Validation Results for RESPNET

Generated Mon Aug 04 13:47:34 UTC 2025, FHIR version 4.0.1 for hl7.fhir.us.resp-net#2.0.0-ballot (canonical = http://hl7.org/fhir/us/resp-net (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.12
Publication Code:	resp-net . PackageId = hl7.fhir.us.resp-net, Canonical = http://hl7.org/fhir/us/resp-net
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.resp-net version 2.0.0-ballot path http://hl7.org/fhir/us/resp-net/2025Sep Pub-Mode working release status ballot Release-Label STU 2 - Ballot Sequence (Group) STU2 (current: 'STU1', others = n/a) desc This is the STU 2 - Ballot version of the RESP-NET FHIR IG. changes changes.html 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:	17 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.resp-net 2.0.0-ballot R4 http://hl7.org/fhir/us/resp-net 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.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.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.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.us.ecr 2.1.0 O R4 http://hl7.org/fhir/us/ecr http://hl7.org/fhir/us/ecr/STU2.1 Latest Release is 2.1.2 hl7.terminology.r4 3.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/3.1.0 (as above). Latest Release is 6.5.0 hl7.fhir.us.core 4.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU4 Latest Release is 8.0.0 hl7.fhir.uv.bulkdata 1.0.1 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU1.0.1 Latest Release is 2.0.0 us.nlm.vsac 0.3.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.23.0 us.nlm.vsac 0.7.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac (as above). Latest Release is 0.23.0 us.cdc.phinvads 0.10.0 O R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads Latest Release is 0.12.0 hl7.fhir.us.vr-common-library 1.0.0 O R4 http://hl7.org/fhir/us/vr-common-library http://hl7.org/fhir/us/vr-common-library/STU1 Latest Release is 2.0.0 hl7.fhir.us.core 4.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU4 (as above). Latest Release is 8.0.0 us.cdc.phinvads 0.7.0 O R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads Latest Release is 0.12.0 hl7.fhir.us.odh 1.1.0 O R4 http://hl7.org/fhir/us/odh http://hl7.org/fhir/us/odh/STU1.1 Latest Release is 1.3.0 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 us.cdc.phinvads 0.7.0 O R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads (as above). Latest Release is 0.12.0 hl7.fhir.uv.bulkdata 1.1.0 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/2021May Latest Release is 2.0.0 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:	All OK
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), CommonLanguages (5 uses), PlanDefinition (42 uses), PlanDefinitionType (1 uses), Group (34 uses), SubjectType (34 uses), DefinitionTopic (1 uses), Library (1 uses), GoalCategory (1 uses), SNOMEDCTClinicalFindings (1 uses), GoalPriority (1 uses), GoalStartEvent (1 uses), Condition/Problem/DiagnosisCodes (2 uses), LOINCCodes (1 uses), RequestPriority (14 uses), TriggerType (8 uses), Schedule (8 uses), ActionConditionKind (14 uses), Shareable PlanDefinition (24 uses), SortDirection (19 uses), ActionRelationshipType (14 uses), ActionParticipantType (14 uses), ActionParticipantRole (14 uses), ActionType (14 uses), ActionGroupingBehavior (14 uses), ActionSelectionBehavior (14 uses), ActionRequiredBehavior (14 uses), ActionPrecheckBehavior (14 uses), ActionCardinalityBehavior (14 uses), ActivityDefinition (14 uses), Questionnaire (14 uses), StructureMap (14 uses), ExpressionLanguage (7 uses), Composition (41 uses), CompositionStatus (1 uses), FHIRDocumentTypeCodes (1 uses), Device (15 uses), CompositionAttestationMode (1 uses), RelatedPerson (15 uses), Practitioner (15 uses), PractitionerRole (15 uses), Organization (16 uses), DocumentRelationshipType (1 uses), DocumentSectionCodes (13 uses), ListMode (13 uses), ListOrderCodes (13 uses), ListEmptyReasons (13 uses), MedicationStatement (2 uses), MedicationRequest (1 uses), CarePlan (1 uses), ServiceRequest (1 uses), MedicationAdministration (1 uses), MedicationDispense (1 uses), Procedure (1 uses), Medication Status Codes (1 uses), SNOMEDCTDrugTherapyStatusCodes (1 uses), Medication usage category codes (1 uses), Medication (1 uses), SNOMEDCTMedicationCodes (1 uses), Condition (1 uses), DiagnosticReport (1 uses), Shareable ValueSet (1 uses) hl7.fhir.us.ph-library#1.0.0: USPublicHealthDataEncryptionAlgorithmExtension (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (20 uses) hl7.fhir.uv.subscriptions-backport.r4#1.1.0: SubscriptionsR5Backport (1 uses) hl7.terminology#5.5.0: ConditionVerificationStatus (2 uses), ConditionCategoryCodes (2 uses), LibraryType (3 uses), UsageContextType (1 uses), EndpointConnectionType (2 uses), ObservationCategoryCodes (2 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 = n/a. Show Message Ids

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

Messages due to dependencies on other specifications

• A definition could not be found for Canonical URL 'http://www.rfc-editor.org/bcp/bcp13.txt' (7 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category|1.0.0 (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/valueset-author|5.2.0 is deprecated with the note Replaced by the extension [[[http://hl7.org/fhir/StructureDefinition/artifact-author]]] prior to R5, and the element [[[ValueSet.author]]] in R5 (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/valueset-steward|5.2.0 is deprecated with the note Use ValueSet.publisher instead (1 uses)
• There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. 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-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0' (1 uses)

The information message is related to example Bundle-resp-net-reporting-bundle-example which is referencing an Organization resource example which is present in the examples folder but is not included in the bundle to avoid duplication.

• Can't find 'Organization/example-healthcare-org' in the bundle (Bundle.entry[0].resource.sender) (1 uses)

These are related to RESPNEt valuesets namely Valueset-resp-net-labtest-covid,Valueset-resp-net-labtest-flu, Valueset-resp-net-labtest-rsv, Valueset-resp-net-labtest-flu-rsv-covid-codes,

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

This is a base profile which is already published and is identified as a false positive

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-triggering-valueset|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

This is related to Bundle-resp-net-specification-bundle-example and is an Information message because we are using additional extensions namely http://hl7.org/fhir/StructureDefinition/variable which is not explicitly specified in the base profile (us-ph-plandefinition)

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-plandefinition|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (3 uses)

This is related to Bundle-resp-net-specification-bundle-example which contains resources which are in addition to the allowed slices which are required for RESPNet and hence the information message is getting generated.

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-specification-bundle|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

This is related to Bundle-resp-net-specification-bundle-example which contains valueset resources which contains useContext related to priority and triggering, the message is just identifying that the triggering one does not match clinical-focus, which is not required for RESPNET valuesets.

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-valueset|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (7 uses)

This is related to CodeSystem-respnet-report-context to identify specific RESPNet use cases that caused the creation of the bundle. This will be piloted and if the code system can be generalized beyond RESPNET, we will consider moving it to THO or US PH Library.

• 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) (1 uses)

This is related to Library-triggering-example.json where there are no extensions and the information message is being provided.

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-triggering-valueset-library|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

This is related to ValueSet-resp-net-labtest-flu-rsv-covid-codes and Bundle-resp-net-specification-bundle-example which also contains the same valueset where the number of Codes are large and it is not being checked. This has been verified by CDC SMEs

• The value set include has too many codes to validate (1,804), so each individual code has not been checked (3 uses)

This is related to plandefinition-example.json and Bundle-resp-net-specification-bundle-example and is an Information message because we are using additional extensions namely http://hl7.org/fhir/StructureDefinition/variable which is not explicitly specified in the base profile (us-ph-plandefinition)

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/resp-net/StructureDefinition/respnet-plandefinition|2.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (6 uses)

Warnings due to old specifications, however these are based on existing US ONC Cures Act requirements and USCDIv3

• 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)

Errors sorted by type