Validation Results for CCDAonFHIR

Generated Tue Mar 12 16:12:52 UTC 2024, FHIR version 4.0.1 for hl7.fhir.us.ccda#1.2.0 (canonical = http://hl7.org/fhir/us/ccda (history)). See Full QA Report

Quality Checks

Publisher Version:

IG Publisher Version: v1.6.1

Publication Code:

ccda . PackageId = hl7.fhir.us.ccda, Canonical = http://hl7.org/fhir/us/ccda

Realm Check for US:

Snomed: The IG specifies the US edition of SNOMED CT ✓

Profiles: All OK

Publication Request:

package-id

hl7.fhir.us.ccda

version

1.2.0

path

http://hl7.org/fhir/us/ccda/STU1.2

Pub-Mode

milestone

status

trial-use

Release-Label

STU 1

sequence

STU 1

desc

The C-CDA on FHIR Implementation Guide is a US Realm Implementation Guide of the FHIR Specification addressing the key aspects of Consolidated CDA (C-CDA) required for Meaningful Use (MU). This IG publication release focuses on providing data mappings for problems, allergies, medications, immunization, patient and procedures (PAMI+). The clinical document header and document guidance from the earlier publications have not been updated since 2020.

descmd

Proposed path for this milestone publication should usually be canonical with either sequence or version appended

Supressed Messages:

14 Suppressed Issues

Dependency Checks:

Package	Version	FHIR	Canonical	Web Base	Comment
hl7.fhir.us.ccda	1.2.0	R4	http://hl7.org/fhir/us/ccda
hl7.terminology.r4	5.3.0 O	R4	http://terminology.hl7.org	http://terminology.hl7.org/5.3.0	Latest Release is 5.5.0
hl7.fhir.us.core	4.0.0 O	R4	http://hl7.org/fhir/us/core	http://hl7.org/fhir/us/core/STU4	Latest Release is 6.1.0
hl7.fhir.uv.bulkdata	1.0.1 O	R4	http://hl7.org/fhir/uv/bulkdata	http://hl7.org/fhir/uv/bulkdata/STU1.0.1	Latest Release is 2.0.0
us.nlm.vsac	0.3.0 O	R4	http://fhir.org/packages/us.nlm.vsac	http://fhir.org/packages/us.nlm.vsac	Latest Release is 0.17.0
hl7.fhir.uv.extensions	5.1.0-snapshot1 I	R5	http://hl7.org/fhir/extensions	http://hl7.org/fhir/extensions/5.1.0-snapshot1	FHIR Version Mismatch
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 5.5.0

Templates: hl7.fhir.template#current -> hl7.base.template#current -> fhir.base.template#current. Tools: 0.1.0

Dependent IGs:

2 guides

Global Profiles:

(none declared)

Terminology Server(s):

http://tx.fhir.org/r4 (details)

HTA Analysis:

All OK

R5 Dependencies:

(none)

Draft Dependencies:

hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), AllergyIntoleranceCategory (2 uses), AllergyIntoleranceCategory (2 uses), AllergyIntoleranceType (2 uses), AllergyIntoleranceType (3 uses), AllergyIntoleranceClinicalStatusCodes (2 uses), ConditionClinicalStatusCodes (3 uses), AllergyIntoleranceCriticality (2 uses), AllergyIntoleranceCriticality (2 uses), ImmunizationStatusReasonCodes (2 uses), EventStatus (5 uses), medicationRequest Intent (1 uses), medicationRequest Intent (1 uses), medicationrequest Status (2 uses), medicationrequest Status (2 uses), EventStatus (2 uses), AllergyIntoleranceSeverity (2 uses), AllergyIntoleranceSeverity (2 uses), Clinical Document (459 uses), CommonLanguages (12 uses), CompositionStatus (12 uses), FHIRDocumentTypeCodes (2 uses), Group (13 uses), PractitionerRole (254 uses), Device (250 uses), RelatedPerson (271 uses), CompositionAttestationMode (48 uses), Practitioner (241 uses), Organization (241 uses), DocumentRelationshipType (12 uses), Composition (241 uses), DocumentSectionCodes (229 uses), ListMode (229 uses), ListOrderCodes (229 uses), ListEmptyReasons (229 uses), observation-vitalsigns (23 uses), ClinicalImpression (14 uses), RiskAssessment (8 uses), List (12 uses), DocumentReference (8 uses), RequestGroup (22 uses), MedicationDispense (2 uses), Communication (32 uses), ServiceRequest (28 uses), MedicationStatement (28 uses), Consent (10 uses), FamilyMemberHistory (12 uses), NutritionOrder (22 uses), Appointment (18 uses), CommunicationRequest (18 uses), DeviceRequest (18 uses), Task (18 uses), VisionPrescription (18 uses), Coverage (4 uses), ImagingStudy (2 uses), CompositionAttestationMode (10 uses)
hl7.fhir.uv.tools#0.1.0: ResourceSortExt (123 uses)
hl7.terminology.r5#5.3.0: AllergyIntoleranceClinicalStatusCodes (5 uses), ObservationValue (2 uses), ConditionCategoryCodes (5 uses), OrganizationType (4 uses), ObservationCategoryCodes (3 uses)

Modifier Extensions:

(none)

Previous Version Comparison:

Comparison with version 1.2.0-ballot

IPA Comparison:

n/a

IPS Comparison:

n/a

Summary:

errors = 0, warn = 0, info = 0, broken links = 0

Filename

Errors

Warnings

Hints

Build Errors

n/a Show Validation Information

Suppressed Messages (Warnings, hints, broken links)

Deprecated extension is still needed in R4

The extension http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0-cibuild is deprecated (1 uses)

Draft, trial-use and external reference elements in examples prior to 2023 ballot

Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category|0.5.0 (1 uses)
Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/organization-type|0.1.0 (4 uses)

ICD-9 missing code from tx.fhir.org

Unknown Code '486' in the system% (2 uses)

Illustrative OID not available for validation in tx.fhir.org as used in C-CDA examples: https://cdasearch.hl7.org/examples/view/Problems/Problem%20Value%2C%20Translation%2C%20Qualifier%20examples This is deliebrately used in this guide to illustrate OID to urn:oid conversion in C-CDA to FHIR when URL is unavailable.

A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.247.1.1' could not be found, so the code cannot be validated (2 uses)

LOINC Imaging Document Codes value set marked as incomplete (and also too large), but has all (6343) codes from 2022-07 release of http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.12009.10.2.5

INFORMATION: ValueSet.where(id = '1.3.6.1.4.1.12009.10.2.5'): The value set expansion is too large, and only a subset has been displayed (1 uses)
INFORMATION: ValueSet/1.3.6.1.4.1.12009.10.2.5: ValueSet.compose.include[0]: The value set include has too many codes to validate (6,342), so each individual code has not been checked (1 uses)

Missing performers in examples prior to 2023 ballot

Best Practice Recommendation: In general, all observations should have a performer (3 uses)

Poor / Buggy Displays from AddressUse Code System

WARNING: ConceptMap/CF-TelecomUse: ConceptMap.group[0].element[7].code: The source display 'mobile contact' for the code 'http://terminology.hl7.org/CodeSystem/v3-AddressUse|2.1.0#MC' is not valid. Possible displays: 'mobile contact)' (1 uses)

Publisher is adding these modifier extensions - https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/Regression.20in.20ConceptMap

The modifier extension http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence from FHIR version 1.0 is not allowed to be used at this point (allowed = e:ConceptMap.element.target; this element is [[BackboneElement, ConceptMap.group.element.target]; this is a warning since contexts may be renamed between FHIR versions) (233 uses)

Publisher is not checking all SNOMED/LOINC codes in ConceptMap

Source Code System http://loinc.org doesn't have all content (content = not-present), so the source codes cannot be checked (2 uses)
Source Code System http://snomed.info/sct doesn't have all content (content = not-present), so the source codes cannot be checked (8 uses)
Target Code System http://loinc.org doesn't have all content (content = not-present), so the target codes cannot be checked (2 uses)
Target Code System http://snomed.info/sct doesn't have all content (content = not-present), so the target codes cannot be checked (8 uses)

Errors sorted by type