observation.component[0].value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation: Observation.component[0].value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation: Observation.value.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated (1 uses)
• WARNING: Observation/observation-occupation: Observation.value.ofType(CodeableConcept): A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)
• WARNING: Observation/observation-occupation: Observation.value.ofType(CodeableConcept): Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901|1' because the code system http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH was not found (1 uses)

==== The following content is inherited from the base standard and cannot be changed ====

• The markdown contains content that appears to be an embedded HTML tag starting at 'Th'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour (1 uses)
• The string value contains text that looks like embedded HTML tags. If this content is rendered to HTML without appropriate post-processing, it may be a security risk (1 uses)

==== The pattern is set in a repeating slice. The pattern is expected to hold for all repetitions of that slice. (It's fixing the 'system' for the identifier.) ====

• INFORMATION: StructureDefinition/us-core-organization: StructureDefinition.snapshot.element[18].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
• INFORMATION: StructureDefinition/us-core-organization: StructureDefinition.snapshot.element[19].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
• INFORMATION: StructureDefinition/us-core-organization: StructureDefinition.snapshot.element[20].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)
• INFORMATION: StructureDefinition/us-core-practitioner: StructureDefinition.snapshot.element[18].pattern.ofType(Identifier): The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (1 uses)

==== The self link for these searchset bundle is to the $docref operation and not a search ====

• No types could be determined from the search string, so the types can''t be checked (2 uses)

==== This is a known issue with the terminology service - there is no timeline for their resolution ===

• ERROR: ValueSet.where(id = 'simple-language'): Error from http://tx.fhir.org/r4: Language valuesets cannot be expanded as they are based on a grammar (1 uses)

==== Understood and note the this is rendered by the ig-publisher in the ig as well =====

• The value set expansion is too large, and only a subset has been displayed (4 uses)

====FHIR R4 http://hl7.org/fhir/ValueSet/formatcodes is in error which is has been corrected in the FHIR R5. The guide is referencing the "HL7 ValueSet of Format Codes for use with Document Sharing" that is used in R5 (updated text from 7.0.0) ===

• INFORMATION: Bundle/docref-example-1: Bundle.entry[0].resource/*DocumentReference/ccd123*/.content[0].format: The Coding provided (http://terminology.hl7.org/CodeSystem/v3-HL7DocumentFormatCodes#urn:hl7-org:sdwg:ccda-structuredBody:2.1) was not found in the value set 'DocumentReference Format Code Set' (http://hl7.org/fhir/ValueSet/formatcodes|4.0.1), and a code is recommended to come from this value set. (error message = The provided code 'http://terminology.hl7.org/CodeSystem/v3-HL7DocumentFormatCodes#urn:hl7-org:sdwg:ccda-structuredBody:2.1: 'ccda-structuredBody:2.1'' was not found in the value set 'http://hl7.org/fhir/ValueSet/formatcodes|4.0.1') (1 uses)

Errors sorted by type

Terminology_TX_Confirm_4a

Terminology_TX_NoValid_16