Validation Results for HealthcareSurveysReporting

Generated Thu Jul 31 23:20:30 UTC 2025, FHIR version 4.0.1 for hl7.fhir.us.health-care-surveys-reporting#2.0.0-ballot (canonical = http://hl7.org/fhir/us/health-care-surveys-reporting (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.12
Publication Code:	health-care-surveys-reporting . PackageId = hl7.fhir.us.health-care-surveys-reporting, Canonical = http://hl7.org/fhir/us/health-care-surveys-reporting
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ Profiles: All OK
Language Info:	This IG has no language information
Publication Request:	package-id hl7.fhir.us.health-care-surveys-reporting version 2.0.0-ballot path http://hl7.org/fhir/us/health-care-surveys-reporting/2025Sep Pub-Mode working release status ballot Release-Label STU 2 - Ballot Sequence (Group) STU 2 (current: 'STU1 Release 1', others = 'STU 1') desc STU 2 for National Health Care Surveys, alignment with US Core 6.1.0 / USCDI V3.0 data elements RelatedIgs (None Found) Proposed path for this publication should usually be the canonical with the version or sequence appended and then some kind of label (typically '-snapshot')
Supressed Messages:	33 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.health-care-surveys-reporting 2.0.0-ballot R4 http://hl7.org/fhir/us/health-care-surveys-reporting hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.us.core 6.1.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU6.1 Latest Release is 8.0.0 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 6.5.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 Latest Release is 5.2.0 hl7.fhir.uv.bulkdata 2.0.0 M R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 hl7.fhir.uv.smart-app-launch 2.1.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2.1 Latest Release is 2.2.0 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 (as above). Latest Release is 6.5.0 us.nlm.vsac 0.11.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.23.0 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 ihe.formatcode.fhir 1.1.0 O R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.1.0 Latest Release is 1.4.0 hl7.fhir.us.ph-library 1.0.0 M R4 http://hl7.org/fhir/us/ph-library http://hl7.org/fhir/us/ph-library/STU1 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 (as above). Latest Release is 6.5.0 hl7.fhir.us.core 5.0.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU5.0.1 Latest Release is 8.0.0 hl7.terminology.r4 3.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/3.1.0 Latest Release is 6.5.0 hl7.fhir.uv.bulkdata 2.0.0 M R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 (as above) 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 0.7.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.23.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above) us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads (as above) us.nlm.vsac 0.11.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac (as above). Latest Release is 0.23.0 hl7.fhir.uv.extensions 1.0.0 O R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 FHIR Version Mismatch. Latest Release is 5.2.0 hl7.terminology.r5 5.0.0 O R5 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 FHIR Version Mismatch. Latest Release is 6.5.0 hl7.fhir.uv.smart-app-launch 2.2.0 M R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2.2 hl7.fhir.uv.extensions 5.1.0-snapshot1 O R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0-snapshot1 FHIR Version Mismatch. Latest Release is 5.2.0 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 6.5.0 hl7.terminology 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 6.5.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 (as above). Latest Release is 5.2.0 hl7.fhir.uv.subscriptions-backport.r4 1.1.0 M R4 http://hl7.org/fhir/uv/subscriptions-backport http://hl7.org/fhir/uv/subscriptions-backport/STU1.1 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 (as above). Latest Release is 6.5.0 hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) Templates: hl7.fhir.template#0.10.1 -> hl7.base.template#0.10.1 -> fhir.base.template#0.8.1. Tools: 0.7.1
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:	no Non-HL7 references found
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), Composition (56 uses), CommonLanguages (7 uses), CompositionStatus (1 uses), FHIRDocumentTypeCodes (1 uses), Device (24 uses), CompositionAttestationMode (1 uses), RelatedPerson (21 uses), Practitioner (23 uses), PractitionerRole (23 uses), Organization (23 uses), DocumentRelationshipType (1 uses), DocumentSectionCodes (18 uses), ListMode (18 uses), ListOrderCodes (18 uses), ListEmptyReasons (18 uses), QuestionnaireResponse (2 uses), CarePlan (2 uses), ImmunizationRecommendation (2 uses), MedicationRequest (4 uses), NutritionOrder (1 uses), ServiceRequest (2 uses), DiagnosticReportStatus (1 uses), DiagnosticServiceSectionCodes (1 uses), CareTeam (2 uses), Specimen (1 uses), ImagingStudy (1 uses), Media (1 uses), SNOMEDCTClinicalFindings (2 uses), MedicationAdministration (3 uses), Procedure (1 uses), MedicationAdministration Status Codes (1 uses), SNOMEDCTReasonMedicationNotGivenCodes (1 uses), MedicationAdministration Category Codes (1 uses), Medication (1 uses), SNOMEDCTMedicationCodes (1 uses), MedicationAdministration Performer Function Codes (1 uses), ReasonMedicationGivenCodes (1 uses), Condition (2 uses), DiagnosticReport (1 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (2 uses), SNOMEDCTRouteCodes (2 uses), SNOMEDCTAdministrationMethodCodes (2 uses), Provenance (2 uses), medicationrequest Status (1 uses), medicationRequest Status Reason Codes (1 uses), medicationRequest Intent (1 uses), medicationRequest Category Codes (2 uses), RequestPriority (10 uses), ProcedurePerformerRoleCodes (1 uses), medicationRequest Course of Therapy Codes (1 uses), Coverage (1 uses), ClaimResponse (1 uses), SNOMEDCTAdditionalDosageInstructions (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (1 uses), DoseAndRateType (1 uses), UCUMCodes (1 uses), Common UCUM units (1 uses), DetectedIssue (1 uses), PlanDefinition (21 uses), PlanDefinitionType (1 uses), Group (24 uses), SubjectType (24 uses), DefinitionTopic (1 uses), Library (1 uses), GoalCategory (1 uses), GoalPriority (1 uses), GoalStartEvent (1 uses), Condition/Problem/DiagnosisCodes (1 uses), LOINCCodes (1 uses), TriggerType (6 uses), Schedule (6 uses), ActionConditionKind (8 uses), Shareable PlanDefinition (24 uses), SortDirection (14 uses), ActionRelationshipType (8 uses), ActionParticipantType (8 uses), ActionParticipantRole (8 uses), ActionType (8 uses), ActionGroupingBehavior (8 uses), ActionSelectionBehavior (8 uses), ActionRequiredBehavior (8 uses), ActionPrecheckBehavior (8 uses), ActionCardinalityBehavior (8 uses), ActivityDefinition (8 uses), Questionnaire (8 uses), StructureMap (8 uses), ExpressionLanguage (2 uses) hl7.fhir.us.ph-library#1.0.0: USPublicHealthDataEncryptionAlgorithmExtension (2 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (16 uses), TypeMustSupport (20 uses) hl7.fhir.uv.subscriptions-backport.r4#1.1.0: SubscriptionsR5Backport (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.0.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 0, warn = 0, info = 0, broken links = 0, pinned = 24 (when multiples). Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

01 US Core 6.1.0 is the version that is cited in regulation for 2026, the next release of the National Health Care Surveys will move to the next cited release of US Core

• WARNING: ImplementationGuide/hl7.fhir.us.health-care-surveys-reporting: ImplementationGuide.dependsOn[1]: The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 8.0.0. This reference is getting old and the more recent version should be considered (1 uses)

02 Inherited from US Core Slicing

• INFORMATION: StructureDefinition/hcs-diagnosticreport: StructureDefinition.snapshot.element[12].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)
• INFORMATION: StructureDefinition/hcs-medicationrequest: StructureDefinition.snapshot.element[13].slicing.discriminator[0]: The discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing) (1 uses)

03 These are the correct pinned versions

• INFORMATION: StructureDefinition.baseDefinition: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.baseDefinition: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[17].type[0].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[18].type[0].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[0].constraint[5].source: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[0].constraint[5].source: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[13].binding.valueSet: Pinned the version of http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[17].type[1].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[17].type[1].targetProfile[1]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[17].type[1].targetProfile[2]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[17].type[1].targetProfile[3]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[17].type[1].targetProfile[4]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[18].type[1].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[23].type[0].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[23].type[0].targetProfile[1]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[23].type[0].targetProfile[2]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[23].type[0].targetProfile[3]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[23].type[0].targetProfile[4]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[27].binding.valueSet: Pinned the version of http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[37].binding.valueSet: Pinned the version of http://terminology.hl7.org/ValueSet/v3-ActCode to 3.0.0 from choices of 2.0.0 (hl7.terminology.r4#3.1.0), 3.0.0 (hl7.terminology.r4#6.5.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[78].binding.valueSet: Pinned the version of http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode to 3.0.0 from choices of 2.0.0 (hl7.terminology.r4#3.1.0), 3.0.0 (hl7.terminology.r4#6.5.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[79].binding.valueSet: Pinned the version of http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason to 3.0.0 from choices of 2.0.0 (hl7.terminology.r4#3.1.0), 3.0.0 (hl7.terminology.r4#6.5.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[80].type[0].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[81].type[0].targetProfile[0]: Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis to 6.1.0 from choices of 5.0.1 (hl7.fhir.us.core#5.0.1), 6.1.0 (hl7.fhir.us.core#6.1.0) (1 uses)

04 US PH MessageHeader defines two extensions slices - examples have optional extension that are not defined in the profile - not matching is expected behavior

• INFORMATION: Bundle/healthcare-surveys-reporting-bundle: Bundle.entry[0].resource/*MessageHeader/messageheader-example-reportheader*/.extension[1]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-messageheader|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: MessageHeader/messageheader-example-reportheader: MessageHeader.extension[1]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-messageheader|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

05 The binding for PlanDefinition.action.action.condition.expression.language includes IETF BCP 13 (MIME-type registry).

• A definition could not be found for Canonical URL 'http://www.rfc-editor.org/bcp/bcp13.txt' (2 uses)

06 Inherited through Composition Parent Composition.language - Composition.language element binding in FHIR R4 with HL7 Terminology 5.2.0 contains the deprecated extension

• INFORMATION: StructureDefinition/hcs-composition: StructureDefinition.snapshot.element[4].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)

07 The hcs-reporting-bundle profile slices Bundle.entry[] into two named slices (MessageHeader and contentBundle) but leaves the slice group OPEN.Entries 2 (Organization) and 3 (Endpoint) are intentionally outside the named slices; this is permitted by the profile.

• INFORMATION: Bundle/healthcare-surveys-reporting-bundle: Bundle.entry[2]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/health-care-surveys-reporting/StructureDefinition/hcs-reporting-bundle|2.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/healthcare-surveys-reporting-bundle: Bundle.entry[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/health-care-surveys-reporting/StructureDefinition/hcs-reporting-bundle|2.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

Errors sorted by type