Validation Results for USSAFR

Generated Fri Mar 28 19:51:59 UTC 2025, FHIR version 4.0.1 for hl7.fhir.us.safr#1.0.0-ballot (canonical = http://hl7.org/fhir/us/safr (history)). See Errors Only & IP

Quality Checks
Publisher Version:	IG Publisher Version: v1.8.22
Publication Code:	safr . PackageId = hl7.fhir.us.safr, Canonical = http://hl7.org/fhir/us/safr
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.safr version 1.0.0-ballot path http://hl7.org/fhir/us/safr/2025May Pub-Mode working release status ballot Release-Label STU 1 ballot Sequence (Group) STU 1 desc US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide, 1.0.0 Ballot - US Realm STU first true category Public Health title US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide introduction The US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide (IG) establishes a standardized, FHIR-based approach to support public health decision-making during emergencies. By enhancing situational awareness, this IG aims to provide a real-time, national view of healthcare system capacity, respiratory disease trends, and other critical public health metrics. The guide is designed to facilitate seamless data exchange between healthcare facilities, public health authorities, and federal agencies, thereby strengthening the nation's emergency preparedness and response capabilities. ci-build https://build.fhir.org/ig/HL7/us-safr RelatedIgs (None Found) This IG has never been published 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:	16 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.safr 1.0.0-ballot R4 http://hl7.org/fhir/us/safr hl7.fhir.us.core 7.0.0 M R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 hl7.terminology.r4 5.5.0 U 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 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.21.0 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 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 U R5 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 FHIR Version Mismatch hl7.fhir.us.core.v610 6.1.0 U R4 http://hl7.org/fhir/us/core/v610 http://hl7.org/fhir/us/core/STU6.1 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 7.0.0 hl7.terminology.r4 5.0.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 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 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 see above 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 0.21.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 see above us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads see above 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 1.3.0 hl7.fhir.us.core.v311 3.1.1 U R4 http://hl7.org/fhir/us/core/v311 http://hl7.org/fhir/us/core/STU3.1.1 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 7.0.0 fhir.cqf.common 4.0.1 M R4 http://fhir.org/guides/cqf/common http://fhir.org/guides/cqf/common/4.0.1 hl7.fhir.uv.cpg 1.0.0 O R4 http://hl7.org/fhir/uv/cpg http://hl7.org/fhir/uv/cpg/STU1 Latest Release is 2.0.0 hl7.fhir.uv.crmi 1.0.0 M R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/STU1 hl7.terminology 5.5.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 see above. Latest Release is 5.2.0 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.cqfmeasures 5.0.0 M R4 http://hl7.org/fhir/us/cqfmeasures http://hl7.org/fhir/us/cqfmeasures/STU5 hl7.terminology.r4 6.0.2 U R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 see above. Latest Release is 5.2.0 hl7.fhir.uv.crmi 1.0.0 M R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/STU1 see above hl7.fhir.uv.cql 1.0.0 M R4 http://hl7.org/fhir/uv/cql http://hl7.org/fhir/uv/cql/STU1 hl7.terminology 5.5.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 see above hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 see above. Latest Release is 5.2.0 hl7.fhir.us.davinci-deqm 5.0.0-ballot I R4 http://hl7.org/fhir/us/davinci-deqm http://hl7.org/fhir/us/davinci-deqm/2024Sep hl7.terminology.r4 6.0.2 U R4 http://terminology.hl7.org http://terminology.hl7.org/6.0.2 see above hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 see above. Latest Release is 5.2.0 hl7.fhir.us.qicore 6.0.0 M R4 http://hl7.org/fhir/us/qicore http://hl7.org/fhir/us/qicore/STU6 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 see above. Latest Release is 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 see above. Latest Release is 7.0.0 fhir.dicom 2024.1.20240120 O R4 http://fhir.org/packages/fhir.dicom http://fhir.org/packages/fhir.dicom Latest Release is 2025.1.20250221 hl7.terminology 5.4.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.4.0 hl7.fhir.uv.extensions.r4 1.0.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 see above. Latest Release is 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 see above. Latest Release is 7.0.0 hl7.fhir.us.cqfmeasures 5.0.0-ballot2 O R4 http://hl7.org/fhir/us/cqfmeasures http://hl7.org/fhir/us/cqfmeasures/2024May Latest Release is 5.0.0 fhir.cqf.common 4.0.1 M R4 http://fhir.org/guides/cqf/common http://fhir.org/guides/cqf/common/4.0.1 see above hl7.fhir.us.qicore 6.0.0 M R4 http://hl7.org/fhir/us/qicore http://hl7.org/fhir/us/qicore/STU6 see above hl7.terminology 5.5.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 see above hl7.fhir.uv.extensions 5.1.0 O R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 FHIR Version Mismatch. Latest Release is 5.2.0 hl7.terminology.r5 5.5.0 U R5 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 FHIR Version Mismatch hl7.fhir.uv.crmi 1.0.0-snapshot O R4 http://hl7.org/fhir/uv/crmi http://hl7.org/fhir/uv/crmi/1.0.0-snapshot Latest Release is 1.0.0 hl7.terminology 5.5.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 see above hl7.fhir.uv.extensions 5.1.0 O R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 see above. Latest Release is 5.2.0 hl7.fhir.uv.cql 1.0.0-snapshot O R4 http://hl7.org/fhir/uv/cql http://hl7.org/fhir/uv/cql/1.0.0-snapshot Latest Release is 1.0.0 hl7.terminology 5.5.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 see above hl7.fhir.uv.extensions 5.1.0 O R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 see above. Latest Release is 5.2.0 hl7.fhir.us.qicore 6.0.0 M R4 http://hl7.org/fhir/us/qicore http://hl7.org/fhir/us/qicore/STU6 see above hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.terminology.r4 6.2.0 U R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Templates: hl7.fhir.template#0.10.1 -> hl7.base.template#0.10.1 -> fhir.base.template#0.8.1. Tools: 0.4.1
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://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 (18 uses), Location (85 uses), Encounter (9 uses), CommunicationCategory (1 uses), Device (5 uses), DocumentReference (1 uses), Communication (1 uses), CommonLanguages (3 uses), Organization (4 uses), OrganizationType (1 uses), ContactEntityType (1 uses), Endpoint (1 uses) hl7.fhir.us.davinci-deqm#5.0.0-ballot: DEQMSubjectListMeasureReport (1 uses) hl7.fhir.uv.crmi#1.0.0-snapshot: CRMI (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (20 uses), CQFCQLOptions (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Unable to compare with previous version: Unable to find version history at http://hl7.org/fhir/us/safr (Problem #1 with package-list.json at http://hl7.org/fhir/us/safr: Not Found)
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

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Bundle-BedCapacityMeasureBundle.json Show Validation Information (4)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Bundle-HRDMeasureBundle.json Show Validation Information (4)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Bundle-HRDMeasureReportBundle.json Show Validation Information (14)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Bundle-HospitalBedCapacityReportBundle.json Show Validation Information (14)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CapabilityStatement-SafrCapabilityStatementDataAggregator.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CapabilityStatement-SafrCapabilityStatementDataSource.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CapabilityStatement-SafrCapabilityStatementEvaluationEngine.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CapabilityStatement-SafrCapabilityStatementMeasureReportRecipient.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CapabilityStatement-SafrCapabilityStatementMeasureSource.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CodeSystem-us-safr-bed-capacity-example-codes.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CodeSystem-us-safr-bed-capacity-group-example-codes.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CodeSystem-us-safr-hrd-example-codes.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\CodeSystem-us-safr-hrd-supply-days-example-codes.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Device-cqf-tooling.json Show Validation Information (2)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Library-BedCapacityLibrary.json Show Validation Information (3)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Library-HRDMeasureLibrary.json Show Validation Information (2)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Measure-BedCapacityMeasure.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Measure-HospitalRespiratoryDataMeasure.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\MeasureReport-BedCapacityMeasureReport.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\MeasureReport-HRDMeasureReport.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\Organization-MemorialHospitalOrganization.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\StructureDefinition-us-safr-measure-bundle.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\StructureDefinition-us-safr-measurereport-bundle.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\StructureDefinition-us-safr-submitting-organization.json Show Validation Information (1)

C:\temp\ig-builds\hl7.fhir.us.safr#1.0.0-ballot\fsh-generated\resources\ImplementationGuide-hl7.fhir.us.safr.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

01 - IG Defined CodeSystem represents a CodeSystem defined by NHSN specifically for the program that this IG addresses. This IG defines the CodeSystem for use of these codes in the FHIR ecosystem

• INFORMATION: CodeSystem/us-safr-bed-capacity-example-codes: CodeSystem: 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)
• INFORMATION: CodeSystem/us-safr-bed-capacity-group-example-codes: CodeSystem: 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)
• INFORMATION: CodeSystem/us-safr-hrd-example-codes: CodeSystem: 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)
• INFORMATION: CodeSystem/us-safr-hrd-supply-days-example-codes: CodeSystem: 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)

02 - Information Message about using experimental CodeSystem. The code system is only for example use in this IG and only used by example resources. The CodeSystem follows the requirements on TSMG

• Reference to experimental CodeSystem http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-group-example-codes|1.0.0-ballot (234 uses)
• Reference to experimental CodeSystem http://hl7.org/fhir/us/safr/CodeSystem/us-safr-hrd-example-codes|1.0.0-ballot (132 uses)

03 - Deprecated pattern slicing from an inherited US Core profile

• INFORMATION: StructureDefinition/us-safr-submitting-organization: StructureDefinition.snapshot.element[9].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)

04 - Repeating pattern requirement inherited from US Core organization

• INFORMATION: StructureDefinition/us-safr-submitting-organization: StructureDefinition.snapshot.element[10].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-safr-submitting-organization: StructureDefinition.snapshot.element[11].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-safr-submitting-organization: StructureDefinition.snapshot.element[12].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)

05 - Information Message regarding a deprecated extension (maxValueSet), that was inherited through the FHIR R4 standard itself.

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

06 - Per CQFM - Computable measures must use text/cql-expression or text/cql-identifier for all criteria

• The expression language text/cql-identifier is not supported, so can't be validated (117 uses)

07 - Warning derived from a profile that was inherited from. Default behavior is acceptable

• WARNING: StructureDefinition/us-safr-submitting-organization: StructureDefinition.snapshot.element[35].binding.valueSet: There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state'. 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. Using version '7.0.0', found versions: 3.1.1, 6.1.0, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|7.0.0' (1 uses)

08 - This IG is using the last published balloted version of DEQM and will change to a published version of DEQM before publishing

• WARNING: ImplementationGuide/hl7.fhir.us.safr: ImplementationGuide.dependsOn[6]: The ImplementationGuide uses package hl7.fhir.us.davinci-deqm#5.0.0-ballot released on 2024-08-27, but the most recent appropriate version is 4.0.0. This reference is getting old and the more recent version should be considered (1 uses)

10 - The entry in bundle represents data included per the requirements of the IG (All referenced resources must be included in bundle), but not explicitly identified as a slice.

• INFORMATION: Bundle/HRDMeasureReportBundle: Bundle.entry[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle|1.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/HospitalBedCapacityReportBundle: Bundle.entry[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/safr/StructureDefinition/us-safr-measurereport-bundle|1.0.0-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