Validation Results for USPCS

Generated Tue Sep 15 07:13:10 AEST 2026, FHIR version 4.0.1 for hl7.fhir.us.pcs#1.0.0 (canonical = http://hl7.org/fhir/us/pcs (history)). See Errors Only & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.3.4
Publication Code:	pcs . PackageId = hl7.fhir.us.pcs, Canonical = http://hl7.org/fhir/us/pcs
Realm Check for US:	Snomed: The IG specifies the US edition of SNOMED CT ✓ Profiles: All OK
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 3 of 5 (60%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.fhir.us.pcs version 1.0.0 path http://hl7.org/fhir/us/pcs/1.0.0 Pub-Mode milestone status trial-use Release-Label STU 1 Sequence (Group) STU 1 (current: n/a, others = 'STU 1') desc This publication is the 1.0.0 release of the US Patient Care Summary (US-PCS). It derives from FHIR Clinical Documents, conforms to the International Patient Summary (IPS) guide and uses US Core Implementation Guide resources to populate document content. descmd This publication is the 1.0.0 release of the US Patient Care Summary (US-PCS). It derives from FHIR Clinical Documents, conforms to the International Patient Summary (IPS) guide and uses US Core Implementation Guide resources to populate document content. changes changes.html RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	56 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.pcs 1.0.0 R4 http://hl7.org/fhir/us/pcs hl7.terminology.r4 7.3.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/7.3.0 hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 hl7.terminology.r4 7.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 Latest Release is 7.3.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 Latest Release is 5.3.0 hl7.fhir.uv.ips 2.0.1 M R4 http://hl7.org/fhir/uv/ips http://hl7.org/fhir/uv/ips/2.0.1 hl7.terminology.r4 7.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.2.0 Latest Release is 7.3.0 hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) hl7.fhir.uv.ipa 1.1.0 M R4 http://hl7.org/fhir/uv/ipa http://hl7.org/fhir/uv/ipa/STU1.1 hl7.terminology.r4 6.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.2.0 Latest Release is 7.3.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 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 hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (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 9.0.0 hl7.terminology.r4 5.0.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.0.0 Latest Release is 7.3.0 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 5.3.0 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 7.3.0 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 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 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.uv.fhir-clinical-document 1.1.0 M R4 http://hl7.org/fhir/uv/fhir-clinical-document http://hl7.org/fhir/uv/fhir-clinical-document/STU1.1 hl7.terminology.r4 7.2.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.2.0 (as above). Latest Release is 7.3.0 hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (as above) hl7.fhir.uv.xver-r5.r4 0.1.0 U R4 http://hl7.org/fhir/uv/xver http://hl7.org/fhir/uv/xver-r5.r4/0.1.0 hl7.terminology.r4 7.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/7.1.0 (as above). Latest Release is 7.3.0 hl7.fhir.uv.extensions.r4 5.2.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0 hl7.fhir.uv.extensions.r4 5.3.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.3.0 (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 Internal Dependency Templates: 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:	no Non-HL7 references found
R5 Dependencies:	http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.status http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (16 uses), CompositionAttestationMode (2 uses), CommonLanguages (2 uses), CompositionStatus (1 uses), FHIRDocumentTypeCodes (1 uses), Encounter (3 uses), Device (10 uses), CompositionAttestationMode (3 uses), RelatedPerson (11 uses), Practitioner (11 uses), PractitionerRole (11 uses), Organization (14 uses), DocumentRelationshipType (3 uses), Composition (26 uses), DocumentSectionCodes (8 uses), ListMode (8 uses), ListOrderCodes (8 uses), ListEmptyReasons (8 uses), Condition (2 uses), DocumentReference (14 uses), AllergyIntolerance (2 uses), MedicationStatement (2 uses), MedicationRequest (2 uses), MedicationAdministration (2 uses), MedicationDispense (2 uses), Immunization (2 uses), Procedure (2 uses), DiagnosticReport (2 uses) hl7.fhir.uv.fhir-clinical-document#1.1.0: ChangeMade (9 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.0.0-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 = 17 (when multiples). Show Message Ids

n/a Show Validation Information

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

fsh-generated/includes/menu.xml Show Validation Information (0)

fsh-generated/resources/Bundle-US-PCS-Bundle-All-7-Sections.json Show Validation Information (43)

fsh-generated/resources/Bundle-US-PCS-Bundle-No-Info-Required-Sections.json Show Validation Information (13)

fsh-generated/resources/ImplementationGuide-hl7.fhir.us.pcs.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-Composition-us-pcs.json Show Validation Information (1)

input/images Show Validation Information (0)

input/images/More-Info.png Show Validation Information (0)

input/images/The US-PCS.png Show Validation Information (0)

input/images/The US-PCS Principles.png Show Validation Information (0)

input/images/US-PCS-Relationships.png Show Validation Information (0)

input/includes/img.html Show Validation Information (0)

input/pagecontent/IG-analysis.md Show Validation Information (0)

input/pagecontent/StructureDefinition-Bundle-us-pcs-intro.md Show Validation Information (0)

input/pagecontent/StructureDefinition-Composition-us-pcs-intro.md Show Validation Information (0)

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

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

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

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

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

input/pagecontent/general-guidance.md Show Validation Information (0)

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

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

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

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

input/pagecontent/terminology-guidance.md Show Validation Information (0)

input/pagecontent/use-case.md Show Validation Information (0)

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

input/profiles/StructureDefinition-Bundle-us-pcs.json Show Validation Information (1)

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

template/config Show Validation Information (0)

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

Suppressed Messages (Warnings, hints, broken links)

01. === EXTENSIONS: These messages are generated in the snapshot from the base resources. There is no reference to these extensions in the US-PCS resource profiles. (same text as IPS) ===

• INFORMATION: StructureDefinition/Composition-us-pcs: StructureDefinition.snapshot.element[22].type[0].extension[1]: The extension http://hl7.org/fhir/StructureDefinition/regex|5.3.0 is deprecated with the note: 'This was deprecated in favor of using a constraint on the element using FHIRPath, since constraints allow for the provision of a human readable message associated with the regex' (1 uses)
• INFORMATION: StructureDefinition/Composition-us-pcs: StructureDefinition.snapshot.element[4].binding.extension[0]: The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.3.0 is deprecated with the note: 'Use additionalBinding extension or element instead' (1 uses)

02. === The US-PCS guide includes a no-info and full example of a Bundle, which contains US-PCS Composition. The group thinks an example of Composition alone is misleading since it only makes sense when it includes the referenced resource in the Bundle ===

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

03. === The US-PCS guide includes a no-info and full example of a Bundle which is generally aligned with US Core Patient 6.1.0 but has had some extension removed per FHIR-56875, so slices are not automatically matched ===

• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[1].resource/*Patient/DEF1234*/.extension[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/pcs/StructureDefinition/Bundle-us-pcs|1.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-No-Info-Required-Sections: Bundle.entry[1].resource/*Patient/ABC4321*/.extension[3]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0 (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

04. === The US-PCS Bundle profile includes a slice that allows both a US Core Clinical Result and US Core Laboratory Observation. The latter is a derived profile of former, so it will always be present as a slicing warning. We think it important to include both profiles in the Must Support section of "Results" in US-PCS ===

• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[10].resource/*Observation/b0187efd-5f9b-474d-87bc-efebf877449a*/: The entry resource matched more than one of the allowed profiles (http://hl7.org/fhir/StructureDefinition/Observation, http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result, http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab) (1 uses)
• WARNING: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[0].resource/*Composition/514af4c1-194d-48b4-8afe-7be09d3f895a*/.section[4].entry[0]: Found multiple matching profiles for https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0, http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0 (1 uses)
• WARNING: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[10].resource: Found multiple matching profiles among 3 choices: http://hl7.org/fhir/StructureDefinition/Observation, http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result, http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab (1 uses)

05. === The US-PCS workgroup had substantially discussion on what US Core version to reference. Since 6.1.0 (USCDI v3) is what is generally implemented in 2026, the group decided to start with those resources since EHRs are implementing today rather than pinning to future version not yet required by vendors. We expect ballot feedback on this topic. ===

• WARNING: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[8].resource.medication.ofType(CodeableConcept).coding[0].system: A definition for CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '06052023' could not be found, so the code cannot be validated. Valid versions: 03022026 (1 uses)
• WARNING: ImplementationGuide/hl7.fhir.us.pcs: ImplementationGuide.dependsOn[2]: The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 9.0.0. This reference is getting old and the more recent version should be considered (1 uses)

06. === Referenced resources need to be included in a US-PCS where relevant (and definitely when referenced from Composition). The working US-PCS group, however, thought important to demonstrate that not all references must be contained in our summary example. This is important for several US Core resources where the references are requried in the base resource but the second or third order data may not be relevant for the summary. ===

• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Device/udi-2' in the bundle (Bundle.entry[11].resource.focalDevice[0].manipulated) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Location/hl7east' in the bundle (Bundle.entry[12].resource.location[0].location) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Location/hl7east' in the bundle (Bundle.entry[3].resource.location[0]) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Location/hospital' in the bundle (Bundle.entry[13].resource.location[0].location) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Organization/acme-lab' in the bundle (Bundle.entry[3].resource.organization) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Practitioner/practitioner-1' in the bundle (Bundle.entry[10].resource.performer[0]) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Practitioner/practitioner-1' in the bundle (Bundle.entry[8].resource.requester) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47' in the bundle (Bundle.entry[11].resource.basedOn[0]) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir.example.org/fhir/Specimen/specimen-example-serum' in the bundle (Bundle.entry[10].resource.specimen) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir1.example.org/fhir/Endpoint/Endpoint-71' in the bundle (Bundle.entry[3].resource.endpoint[0]) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle: Can't find 'https://fhir2.example.org/fhir/R4/Endpoint/Endpoint-71' in the bundle (Bundle.entry[3].resource.endpoint[1]) (1 uses)

07. === We are using 5.3.0 as dependency (like IPS 2.0.1) since we include textLink extension in example (like IPS) ===

• INFORMATION: StructureDefinition.differential.element[11].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[16].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[22].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[28].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[34].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[39].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[44].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.differential.element[49].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[101].binding.valueSet: Pinned the version of http://terminology.hl7.org/ValueSet/v3-ActCode to 3.0.0 from choices of 2.0.0 (hl7.terminology.r4#5.0.0), 3.0.0 (hl7.terminology.r4#6.2.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[108].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[124].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[141].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[158].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[175].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[192].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[209].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)
• INFORMATION: StructureDefinition.snapshot.element[226].type[0].profile[0]: Pinned the version of http://hl7.org/fhir/StructureDefinition/note to 5.3.0 from choices of 5.2.0 (hl7.fhir.uv.extensions.r4#5.2.0), 5.3.0 (hl7.fhir.uv.extensions.r4#5.3.0) (1 uses)

08. === These conformance clauses are referenced from C-CDA 2.1 and are not part of the US-PCS conformance statements ===

• INFORMATION: en/general-guidance.html: The html source contains the word 'MAY' but it is not in a text phrase marked as a conformance clause: 'MAY2' (9 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHALL NOT' but it is not in a text phrase marked as a conformance clause: 'Does not use obligations, so flags universally mean: - SHALL be capable of populating3 - SHALL process3 - SHALL populate mandatory elements3 - SHALL NOT send missing data with 0.. cardinality3 - SHALL interpret missing data as not present3 - SHOULD send missing reason when known3- SHALL process missing information assertions3' (1 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'Does not use obligations, so flags universally mean: - SHALL be capable of populating3 - SHALL process3 - SHALL populate mandatory elements3 - SHALL NOT send missing data with 0.. cardinality3 - SHALL interpret missing data as not present3 - SHOULD send missing reason when known3- SHALL process missing information assertions3' (5 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'Must Support defined by use of obligations. Obligations vary strength and by element including:- SHALL:able-to-populate3- SHALL:populate-if-known3- SHOULD:populate-if-known3- SHALL:handle3- SHOULD:display3' (3 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHALL' but it is not in a text phrase marked as a conformance clause: 'SHALL2' (6 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Does not use obligations, so flags universally mean: - SHALL be capable of populating3 - SHALL process3 - SHALL populate mandatory elements3 - SHALL NOT send missing data with 0.. cardinality3 - SHALL interpret missing data as not present3 - SHOULD send missing reason when known3- SHALL process missing information assertions3' (1 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'Must Support defined by use of obligations. Obligations vary strength and by element including:- SHALL:able-to-populate3- SHALL:populate-if-known3- SHOULD:populate-if-known3- SHALL:handle3- SHOULD:display3' (2 uses)
• INFORMATION: en/general-guidance.html: The html source contains the word 'SHOULD' but it is not in a text phrase marked as a conformance clause: 'SHOULD2' (2 uses)

09. === These are references in US Core, which we use but do not control status of CodeSystems ===

• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[10].resource.category[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|0.1.0 (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[10].resource/*Observation/b0187efd-5f9b-474d-87bc-efebf877449a*/.category[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|0.1.0 (validating against http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|6.1.0 [USCoreObservationClinicalResultProfile]) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[10].resource/*Observation/b0187efd-5f9b-474d-87bc-efebf877449a*/.category[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|0.1.0 (validating against http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|6.1.0 [USCoreLaboratoryResultObservationProfile]) (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[6].resource.category[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category|0.5.0 (1 uses)
• INFORMATION: Bundle/US-PCS-Bundle-All-7-Sections: Bundle.entry[7].resource.category[0]: Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category|0.5.0 (1 uses)

10. === FHIR-56875 resolved that we would pre-adopt the US Core 9 us-core-individual-sex extension. We don't want to include US Core 9 dependency so this link issue will persist ===

• ERROR: en/Bundle-US-PCS-Bundle-All-7-Sections.html#/html/body/div/div/div/div/div/div/blockquote/table/tr/td/a at Line 262, column 4030: The link 'http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-individual-sex.html' for "US Core Individual Sex Extension" cannot be resolved (1 uses)
• ERROR: en/Bundle-US-PCS-Bundle-All-7-Sections.html#/html/body/div/div/div/div/div/div/div/table/tr/td/a at Line 256, column 3618: The link 'http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-individual-sex.html' for "US Core Individual Sex Extension" cannot be resolved (1 uses)
• ERROR: en/Bundle-US-PCS-Bundle-No-Info-Required-Sections.html#/html/body/div/div/div/div/div/div/blockquote/table/tr/td/a at Line 262, column 4037: The link 'http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-individual-sex.html' for "US Core Individual Sex Extension" cannot be resolved (1 uses)
• ERROR: en/Bundle-US-PCS-Bundle-No-Info-Required-Sections.html#/html/body/div/div/div/div/div/div/div/table/tr/td/a at Line 256, column 3768: The link 'http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-individual-sex.html' for "US Core Individual Sex Extension" cannot be resolved (1 uses)

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