Validation Results for PACIOPersonalFunctioningAndEngagementImplementationGuide

Generated Wed Jul 23 17:33:06 UTC 2025, FHIR version 4.0.1 for hl7.fhir.us.pacio-pfe#2.0.0 (canonical = http://hl7.org/fhir/us/pacio-pfe (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.11
Publication Code:	pacio-pfe . PackageId = hl7.fhir.us.pacio-pfe, Canonical = http://hl7.org/fhir/us/pacio-pfe
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.pacio-pfe version 2.0.0 path http://hl7.org/fhir/us/pacio-pfe/STU2 Pub-Mode milestone status trial-use Release-Label STU 2 Sequence (Group) STU 2 (current: 'STU 1', others = 'STU 2') desc Personal Functioning and Engagement STU2 descmd Personal Functioning and Engagement STU2 changes change_log.html RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	26 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.pacio-pfe 2.0.0 R4 http://hl7.org/fhir/us/pacio-pfe 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 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) 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.sdoh-clinicalcare 2.2.0 O R4 http://hl7.org/fhir/us/sdoh-clinicalcare http://hl7.org/fhir/us/sdoh-clinicalcare/STU2.2 Latest Release is 2.3.0 hl7.terminology.r4 6.0.2 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 Latest Release is 6.5.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 Latest Release is 5.2.0 hl7.fhir.us.core 3.1.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU3.1.1 Latest Release is 8.0.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above) 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 us.nlm.vsac 0.19.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.23.0 Templates: hl7.fhir.template#current -> hl7.base.template#current -> fhir.base.template#current. Tools: 0.7.0
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	https://tx.fhir.org/r4 (details)
HTA Analysis:	All OK
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), CommonLanguages (11 uses), CarePlan (6 uses), DeviceRequest (3 uses), ImmunizationRecommendation (5 uses), MedicationRequest (6 uses), NutritionOrder (8 uses), ServiceRequest (11 uses), MedicationAdministration (3 uses), MedicationDispense (3 uses), MedicationStatement (4 uses), Procedure (4 uses), Immunization (3 uses), ImagingStudy (6 uses), ObservationCategoryCodes (3 uses), LOINCCodes (7 uses), Encounter (6 uses), SNOMEDCTBodyStructures (7 uses), Specimen (6 uses), Device (6 uses), DeviceMetric (3 uses), ObservationReferenceRangeMeaningCodes (3 uses), ObservationReferenceRangeAppliesToCodes (3 uses), Condition (13 uses), ConditionClinicalStatusCodes (2 uses), ConditionVerificationStatus (2 uses), ConditionCategoryCodes (3 uses), Condition/DiagnosisSeverity (2 uses), Practitioner (10 uses), PractitionerRole (11 uses), RelatedPerson (7 uses), ConditionStage (2 uses), ClinicalImpression (2 uses), DiagnosticReport (4 uses), ConditionStageType (2 uses), ManifestationAndSymptomCodes (2 uses), DiagnosticReportStatus (2 uses), DiagnosticServiceSectionCodes (2 uses), Organization (3 uses), CareTeam (3 uses), Media (4 uses), SNOMEDCTClinicalFindings (3 uses), GoalLifecycleStatus (1 uses), GoalAchievementStatus (2 uses), GoalCategory (1 uses), GoalPriority (1 uses), GoalStartEvent (1 uses), Goal (1 uses), RiskAssessment (1 uses), ActivityDefinition (2 uses), PlanDefinition (2 uses), RequestStatus (2 uses), RequestIntent (2 uses), AllergyIntolerance (1 uses), Diet (1 uses), FoodTypeCodes (1 uses), DietCodes (1 uses), NutrientModifierCodes (1 uses), TextureModifierCodes (1 uses), TextureModifiedFoodTypeCodes (1 uses), FluidConsistencyTypeCodes (1 uses), SupplementTypeCodes (1 uses), EnteralFormulaTypeCodes (1 uses), EnteralFormulaAdditiveTypeCode (1 uses), EnteralRouteCodes (1 uses), QuestionnaireResponse (4 uses), MolecularSequence (3 uses), DocumentReference (4 uses), ServiceRequestCategoryCodes (1 uses), RequestPriority (1 uses), ServiceRequestOrderDetailsCodes (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (1 uses), ParticipantRoles (1 uses), HealthcareService (1 uses), Location (1 uses), Coverage (1 uses), ClaimResponse (1 uses), Provenance (1 uses), DeviceUseStatement (1 uses), DeviceUseStatementStatus (1 uses), Claim (1 uses), date (2 uses), combo-data-absent-reason (1 uses), code (4 uses), combo-code-value-quantity (1 uses), subject (1 uses), component-data-absent-reason (1 uses), value-concept (1 uses), value-date (1 uses), code-value-string (1 uses), component-code-value-quantity (1 uses), based-on (1 uses), code-value-date (1 uses), patient (7 uses), specimen (1 uses), component-code (1 uses), code-value-quantity (1 uses), combo-code-value-concept (1 uses), value-string (1 uses), identifier (6 uses), performer (1 uses), combo-code (1 uses), method (1 uses), value-quantity (1 uses), component-value-quantity (1 uses), data-absent-reason (1 uses), combo-value-quantity (1 uses), encounter (4 uses), code-value-concept (1 uses), component-code-value-concept (1 uses), component-value-concept (1 uses), category (1 uses), device (1 uses), combo-value-concept (1 uses), status (1 uses), category (1 uses), status (1 uses), identifier (1 uses), subject (1 uses), device (1 uses), clinical-status (1 uses), abatement-date (1 uses), onset-date (1 uses), recorded-date (2 uses), subject (1 uses), body-site (1 uses), asserter (1 uses), subject (1 uses), target-date (1 uses), lifecycle-status (1 uses), achievement-status (1 uses), status (1 uses), subject (1 uses), status (1 uses), category (1 uses), authored (1 uses), requester (1 uses), performer (1 uses), _content (1 uses), _id (1 uses), _lastUpdated (1 uses), _security (1 uses), _text (1 uses), _query (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (82 uses), SDTypeCharacteristics (1 uses), TypeMustSupport (45 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 2.0.0-ballot
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 = n/a. Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

Confirmed that this information message should be suppressed. (Zulip stream: https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/Questionnaire.20could.20not.20be.20resolved)

• The questionnaire 'http://example.org/Questionnaire/MDS3.0-NC-1.17' could not be resolved, so no validation can be performed against the base questionnaire (8 uses)

For information only. The PFE IG defines this value set using the ICF code system defined by the WHO. We don't have control over the large number of codes in the ICF.

• The value set expansion is too large, and only a subset has been displayed (1 uses)

The US Core 6.1.0 Observation profile only allows type='pattern' for category slices, so we can't use type='value'

• 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) (8 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

• Error from http://tx.fhir.org/r4: Unable to provide support for code system http://hl7.org/fhir/sid/icf (0 uses)

These info messages are for dependency IGs, which we do not have direct control over (Zulip stream for SDOH clinical dependency: https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Odd.20warnings.20after.20updating.20a.20dependency.20version)

• Reference to draft ValueSet http://hl7.org/fhir/ValueSet/servicerequest-category|4.0.1 (0 uses)
• The ImplementationGuide uses package hl7.fhir.us.sdoh-clinicalcare#2.2.0 released on 2024-08-27, but the most recent appropriate version is 2.3.0. This reference is getting old and the more recent version should be considered (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)

These warnings are for dependency IGs, which we do not have direct control over

• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0' (2 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/event-location'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/event-location' to 'http://hl7.org/fhir/StructureDefinition/event-location|5.2.0' (1 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam|6.1.0' (1 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|6.1.0' (4 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0' (3 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|6.1.0' (2 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0' (2 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0' (2 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0' (10 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0' (2 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0' (1 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0' (3 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category|6.1.0' (3 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes|6.1.0' (2 uses)
• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|6.1.0' (1 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0' (1 uses)

This version of US Core has been carefully considered as a base for this IG. This is the version we would like to use for quickest potential adoption.

• %The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30% (1 uses)

Using the standard CapabilityStatementExpectation extension in additional contexts to fully express intended capabilities: see FHIR-12419

• This element does not match any known slice defined in the profile http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination|5.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) (27 uses)

We are specifying US Core version 6.1.0 in the Structure Definition URL for US Core Goal as the parent of PFEGoal, but are still getting this warning

• There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '6.1.0', found versions: 3.1.1, 6.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal|6.1.0' (1 uses)

Errors sorted by type