Validation Results for Vital_Records_Birth_and_Fetal_Death_Reporting

Generated Tue Oct 10 13:34:05 UTC 2023, FHIR version 4.0.1 for hl7.fhir.us.bfdr#1.1.0 (canonical = http://hl7.org/fhir/us/bfdr (history)). See Full QA Report

Quality Checks
Publisher Version:	IG Publisher Version: v1.4.13
Publication Code:	bfdr . PackageId = hl7.fhir.us.bfdr, Canonical = http://hl7.org/fhir/us/bfdr
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ 36 Profiles not based on US Core
Publication Request:	package-id hl7.fhir.us.bfdr version 1.1.0 path http://hl7.org/fhir/us/bfdr/STU1.1 Pub-Mode milestone status trial-use sequence STU 1 desc Update to STU 1 addressing connectathon feedback Proposed path for this milestone publication should usually be canonical with either sequence or version appended
Supressed Messages:	21 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.bfdr 1.1.0 R4 http://hl7.org/fhir/us/bfdr hl7.terminology.r4 5.3.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 hl7.fhir.uv.extensions.r4 1.0.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 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 6.1.0 hl7.terminology.r4 3.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/3.1.0 Latest Release is 5.3.0 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 2.0.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2 Latest Release is 2.1.0 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 0.12.0 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 hl7.fhir.us.vr-common-library 1.1.0 M R4 http://hl7.org/fhir/us/vr-common-library http://hl7.org/fhir/us/vr-common-library/STU1.1 hl7.terminology.r4 5.3.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/5.3.0 see above hl7.fhir.us.core 5.0.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU5.0.1 see above. Latest Release is 6.1.0 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 1.0.0 M R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/1.0.0 FHIR Version Mismatch 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 5.3.0 hl7.fhir.us.vrdr 2.1.0 M R4 http://hl7.org/fhir/us/vrdr http://hl7.org/fhir/us/vrdr/STU2.1 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 5.3.0 hl7.fhir.us.core 5.0.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU5.0.1 see above. Latest Release is 6.1.0 hl7.fhir.us.odh 1.2.0 O R4 http://hl7.org/fhir/us/odh http://hl7.org/fhir/us/odh/STU1.2 Latest Release is 1.3.0 hl7.terminology.r4 3.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/3.1.0 see above. Latest Release is 5.3.0 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 6.1.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads 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 us.nlm.vsac 0.9.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.12.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads see above hl7.fhir.us.odh 1.3.0 M R4 http://hl7.org/fhir/us/odh http://hl7.org/fhir/us/odh/STU1.3 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 see above. Latest Release is 5.3.0 hl7.fhir.us.core 5.0.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU5.0.1 see above. Latest Release is 6.1.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads see above Templates: hl7.fhir.template#current -> hl7.base.template#current -> fhir.base.template#current. Tools: current
Dependent IGs:	no references
Global Profiles:	(none declared)
HTA Analysis:	All OK
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: wg (82 uses), GuideParameterCode (15 uses), birthPlace (12 uses), birthTime (6 uses), fhir-type (287 uses), maxValueSet (66 uses), bindingName (898 uses), isCommonBinding (74 uses), CommonLanguages (66 uses), bestpractice (76 uses), bestpractice-explanation (76 uses), standards-status (27 uses), Data Absent Reason (8 uses), Composition (116 uses), CompositionStatus (6 uses), FHIRDocumentTypeCodes (6 uses), Encounter (55 uses), Practitioner (127 uses), PractitionerRole (127 uses), Device (113 uses), RelatedPerson (130 uses), Organization (112 uses), CompositionAttestationMode (6 uses), DocumentRelationshipType (6 uses), explicit-type-name (40 uses), DocumentSectionCodes (31 uses), ListMode (31 uses), ListOrderCodes (31 uses), ListEmptyReasons (31 uses), translatable (6 uses), QuestionnaireResponse (74 uses), Condition (75 uses), assertedDate (10 uses), ConditionClinicalStatusCodes (10 uses), ConditionVerificationStatus (10 uses), ConditionCategoryCodes (26 uses), Condition/DiagnosisSeverity (10 uses), SNOMEDCTBodyStructures (56 uses), ConditionStage (10 uses), ClinicalImpression (10 uses), DiagnosticReport (31 uses), ConditionStageType (10 uses), ManifestationAndSymptomCodes (12 uses), Coverage (1 uses), FinancialResourceStatusCodes (1 uses), SubscriberRelationshipCodes (1 uses), CoverageClassCodes (1 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), EncounterStatus (4 uses), ServiceType (2 uses), EpisodeOfCare (2 uses), ServiceRequest (48 uses), ParticipantType (6 uses), Appointment (2 uses), EncounterReasonCodes (2 uses), ImmunizationRecommendation (37 uses), Procedure (58 uses), DiagnosisRole (2 uses), Account (2 uses), Location (25 uses), AdmitSource (2 uses), Diet (2 uses), SpecialCourtesy (2 uses), SpecialArrangements (2 uses), EncounterLocationStatus (2 uses), hierarchy (1 uses), CarePlan (46 uses), DeviceRequest (35 uses), MedicationRequest (35 uses), NutritionOrder (35 uses), MedicationAdministration (46 uses), MedicationDispense (35 uses), MedicationStatement (35 uses), Immunization (35 uses), ImagingStudy (70 uses), display-hint (35 uses), ObservationCategoryCodes (35 uses), LOINCCodes (69 uses), CareTeam (35 uses), ObservationMethods (35 uses), Specimen (35 uses), DeviceMetric (35 uses), ObservationReferenceRangeMeaningCodes (35 uses), ObservationReferenceRangeAppliesToCodes (35 uses), MolecularSequence (70 uses), DocumentReference (56 uses), Media (35 uses), Group (12 uses), PlanDefinition (11 uses), ActivityDefinition (11 uses), Measure (11 uses), Questionnaire (11 uses), EventStatus (11 uses), ProcedureCategoryCodes(SNOMEDCT) (11 uses), ProcedurePerformerRoleCodes (11 uses), ProcedureReasonCodes (11 uses), ProcedureOutcomeCodes(SNOMEDCT) (12 uses), Condition/Problem/DiagnosisCodes (11 uses), ProcedureFollowUpCodes(SNOMEDCT) (11 uses), ProcedureDeviceActionCodes (11 uses), Medication (11 uses), Substance (11 uses), FHIRDeviceTypes (11 uses) hl7.fhir.us.odh#1.3.0: HL7_FHIR_Profile_Occupational_Data_for_Health_ODH_Release_1_3_Standard_for_Trial_Use (1 uses) hl7.fhir.us.vr-common-library#1.1.0: ExtensionPatientFetalDeathVitalRecords (3 uses), ExtensionWithinCityLimitsIndicatorVitalRecords (6 uses) hl7.fhir.uv.extensions#1.0.0: TypeMustSupport (47 uses) hl7.fhir.uv.tools#1.0.0-candidate: ResourceSortExt (240 uses) hl7.terminology.r4#5.0.0: ObservationCategoryCodes (27 uses), ConditionCategoryCodes (37 uses), DischargeDisposition (3 uses), AdmitSource (3 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.0.0
IPA Comparison:	n/a
Summary:	errors = 0, warn = 0, info = 0, broken links = 0

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

APPROVED by HL7 Cross Group Projects WG: https://confluence.hl7.org/pages/viewpage.action?pageId=97453270

• US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles (35 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/bfdr/StructureDefinition/Coverage-principal-payer-for-delivery').baseDefinition: US FHIR Usage rules require that all profiles on Coverage derive from the core US profile (1 uses)

Due to issue with multiple Compositions

• Found multiple matching profiles for Patient/patient-decedent-fetus-not-named among choices: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr, http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-decedent-fetus-vr (2 uses)

Examples have optional slices that are not defined in the profile - not matching is expected behaviour

• This element does not match any known slice defined in the profile http://hl7.org/fhir/us/bfdr/StructureDefinition/Bundle-document-bfdr|1.1.0 (194 uses)

Information messages about draft condition category codes used in US Core

• Reference to draft item http://terminology.hl7.org/CodeSystem/condition-category|0.5.0 (25 uses)

The following code systems are external and not supported by terminology server

• Code System URI 'https://nahdo.org/sopt' is unknown so the code cannot be validated (3 uses)
• Code System URI 'urn:oid:2.16.840.1.114222.4.5.274' is unknown so the code cannot be validated (222 uses)
• Code System unknown, so assuming value set expansion is correct (The CodeSystem urn:oid:2.16.840.1.113883.6.238 version 1.2 is unknown. Valid versions: [3.0.1, 3.0.0, 3.0.1, 3.0.1, 3.1.1]) (3 uses)
• The code provided PHC1449 cannot be validated in the options value set (Vital Records Education Level (NCHS)) in the questionnaire because the system urn:oid:2.16.840.1.114222.4.5.274 is unknown (3 uses)
• The code provided PHC1455 cannot be validated in the options value set (Vital Records Education Level (NCHS)) in the questionnaire because the system urn:oid:2.16.840.1.114222.4.5.274 is unknown (6 uses)
• The code provided PHC1497 cannot be validated in the options value set (Informant Relationship to Mother (NCHS)) in the questionnaire because the system urn:oid:2.16.840.1.114222.4.5.274 is unknown (3 uses)
• The definition for the Code System with URI 'http://www.ama-assn.org/go/cpt' doesnt provide any codes so the code cannot be validated (0 uses)
• The definition for the Code System with URI 'https://nahdo.org/sopt' doesnt provide any codes so the code cannot be validated (5 uses)

These are category = encounter-diagnosis (not problem-list)

• WARNING: Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[23].resource: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[24].resource: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[23].resource: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[24].resource: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Condition/condition-coded-initiating-fetal-death-cause-or-condition: Condition: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Condition/condition-coded-other-fetal-death-cause-or-condition-not-named: Condition: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Condition/condition-fetal-death-cause-or-condition-not-named: Condition: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)
• WARNING: Condition/condition-fetal-death-other-significant-cause-not-named: Condition: Constraint failed: con-3: 'Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item' (defined in http://hl7.org/fhir/StructureDefinition/Condition) (Best Practice Recommendation) (1 uses)

Errors sorted by type