Validation Results for DICOMSRToFHIRResourceMappingIG

Generated Wed Oct 29 13:57:17 UTC 2025, FHIR version 5.0.0 for hl7.fhir.uv.dicom-sr#1.0.0 (canonical = http://hl7.org/fhir/uv/dicom-sr (history)). See Errors Only & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.24
Publication Code:	dicom-sr . PackageId = hl7.fhir.uv.dicom-sr, Canonical = http://hl7.org/fhir/uv/dicom-sr
Realm Check for UV:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: en. 58 of 58 (100%) of resources have a language. Population Policy: NONE
Publication Request:	package-id hl7.fhir.uv.dicom-sr version 1.0.0 path http://hl7.org/fhir/uv/dicom-sr/STU1 Pub-Mode milestone status trial-use Release-Label STU1 Ballot Sequence (Group) STU1 (current: n/a, others = 'STU1') desc The STU 1 publication for the DICOM® SR FHIR Implementation Guide RelatedIgs (None Found) No Messages found - all good
Supressed Messages:	16 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.uv.dicom-sr 1.0.0 R5 http://hl7.org/fhir/uv/dicom-sr hl7.terminology.r5 6.5.0 M R5 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 hl7.fhir.uv.extensions.r5 5.2.0 M R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 hl7.fhir.uv.extensions.r5 5.2.0 M R5 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) fhir.dicom 2025.2.20250411 O R4 http://fhir.org/packages/fhir.dicom http://fhir.org/packages/fhir.dicom FHIR Version Mismatch. Latest Release is 2025.3.20250714 hl7.fhir.uv.tools.r5 0.8.0 M R5 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/0.8.0 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):	http://tx.fhir.org/r5, https://tx.fhir.org/r5 (details)
HTA Analysis:	no Non-HL7 references found
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r5.core#5.0.0: GuideParameterCode (16 uses), ResourceType (31 uses), Device (23 uses), DeviceDefinition (3 uses), UDIEntryType (3 uses), FHIRDeviceStatus (3 uses), FHIRDeviceAvailabilityStatus (3 uses), DeviceNameType (3 uses), FHIRDeviceCategory (3 uses), DeviceType (5 uses), DeviceVersionType (3 uses), DeviceSpecificationCategory (3 uses), DeviceSpecificationType (3 uses), DeviceType (3 uses), FHIRDeviceOperationMode (3 uses), Organization (56 uses), Location (3 uses), Endpoint (13 uses), DeviceSafety (3 uses), ObservationDefinition (10 uses), CarePlan (15 uses), DeviceRequest (5 uses), ImmunizationRecommendation (5 uses), MedicationRequest (5 uses), NutritionOrder (5 uses), ServiceRequest (33 uses), MedicationAdministration (5 uses), MedicationDispense (5 uses), MedicationStatement (5 uses), Procedure (5 uses), Immunization (5 uses), ImagingStudy (38 uses), GenomicStudy (10 uses), ObservationCategoryCodes (5 uses), LOINCCodes (10 uses), Encounter (5 uses), Practitioner (16 uses), PractitionerRole (15 uses), CareTeam (15 uses), RelatedPerson (15 uses), SNOMEDCTBodyStructures (19 uses), BodyStructure (15 uses), ObservationMethods (5 uses), Specimen (5 uses), Group (5 uses), ObservationReferenceRangeNormalValueCodes (5 uses), ObservationReferenceRangeMeaningCodes (5 uses), ObservationReferenceRangeAppliesToCodes (5 uses), QuestionnaireResponse (10 uses), MolecularSequence (16 uses), DocumentReference (15 uses), ImagingSelection (18 uses), SNOMEDCTMorphologicAbnormalities (2 uses), BodystructureLocationQualifier (6 uses), BodystructureBodyLandmarkClockFacePosition (2 uses), ImagingSelectionStatus (10 uses), ImagingStudySeriesPerformerFunction (10 uses), HealthcareService (10 uses), Appointment (10 uses), AppointmentResponse (10 uses), Task (10 uses), ImagingSelection2DGraphicType (15 uses), ImagingSelection3DGraphicType (15 uses) hl7.fhir.uv.extensions.r5#5.2.0: SDStatusDerivation (60 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 = 8, warn = 137, info = 18, broken links = 0, pinned = n/a. Show Message Ids

n/a Show Validation Information

fsh-generated/resources/BodyStructure-measurement-report-finding-site.json Show Validation Information (1)

fsh-generated/resources/BodyStructure-measurement-report-tracking-identifier.json Show Validation Information (1)

fsh-generated/resources/CodeSystem-dicom-identifier-type.json Show Validation Information (1)

fsh-generated/resources/CodeSystem-dicom-value-type.json Show Validation Information (1)

fsh-generated/resources/ConceptMap-dicom-derived-imaging-measurement-to-fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap​.sourceScope​.ofType(uri) (l1​/c5944)	warning	No definition could be found for URL value 'DICOM-Imaging-Measurement' Type_Specific_Checks_DT_URL_Resolve
ConceptMap.targetScope	error	Reference must be to a ValueSet, but found a StructureDefinition instead CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-dicom-document-ie-to-fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap​.additionalAttribute[0]​.uri (l1​/c5749)	warning	No definition could be found for URL value 'https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.17.2.4.html#table_C.17-3b' Type_Specific_Checks_DT_URL_Resolve
ConceptMap​.additionalAttribute[1]​.uri (l1​/c5963)	warning	No definition could be found for URL value 'https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.17.3.3.html#table_C.17-5' Type_Specific_Checks_DT_URL_Resolve
ConceptMap​.sourceScope​.ofType(uri) (l1​/c6076)	warning	No definition could be found for URL value 'DICOM-Document' Type_Specific_Checks_DT_URL_Resolve
ConceptMap.targetScope	error	Reference must be to a ValueSet, but found a StructureDefinition instead CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-dicom-imaging-measurement-group-to-fhir.json Show Validation Information (1)

fsh-generated/resources/ConceptMap-dicom-imaging-measurement-to-fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap​.sourceScope​.ofType(uri) (l1​/c6125)	warning	No definition could be found for URL value 'DICOM-Imaging-Measurement' Type_Specific_Checks_DT_URL_Resolve
ConceptMap.targetScope	error	Reference must be to a ValueSet, but found a StructureDefinition instead CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-dicom-imaging-measurements-container-to-fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap​.sourceScope​.ofType(uri) (l1​/c4728)	warning	No definition could be found for URL value 'DICOM-Imaging-Measurements-Container' Type_Specific_Checks_DT_URL_Resolve
ConceptMap.targetScope	error	Reference must be to a ValueSet, but found a StructureDefinition instead CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-dicom-imaging-qualitative-evaluation-to-fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap​.sourceScope​.ofType(uri) (l1​/c4551)	warning	No definition could be found for URL value 'DICOM-Imaging-Measurement' Type_Specific_Checks_DT_URL_Resolve
ConceptMap.targetScope	error	Reference must be to a ValueSet, but found a StructureDefinition instead CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-dicom-sr-measurement-report-to-fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap​.sourceScope​.ofType(uri) (l1​/c5341)	warning	No definition could be found for URL value 'DICOM-SR-Measurement-Report' Type_Specific_Checks_DT_URL_Resolve
ConceptMap.targetScope	error	Reference must be to a ValueSet, but found a StructureDefinition instead CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/Device-measurement-report-algorithm.json Show Validation Information (1)

fsh-generated/resources/Device-measurement-report-general-equipment.json Show Validation Information (1)

fsh-generated/resources/Device-measurement-report-participant-device.json Show Validation Information (1)

fsh-generated/resources/DiagnosticReport-dicom-sr-measurement-report.json Show Validation Information (1)

fsh-generated/resources/ImagingSelection-measurement-report-2d-image-region.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-3d-image-region.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-illustration-of-roi.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-referenced-real-world-value-map.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-referenced-segment.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-referenced-segmentation-frame.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-region-in-space.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-visual-explanation.json Show Validation Information (10)

fsh-generated/resources/ImagingSelection-measurement-report-volume-surface.json Show Validation Information (10)

fsh-generated/resources/ImagingStudy-measurement-report-imaging-study.json Show Validation Information (1)

fsh-generated/resources/ImplementationGuide-hl7.fhir.uv.dicom-sr.json Show Validation Information (1)

fsh-generated/resources/Observation-derived-imaging-measurement.json Show Validation Information (1)

fsh-generated/resources/Observation-imaging-measurement-001.json Show Validation Information (3)

fsh-generated/resources/Observation-imaging-measurement-002.json Show Validation Information (3)

fsh-generated/resources/Observation-imaging-measurement-003.json Show Validation Information (3)

fsh-generated/resources/Observation-imaging-measurement-group.json Show Validation Information (1)

fsh-generated/resources/Observation-imaging-observation.json Show Validation Information (1)

fsh-generated/resources/Observation-qualitative-evaluation-001.json Show Validation Information (3)

fsh-generated/resources/Observation-qualitative-evaluation-002.json Show Validation Information (3)

fsh-generated/resources/Patient-measurement-report-patient.json Show Validation Information (1)

fsh-generated/resources/Practitioner-measurement-report-practitioner.json Show Validation Information (1)

fsh-generated/resources/ServiceRequest-measurement-report-service-request.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-algorithm-identification.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-derived-imaging-measurement.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-dicom-general-equipment.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-dicom-participant-device.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-dicom-participant-person.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-dicom-sr-finding-site.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-dicom-sr-tracking-identifiers.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-illustration-of-roi.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-image-region-2d.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-image-region-3d.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-imaging-measurement.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-imaging-measurement-group.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-imaging-observation.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-imaging-qualitative-evaluation.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-observation-imaging-selection.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-real-world-value-map.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-referenced-segment.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-referenced-segmentation-frame.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-region-in-space.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-visual-explanation.json Show Validation Information (1)

fsh-generated/resources/StructureDefinition-volume-surface.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

A DICOM CP will be created to add code value for the sole code in DICOM Identifiers. The DICOM value type codes only make sense in the context of this IG.

• 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) (2 uses)

Base FHIR generated StructuredDefinition references deprecated item

• Reference to deprecated ValueSet http://hl7.org/fhir/ValueSet/jurisdiction|5.0.0 (31 uses)

The FHIR DICOM Package is not a standard IG and it fails this validation check

• The URL should refer directly to the ImplementationGuide resource (e.g. include '/ImplementationGuide/') (1 uses)
• The canonical URL for an Implementation Guide must point directly to the implementation guide resource, not to the Implementation Guide as a whole (1 uses)
• The canonical URL for an Implementation Guide must point directly to the implementation guide resource, not to the Implementation Guide as a whole (0 uses)

The FHIR DICOM Package is not strongly tied to a specific FHIR version

• %This IG is version 5.0.0, while the IG 'fhir.dicom' is from version 4.0.1% (1 uses)

The application of the pattern to repeats is intended.

• The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (12 uses)

The destination for this Context Map is FHIR Elements so no code system applies

• No Target Code System, so the target codes cannot be checked (33 uses)

The source for this Context Map is DICOM Attributes so no code system applies

• No Source Code System, so the source codes cannot be checked (33 uses)

This CodeSystem is used in an example and does not need to be defined in FHIR terminology

• A definition for CodeSystem 'http://cancerimagingarchive.net' could not be found, so the code cannot be validated (2 uses)
• A definition for CodeSystem 'https://ncit.nci.nih.gov' could not be found, so the code cannot be validated (1 uses)

This DiagnosticReport is primarily included for its presented form and not for its content. The code value correspond to the DICOM SR template.

• None of the codings provided are in the value set 'LOINC Diagnostic Report Codes' (http://hl7.org/fhir/ValueSet/report-codes|5.0.0), and a coding is recommended to come from this value set (codes = http://dicom.nema.org/resources/ontology/DCM#126000) (1 uses)

This code system is retired but still used in DICOM SR

• A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/umls' could not be found, so the code cannot be validated (4 uses)

This code table is required by the ImagingSelection resource but is not a well-defined code system. This is addressed with a resource change in R6.

• A definition for CodeSystem 'https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5' could not be found, so the code cannot be validated (15 uses)
• URL value 'https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5' does not resolve (0 uses)
• ValueSet 'http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1' not found (7 uses)

Errors sorted by type

CONCEPTMAP_VS_NOT_A_VS

IG_DEPENDENCY_DIRECT

IG_DEPENDENCY_INVALID_URL

Language_XHTML_Lang_Missing1

MSG_DRAFT

MSG_EXPERIMENTAL

SD_ED_EXPERIMENTAL_BINDING

TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE

Type_Specific_Checks_DT_URL_Resolve