Validation Results for DaVinciHealthRecordExchangeHRex

Generated Tue Mar 24 17:19:49 AEDT 2026, FHIR version 4.0.1 for hl7.fhir.us.davinci-hrex#1.2.0 (canonical = http://hl7.org/fhir/us/davinci-hrex (history)). See Errors Only & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.2.2
Publication Code:	davinci-hrex . PackageId = hl7.fhir.us.davinci-hrex, Canonical = http://hl7.org/fhir/us/davinci-hrex
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ 2 Profiles not based on US Core
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 20 of 63 (31%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.fhir.us.davinci-hrex version 1.2.0 path http://hl7.org/fhir/us/davinci-hrex/1.2.0 Pub-Mode milestone status trial-use Release-Label STU 1.2 Sequence (Group) STU 1.2 (current: 'STU 1.1', others = 'STU 1','STU1') desc STU 1.2.0 descmd STU 1.2.0. See list of changes RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	70 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.davinci-hrex 1.2.0 R4 http://hl7.org/fhir/us/davinci-hrex hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 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.uv.tools.r4 1.1.2 M R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/1.1.2 hl7.terminology.r4 7.1.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above) 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 7.0.0 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU7 Latest Release is 8.0.1 hl7.terminology.r4 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 7.1.0 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 0.24.0 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 Latest Release is 4.0.0 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-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 7.1.0 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 8.0.1 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.1.0 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 O R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 Latest Release is 3.0.0 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 7.1.0 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 0.24.0 hl7.fhir.uv.sdc 3.0.0 O R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 (as above). Latest Release is 4.0.0 us.cdc.phinvads 0.12.0 M R4 http://fhir.org/packages/us.cdc.phinvads http://fhir.org/packages/us.cdc.phinvads (as 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 1.5.0 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 8.0.1 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 0.24.0 Templates: hl7.davinci.template#current -> hl7.fhir.template#current -> hl7.base.template#current -> fhir2.base.template#current
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:	http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.resourceTrigger http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.name http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.url http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.description http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.publisher http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.title http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.title http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.url http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.name http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.date http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.date http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.type http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.canFilterBy http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.date http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.dependsOn.reason http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.status http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.publisher http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.url http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.description http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.contact http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.publisher http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.version http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.jurisdiction http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.version http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.name http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.contact http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.jurisdiction http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.description http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.derivedFrom http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.status http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.experimental http://hl7.org/fhir/5.0/StructureDefinition/extension-SubscriptionTopic.status http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.experimental http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.contact http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement http://hl7.org/fhir/5.0/StructureDefinition/extension-ActorDefinition.jurisdiction http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.version http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (16 uses), FHIR Defined Concept Properties (2 uses), SignatureTypeCodes (2 uses), identifier (1 uses), patient (1 uses), payor (1 uses), subscriber (1 uses), target (1 uses), Consent (7 uses), CommonLanguages (10 uses), ConsentState (1 uses), ConsentScopeCodes (1 uses), ConsentCategoryCodes (2 uses), RelatedPerson (11 uses), Organization (17 uses), DocumentReference (2 uses), ConsentPolicyRuleCodes (1 uses), ConsentProvisionType (1 uses), SecurityRoleType (6 uses), Device (6 uses), Group (2 uses), CareTeam (1 uses), Practitioner (7 uses), PractitionerRole (7 uses), ConsentActionCodes (1 uses), ConsentContentClass (1 uses), ConsentContentCodes (1 uses), ConsentDataMeaning (1 uses), Coverage (2 uses), FinancialResourceStatusCodes (1 uses), CoverageClassCodes (3 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), OrganizationType (1 uses), ContactEntityType (1 uses), Endpoint (2 uses), HealthcareService (1 uses), Location (2 uses), ProvenanceActivityType (1 uses), ProvenanceParticipantType (2 uses), ProvenanceEntityRole (1 uses), Provenance (2 uses), Task (4 uses), ActivityDefinition (1 uses), TaskIntent (1 uses), RequestPriority (1 uses), Encounter (1 uses), ProcedurePerformerRoleCodes (1 uses), Claim (2 uses), ClaimResponse (1 uses), SubscriberRelationshipCodes (1 uses), TaskStatus (1 uses), code (1 uses), owner (1 uses), requester (1 uses), status (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: SDStatusDerivation (76 uses), SDcompliesWithProfile (5 uses), TypeMustSupport (6 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.1.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary:	errors = 3, warn = 0, info = 0, broken links = 0, pinned = 25 (when multiples). Show Message Ids

n/a Show Validation Information

fsh-generated/includes/fsh-link-references.md Show Validation Information (0)

fsh-generated/resources/ActorDefinition-consumer.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-disc-client.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-disc-server.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-igauthor.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-implementer.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-mmclient.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-mmserver.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-poll-imp.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-source.json Show Validation Information (1)

fsh-generated/resources/ActorDefinition-subscribe-imp.json Show Validation Information (1)

fsh-generated/resources/Bundle-subscription-notification-with-data.json Show Validation Information (5)

fsh-generated/resources/Bundle-subscription-notification-with-document.json Show Validation Information (4)

fsh-generated/resources/Bundle-task-poll-response.json Show Validation Information (3)

fsh-generated/resources/CodeSystem-hrex-endpoint-discovery.json Show Validation Information (1)

fsh-generated/resources/CodeSystem-hrex-temp.json Show Validation Information (1)

fsh-generated/resources/ConceptMap-CareTeamMember-NUCCFunction.json Show Validation Information (1)

fsh-generated/resources/ConceptMap-NUCC-CareTeamMemberFunction.json Show Validation Information (1)

fsh-generated/resources/Coverage-full.json Show Validation Information (1)

fsh-generated/resources/Coverage-min.json Show Validation Information (1)

fsh-generated/resources/ImplementationGuide-davinci-hrex.json Show Validation Information (1)

fsh-generated/resources/OperationDefinition-member-match.json Show Validation Information (1)

fsh-generated/resources/Organization-full.json Show Validation Information (1)

fsh-generated/resources/Organization-min.json Show Validation Information (1)

fsh-generated/resources/Parameters-member-match-in.json Show Validation Information (9)

fsh-generated/resources/Parameters-member-match-in-provider.json Show Validation Information (7)

fsh-generated/resources/Parameters-member-match-out.json Show Validation Information (1)

fsh-generated/resources/PractitionerRole-full.json Show Validation Information (1)

fsh-generated/resources/PractitionerRole-min.json Show Validation Information (1)

fsh-generated/resources/Provenance-full.json Show Validation Information (1)

fsh-generated/resources/Provenance-min.json Show Validation Information (1)

fsh-generated/resources/SearchParameter-hrex-coverage-identifier.json Show Validation Information (1)

fsh-generated/resources/SearchParameter-hrex-coverage-patient.json Show Validation Information (1)

fsh-generated/resources/SearchParameter-hrex-coverage-payor.json Show Validation Information (1)

fsh-generated/resources/SearchParameter-hrex-coverage-subscriber.json Show Validation Information (1)

fsh-generated/resources/SearchParameter-hrex-coverage-subscriberId.json Show Validation Information (1)

fsh-generated/resources/SearchParameter-hrex-provenance-target.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-extension-CoverageDavinciWellknownLocation.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-consent.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-coverage.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-identifier-namespaced.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-organization.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-parameters-member-match-in.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-parameters-member-match-out.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-patient-demographics.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-practitionerrole.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-provenance.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-reference-id.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-reference-rest.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-hrex-task-data-request.json Show Validation Information (1)

fsh-generated/resources/Task-document-complete.json Show Validation Information (1)

fsh-generated/resources/Task-min.json Show Validation Information (1)

fsh-generated/resources/Task-query-complete.json Show Validation Information (3)

fsh-generated/resources/Task-query-initial.json Show Validation Information (1)

fsh-generated/resources/Task-query-status.json Show Validation Information (1)

fsh-generated/resources/ValueSet-cs-categories.json Show Validation Information (1)

fsh-generated/resources/ValueSet-hrex-consent-policy.json Show Validation Information (1)

fsh-generated/resources/ValueSet-hrex-coverage-relationship.json Show Validation Information (1)

fsh-generated/resources/ValueSet-hrex-endpoint-name.json Show Validation Information (1)

fsh-generated/resources/ValueSet-hrex-task-status.json Show Validation Information (1)

input/examples/Binary-Wellknown.json Show Validation Information (1)

input/images Show Validation Information (0)

input/images/Shorty.png Show Validation Information (0)

input/images/UDAP-JW-Client-Auth_2018-08-14.pdf Show Validation Information (0)

input/includes/menu.xml Show Validation Information (0)

input/intro-notes/Binary-Wellknown-intro.md Show Validation Information (0)

input/intro-notes/Coverage-full-intro.md Show Validation Information (0)

input/intro-notes/Coverage-min-intro.md Show Validation Information (0)

input/intro-notes/OperationDefinition-member-match-intro.md Show Validation Information (0)

input/intro-notes/OperationDefinition-member-match-notes.md Show Validation Information (0)

input/intro-notes/Organization-full-intro.md Show Validation Information (0)

input/intro-notes/Organization-min-intro.md Show Validation Information (0)

input/intro-notes/Parameters-member-match-in-intro.md Show Validation Information (0)

input/intro-notes/Parameters-member-match-out-intro.md Show Validation Information (0)

input/intro-notes/Practitioner-full-intro.md Show Validation Information (0)

input/intro-notes/Practitioner-min-intro.md Show Validation Information (0)

input/intro-notes/PractitionerRole-full-intro.md Show Validation Information (0)

input/intro-notes/PractitionerRole-min-intro.md Show Validation Information (0)

input/intro-notes/Provenance-full-intro.md Show Validation Information (0)

input/intro-notes/Provenance-min-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-HRexWellknownDefinition-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-consent-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-consent-notes.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-coverage-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-coverage-notes.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-organization-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-organization-notes.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-patient-coverage-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-patient-demographics-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-practitioner-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-practitionerrole-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-provenance-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-provenance-notes.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-task-data-request-intro.md Show Validation Information (0)

input/intro-notes/StructureDefinition-hrex-task-data-request-notes.md Show Validation Information (0)

input/intro-notes/SubscriptionTopic-Task-intro.md Show Validation Information (0)

input/intro-notes/Task-document-complete-intro.md Show Validation Information (0)

input/intro-notes/Task-query-complete-intro.md Show Validation Information (0)

input/intro-notes/Task-query-initial-intro.md Show Validation Information (0)

input/intro-notes/Task-query-min-intro.md Show Validation Information (0)

input/intro-notes/Task-query-status-intro.md Show Validation Information (0)

input/pagecontent/changes.md Show Validation Information (0)

input/pagecontent/conformance.md Show Validation Information (0)

input/pagecontent/conformancedetails.md Show Validation Information (0)

input/pagecontent/credits.md Show Validation Information (0)

input/pagecontent/davinci-guiding-principles.xml Show Validation Information (0)

input/pagecontent/downloads.md Show Validation Information (0)

input/pagecontent/endpoint-discovery.md Show Validation Information (0)

input/pagecontent/exchanging.md Show Validation Information (0)

input/pagecontent/fhir.md Show Validation Information (0)

input/pagecontent/index.md Show Validation Information (0)

input/pagecontent/searchparameters.md Show Validation Information (0)

input/pagecontent/security.md Show Validation Information (0)

input/pagecontent/smart-app-reg.md Show Validation Information (0)

input/pagecontent/task.md Show Validation Information (0)

input/pagecontent/tools.md Show Validation Information (0)

input/pagecontent/validation.md Show Validation Information (0)

input/resources/Requirements-fromNarrative.json Show Validation Information (1)

input/resources/StructureDefinition-HRexWellknownDefinition.json Show Validation Information (1)

input/resources/subscriptiontopic-Task.json Show Validation Information (1)

temp/pages/_includes/artifacts.xml Show Validation Information (0)

temp/pages/_includes/burdenReduction.svg Show Validation Information (0)

template/config Show Validation Information (0)

template/config/_config.yml Show Validation Information (0)

Suppressed Messages (Warnings, hints, broken links)

00.a The profile does enforce the same rules as 3.1.1. The invariant remains, it's just that the FHIRPath has been corrected. https://chat.fhir.org/#narrow/channel/179252-IG-creation/topic/Incorrect.20profile.20derivation.20error/with/570474355

• ERROR: StructureDefinition/hrex-practitionerrole: StructureDefinition: This profile does not comply with claimed profile 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|3.1.1' (1 uses)
• ERROR: StructureDefinition/hrex-practitionerrole: StructureDefinition: This profile does not comply with claimed profile 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0' (1 uses)

01. Consider adding this in the future. To this point, we havn't said that HRex actually has use-cases - FHIR-48917

• WARNING: DA VINCI: The second menu item under Background should have the label Use Cases. (1 uses)

02. Detailed changes weren't tracked until after 1.0.0 was released

• WARNING: DA VINCI: The Change Log page (changes.html) does not include an h3 section for the version 0.1.0 (1 uses)
• WARNING: DA VINCI: The Change Log page (changes.html) does not include an h3 section for the version 0.2.0 (1 uses)
• WARNING: DA VINCI: The Change Log page (changes.html) does not include any Jira tracker items links for the section with title STU 1.0.0 (1 uses)

03. **[Added second sentence to reason] Da Vinci doesn't have any conformance expectations itself - conformance expectations are determined by IGs that derive from HRex. Therefore, CapabilityStatements aren't appropriate

• WARNING: DA VINCI: Da Vinci IGs SHOULD define CapabilityStatements. Without CapabilityStatements, there is no technical way to declare conformance to the IG. (1 uses)

04. HRex can't depend on itself

• WARNING: DA VINCI: The Base Specs menu item must have a child called HRex 1.2.0. (1 uses)
• WARNING: DA VINCI: The Conformance page (conformance.html) Must Support section needs to include a link to the HRex conformance.html#mustsupport section. (1 uses)
• WARNING: DA VINCI: The Conformance page (conformance.html) needs to include a link to the HRex conformance.html page. (1 uses)
• WARNING: DA VINCI: The Security page (security.html) must include a reference to the HRex security.html page (with a SHALL comply). (1 uses)
• WARNING: DA VINCI: This IG does not depend on HRex. Either add a formal dependency or confirm that a textual dependency has been declared. (1 uses)

05. **[Clarified message] This isn't actually a resource in R4, so we point to the R5 version, which this check doesn't detect.

• WARNING: DA VINCI: The How to Read page (fhir.html) needs to include a reference to the http://hl7.org/fhir/R4/subscriptiontopic.html because this IG uses the subscriptiontopic resource. (1 uses)

06. **[Clarified message] These uses of 'pattern' are inherited from US Core

• INFORMATION: StructureDefinition/hrex-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)
• INFORMATION: StructureDefinition/hrex-provenance: StructureDefinition.snapshot.element[22].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)

07. **[Clarified message] While deprecated in R5, this is undeprecated in R6

• Reference to deprecated ValueSet http://hl7.org/fhir/5.0/ValueSet/jurisdiction|5.0.0 (12 uses)

08. **[Merged pinning suppressions together] These pinnings are correct

• %to 20240605 from choices of 20190418 (us.nlm.vsac#0.11.0), 20240605 (us.nlm.vsac#0.19.0) (4 uses)
• Pinned the version of http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066 to 20240606 from choices of 20190521 (us.nlm.vsac#0.11.0), 20240606 (us.nlm.vsac#0.19.0) (1 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (2 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-location to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (1 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (2 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (1 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (6 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (3 uses)
• Pinned the version of http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson to 7.0.0 from choices of 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (1 uses)
• Pinned the version of http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (1 uses)
• Pinned the version of http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state to 7.0.0 from choices of 3.1.1 (hl7.fhir.us.core#3.1.1), 6.1.0 (hl7.fhir.us.core#6.1.0), 7.0.0 (hl7.fhir.us.core#7.0.0) (1 uses)
• Pinned the version of http://terminology.hl7.org/ValueSet/v3-PurposeOfUse to 3.1.0 from choices of 2.0.0 (hl7.terminology.r4#5.0.0), 3.0.0 (hl7.terminology.r4#5.5.0), 3.1.0 (hl7.terminology.r4#7.1.0) (2 uses)

09. These are termerminology server and/or validator limitations

• Source Code System http://snomed.info/sct is only supported on the terminology server, so the source codes are not validated for performance reasons (1 uses)
• Target Code System http://snomed.info/sct is only supported on the terminology server, so the target codes are not validated for performance reasons (1 uses)
• The concept map has too many codes to validate (662) (1 uses)

10. **[Clarified reason] This is a data type profile, and this IG defines no profiles that use it. It's created for downstream IGs. That makes it impossible to create an example that tests the profile. The definition is sufficiently simple that there's no possibility of errors in the construction.

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-reference-id'): The Implementation Guide contains no examples for this data type profile (1 uses)

11. **[Updated reason] The contents of this code system have been migrated to THO, however, as a minor unballoted release, this is not the correct time to transition to the THO codes.

• INFORMATION: CodeSystem/hrex-temp: 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)

12. **[New] This code system is a 'code' binding in an IG-specific logical model, and as such, does not need to migrate to THO

• INFORMATION: CodeSystem/hrex-endpoint-discovery: 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)

13. The patterns are only locking down the system, which is the discriminator for the slices, so this is fine.

• INFORMATION: StructureDefinition/hrex-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/hrex-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/hrex-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)

14. These identifiers are 'extra' and aren't expected to match any slice

• INFORMATION: Organization/full: Organization.identifier[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization|1.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Organization/full: Organization.identifier[4]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization|1.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

15. These additional coverage classes are not (currently) part of the profile and are not expected to match slices

• INFORMATION: Parameters/member-match-in: Parameters.parameter[1].resource/*Coverage/9876B1*/.class[2]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Parameters/member-match-in: Parameters.parameter[1].resource/*Coverage/9876B1*/.class[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

16. These code systems should not be draft in THO. The terminology work group is trying to fix these

• Reference to draft CodeSystem http://hl7.org/fhir/task-status|4.0.1 (12 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/provenance-participant-type|1.0.0 (2 uses)

17. Narrative doesn't make sense in resources passed to a real-time operation

• WARNING: Parameters/member-match-in-provider: Parameters.parameter[0].resource/*Patient/1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in-provider: Parameters.parameter[1].resource/*Coverage/9876B1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in-provider: Parameters.parameter[2].resource/*Consent/null*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[0].resource/*Patient/1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[1].resource/*Coverage/9876B1*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[2].resource/*Coverage/AA87654*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)
• WARNING: Parameters/member-match-in: Parameters.parameter[3].resource/*Consent/null*/: Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (1 uses)

18. These are tested by the parameters input examples

• INFORMATION: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)
• INFORMATION: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics'): The Implementation Guide contains no explicitly linked examples for this profile (1 uses)

19. **[Updated approval] HRex needs a patient with no identifier - US Realm approved: https://jira.hl7.org/browse/FHIR-46468

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics').baseDefinition: US FHIR Usage rules require that all profiles on Patient derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)

20. **[Updated approval] HRex needs Coverage pointing to a patient with no identifier - US Realm approved: https://jira.hl7.org/browse/FHIR-46468

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage').baseDefinition: US FHIR Usage rules require that all profiles on Coverage derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)

21. The IG description is talking about the potential for certain resources to be deprecated in the future. The IG itself is definitely not deprecated

• INFORMATION: ImplementationGuide/hl7.fhir.us.davinci-hrex: ImplementationGuide: Resource is not deprecated, but the description mentions deprecated - check whether it should be deprecated (1 uses)

22. This link exists, but because we're inheriting this fragment from a shared template, the link looks different and the template doesn't recognize it

• The link 'http://hl7.org/fhir/us/davinci-hrex/davinci-guiding-principles.html' for "guiding principles" cannot be resolved (1 uses)

23. The version used is based on regulation

• The ImplementationGuide uses package hl7.fhir.us.core#7.0.0 released on 2024-05-08, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered (1 uses)

24. This references is inherited from the FHIR core spec, which used it before the extension was deprecated

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

25. While technically correct, US Core has approved a 'patch' that indicates this cardinality relaxation is considered valid in 3.1.1 - https://jira.hl7.org/browse/FHIR-51489

• ERROR: StructureDefinition/hrex-organization: StructureDefinition: This profile does not comply with claimed profile 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|3.1.1' (1 uses)

26. This conformance pattern of MS on identifier as a whole but not on all slices is inherited from US Core.

• WARNING: StructureDefinition/hrex-organization: StructureDefinition.snapshot: The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)
• WARNING: StructureDefinition/hrex-organization: StructureDefinition.snapshot: The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true (1 uses)

27. These multiple relationships are intensional and reflect the real relationship between the codes

• WARNING: ConceptMap/CareTeamMember-NUCCFunction: ConceptMap.group[0].element[146].target[0]: A narrower relationship has already been defined from the code 224534008 to the code 176B00000X, but this defines a new relationship narrower (1 uses)
• WARNING: ConceptMap/CareTeamMember-NUCCFunction: ConceptMap.group[0].element[638].target[0]: A wider relationship has already been defined from the code 79898004 to the code 176B00000X, but this defines a new relationship wider (1 uses)

28. **[Clarified reason] This change is intentional and reflects the new recommended codes for this element which have changed since R4 was published.

• The Coding provided (http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode#urn:ihe:pcc:apr:handp:2008) was not found in the value set 'DocumentReference Format Code Set' (http://hl7.org/fhir/ValueSet/formatcodes|4.0.1), and a code is recommended to come from this value set. (error message = The provided code 'http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode#urn:ihe:pcc:apr:handp:2008' was not found in the value set 'http://hl7.org/fhir/ValueSet/formatcodes|4.0.1') (2 uses)

29. These uses of conformance verbs aren't actually conformance statements and thus aren't appropriate to be marked as conformance statements

• INFORMATION: en/conformance.html: The html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'Da Vinci IGs, including this one, make use of conformance language such as SHALL, SHOULD and MAY to describe the behavior of systems. The meaning of these words shall be interpreted as per the FHIR core spec.' (1 uses)
• INFORMATION: en/conformance.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'Da Vinci IGs, including this one, make use of conformance language such as SHALL, SHOULD and MAY to describe the behavior of systems. The meaning of these words shall be interpreted as per the FHIR core spec.' (1 uses)
• INFORMATION: en/conformance.html: The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Da Vinci IGs, including this one, make use of conformance language such as SHALL, SHOULD and MAY to describe the behavior of systems. The meaning of these words shall be interpreted as per the FHIR core spec.' (1 uses)

30. We have links to the R5 definitions. These resources did not exist in R4.

• WARNING: DA VINCI: The How to Read page (fhir.html) needs to include a reference to the http://hl7.org/fhir/R4/actordefinition.html because this IG uses the actordefinition resource. (1 uses)
• WARNING: DA VINCI: The How to Read page (fhir.html) needs to include a reference to the http://hl7.org/fhir/R4/requirements.html because this IG uses the requirements resource. (1 uses)

31. **[New] No new trackers are associated with this release

• WARNING: DA VINCI: The Change Log page (changes.html) does not include any Jira tracker items links for the section with title STU 1.2.0 (1 uses)

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