Validation Results for MinimalCommonOncologyDataElements

Generated Tue Apr 09 21:33:07 UTC 2024, FHIR version 4.0.1 for hl7.fhir.us.mcode#4.0.0-ballot (canonical = http://hl7.org/fhir/us/mcode (history)). See Full QA Report

Quality Checks
Publisher Version:	IG Publisher Version: v1.6.4
Publication Code:	mcode . PackageId = hl7.fhir.us.mcode, Canonical = http://hl7.org/fhir/us/mcode
Realm Check for US:	Snomed: The IG specifies a different version (http://snomed.info/sct/900000000000207008/version/20240201) to the US edition of SNOMED CT version in the parameters (http://snomed.info/sct/731000124108) 34 Profiles not based on US Core
Publication Request:	package-id hl7.fhir.us.mcode version 4.0.0-ballot path http://hl7.org/fhir/us/mcode/2024May Pub-Mode working release status ballot Release-Label STU4 Ballot sequence STU4 desc Ballot version for STU4 descmd Ballot version for STU4 changes change_log.html Proposed path for this publication should usually be the canonical with the version or sequence appended and then some kind of label (typically '-snapshot')
Supressed Messages:	123 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment hl7.fhir.us.mcode 4.0.0-ballot R4 http://hl7.org/fhir/us/mcode 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 5.0.1 O R4 http://hl7.org/fhir/us/core http://hl7.org/fhir/us/core/STU5.0.1 Latest Release is 6.1.0 hl7.terminology.r4 3.1.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/3.1.0 Latest Release is 5.5.0 hl7.fhir.uv.bulkdata 2.0.0 M R4 http://hl7.org/fhir/uv/bulkdata http://hl7.org/fhir/uv/bulkdata/STU2 hl7.fhir.uv.smart-app-launch 2.0.0 O R4 http://hl7.org/fhir/smart-app-launch http://hl7.org/fhir/smart-app-launch/STU2 Latest Release is 2.1.0 us.nlm.vsac 0.7.0 O R4 http://fhir.org/packages/us.nlm.vsac http://fhir.org/packages/us.nlm.vsac Latest Release is 0.17.0 hl7.fhir.uv.sdc 3.0.0 M R4 http://hl7.org/fhir/uv/sdc http://hl7.org/fhir/uv/sdc/STU3 hl7.fhir.r4.examples 4.0.1 O R4 http://hl7.org/fhir http://hl7.org/fhir/R4 Latest Release is 5.0.0 hl7.fhir.uv.genomics-reporting 2.0.0 M R4 http://hl7.org/fhir/uv/genomics-reporting http://hl7.org/fhir/uv/genomics-reporting/STU2 hl7.fhir.uv.extensions 5.1.0-cibuild V 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.us.mcode.ig-template#0.1.0 -> 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), observation-bodyweight (3 uses), code (8 uses), observation-bodyheight (1 uses), CommonLanguages (50 uses), CarePlan (45 uses), DeviceRequest (32 uses), ImmunizationRecommendation (35 uses), MedicationRequest (39 uses), NutritionOrder (34 uses), ServiceRequest (46 uses), MedicationAdministration (39 uses), MedicationDispense (34 uses), MedicationStatement (34 uses), Procedure (43 uses), Immunization (32 uses), ImagingStudy (72 uses), ObservationCategoryCodes (46 uses), Encounter (43 uses), Practitioner (55 uses), PractitionerRole (55 uses), Organization (53 uses), CareTeam (40 uses), RelatedPerson (48 uses), SNOMEDCTBodyStructures (37 uses), ObservationMethods (14 uses), Specimen (33 uses), Device (46 uses), DeviceMetric (36 uses), ObservationReferenceRangeMeaningCodes (36 uses), ObservationReferenceRangeAppliesToCodes (36 uses), QuestionnaireResponse (73 uses), MolecularSequence (73 uses), DocumentReference (38 uses), Media (38 uses), LOINCCodes (85 uses), observation-vitalsigns (6 uses), VitalSignsUnits (2 uses), MedicationAdministration Status Codes (1 uses), MedicationAdministration Category Codes (1 uses), Medication (3 uses), EpisodeOfCare (1 uses), MedicationAdministration Performer Function Codes (1 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (2 uses), SNOMEDCTRouteCodes (2 uses), SNOMEDCTAdministrationMethodCodes (2 uses), Provenance (2 uses), medicationrequest Status (1 uses), medicationRequest Intent (1 uses), medicationRequest Category Codes (2 uses), RequestPriority (1 uses), ProcedurePerformerRoleCodes (3 uses), medicationRequest Course of Therapy Codes (1 uses), Coverage (1 uses), ClaimResponse (1 uses), SNOMEDCTAdditionalDosageInstructions (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (1 uses), DoseAndRateType (1 uses), DetectedIssue (1 uses), PlanDefinition (2 uses), ActivityDefinition (2 uses), Measure (2 uses), Questionnaire (2 uses), EventStatus (2 uses), ProcedureCategoryCodes(SNOMEDCT) (2 uses), Location (3 uses), ProcedureOutcomeCodes(SNOMEDCT) (2 uses), DiagnosticReport (3 uses), Composition (2 uses), Condition/Problem/DiagnosisCodes (2 uses), Condition (14 uses), ProcedureFollowUpCodes(SNOMEDCT) (2 uses), ProcedureDeviceActionCodes (2 uses), Substance (4 uses), FHIRDeviceTypes (2 uses), DiagnosticReportStatus (2 uses), DiagnosticServiceSectionCodes (4 uses), LOINCDiagnosticReportCodes (1 uses), SNOMEDCTClinicalFindings (2 uses), Group (3 uses), SpecimenStatus (1 uses), FHIRSpecimenCollectionMethod (1 uses), SpecimenProcessingProcedure (1 uses), SpecimenContainerType (1 uses), GroupType (1 uses), ConditionClinicalStatusCodes (2 uses), ConditionVerificationStatus (2 uses), ConditionCategoryCodes (4 uses), Condition/DiagnosisSeverity (2 uses), ConditionStage (2 uses), BodyStructure (2 uses), ClinicalImpression (1 uses), ConditionStageType (1 uses) hl7.fhir.uv.extensions#5.1.0-cibuild: TypeMustSupport (60 uses) hl7.fhir.uv.tools#0.1.0: ResourceSortExt (356 uses) hl7.terminology.r5#5.3.0: ObservationCategoryCodes (102 uses), ConditionVerificationStatus (14 uses), ConditionCategoryCodes (14 uses), ProvenanceParticipantType (14 uses), MedicationRequestCategoryCodes (19 uses), ObservationReferenceRangeMeaningCodes (5 uses), OrganizationType (3 uses), UsageContextType (1 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version true
IPA Comparison:	n/a
IPS Comparison:	n/a
Summary:	errors = 6, warn = 0, info = 0, broken links = 0

n/a Show Validation Information

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

fsh-generated/resources/Observation-genomic-variant-fusion.json Show Validation Information (1)

fsh-generated/resources/Observation-genomic-variant-germline-deletion.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

Known HGVS validation error, https://chat.fhir.org/#narrow/stream/179197-genomics/topic/Validation.20issue.20for.20HGVS.2FHGNC.20code. These error messages sometimes show 0 use, but when I remove them here, they appear again.

• ERROR: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[13].resource/*Observation/gx-genomic-variant-somatic-polrmt*/.component[5].value.ofType(CodeableConcept).coding[0]: Error from http://tx.fhir.org/r4: Error parsing HGVS response: HTTP/1.1 503 Internal Server Error (0 uses)
• ERROR: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[13].resource/*Observation/gx-genomic-variant-somatic-polrmt*/.component[5].value.ofType(CodeableConcept).coding[0]: None of the codings provided are in the value set 'Human Genome Variation Society (HGVS) Nomenclature' (http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs|2.0.0), and a coding from this value set is required) (codes = http://varnomen.hgvs.org#NP_005026.3:p.(Gly200Arg)) (0 uses)
• ERROR: Observation/genomic-variant-fusion: Observation.component[2].value.ofType(CodeableConcept).coding[0]: Error from http://tx.fhir.org/r4: Error parsing HGVS response: HTTP/1.1 500 Internal Server Error (1 uses)
• ERROR: Observation/genomic-variant-fusion: Observation.component[2].value.ofType(CodeableConcept): None of the codings provided are in the value set 'Human Genome Variation Society (HGVS) Nomenclature' (http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs|2.0.0), and a coding from this value set is required) (codes = http://varnomen.hgvs.org#NM_005157.6(ABL1):c.1076T>G) (1 uses)
• ERROR: Observation/genomic-variant-germline-deletion: Observation.component[1].value.ofType(CodeableConcept).coding[0]: Error from http://tx.fhir.org/r4: Error parsing HGVS response: HTTP/1.1 500 Internal Server Error (0 uses)
• ERROR: Observation/genomic-variant-germline-deletion: Observation.component[1].value.ofType(CodeableConcept): Error from http://tx.fhir.org/r4: Error parsing HGVS response: HTTP/1.1 503 Service Unavailable (0 uses)
• ERROR: Observation/genomic-variant-germline-deletion: Observation.component[1].value.ofType(CodeableConcept): None of the codings provided are in the value set 'Human Genome Variation Society (HGVS) Nomenclature' (http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs|2.0.0), and a coding from this value set is required) (codes = http://varnomen.hgvs.org#NG_005905.2:g.126148_126152del) (1 uses)
• ERROR: Observation/gx-genomic-variant-somatic-polrmt: Observation.component[5].value.ofType(CodeableConcept).coding[0]: Error from http://tx.fhir.org/r4: Error parsing HGVS response: HTTP/1.1 503 Service Unavailable (0 uses)
• ERROR: Observation/gx-genomic-variant-somatic-polrmt: Observation.component[5].value.ofType(CodeableConcept): None of the codings provided are in the value set 'Human Genome Variation Society (HGVS) Nomenclature' (http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgvs-vs|2.0.0), and a coding from this value set is required) (codes = http://varnomen.hgvs.org#NP_005026.3:p.(Gly200Arg)) (0 uses)

Known OID error

• ERROR: ImplementationGuide/hl7.fhir.us.mcode: ImplementationGuide.definition.extension[42].extension[0].value.ofType(code): The value provided ('auto-oid-root') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'auto-oid-root' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0'; The provided code '#auto-oid-root' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0') (1 uses)
• ERROR: ImplementationGuide/hl7.fhir.us.mcode: ImplementationGuide.definition.extension[9].extension[0].value.ofType(string): The value provided ('auto-oid-root') was not found in the value set 'ig-parameters Codes ValueSet' (http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0), and a code is required from this value set (error message = The System URI could not be determined for the code 'auto-oid-root' in the ValueSet 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0'; The provided code '#auto-oid-root' was not found in the value set 'http://hl7.org/fhir/tools/ValueSet/ig-parameters|0.1.0') (1 uses)

NCIT Codes Not Included in NCIT fragment CodeSystem resource, created a PR to add them

• Unknown Code 'C102402' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (2 uses)
• Unknown Code 'C122457' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (2 uses)
• Unknown Code 'C122458' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C133427' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (3 uses)
• Unknown Code 'C133428' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (2 uses)
• Unknown Code 'C133431' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C134969' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C139007' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (3 uses)
• Unknown Code 'C141189' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C141206' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C141207' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (3 uses)
• Unknown Code 'C141212' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (3 uses)
• Unknown Code 'C141392' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (3 uses)
• Unknown Code 'C141394' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C141395' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C148010' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (4 uses)
• Unknown Code 'C148012' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C167435' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (4 uses)
• Unknown Code 'C171157' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C186527' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C19700' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (3 uses)
• Unknown Code 'C34.9 80463/3' in the system 'http://terminology.hl7.org/CodeSystem/icd-o-3' version '2000' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C34.9 8140/3' in the system 'http://terminology.hl7.org/CodeSystem/icd-o-3' version '2000' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (2 uses)
• Unknown Code 'C38144' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (4 uses)
• Unknown Code 'C69424' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C70538' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C70540' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C70658' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C70659' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C7847' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C7875' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C80134' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C80135' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (2 uses)
• Unknown Code 'C96243' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C96256' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C99728' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)
• Unknown Code 'C99750' in the system 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment (1 uses)

Noted. SNOMED is the target code system.

• 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)

Reference to condition-category, observation-category, medicationrequest-category code system is inherited from US Core and we can't change that

• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/condition-category|0.5.0 (14 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/medicationrequest-category|0.1.0 (12 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/observation-category|0.1.0 (10 uses)

Reference to deprecated extension included for backwards compatibility.

• The extension http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason|4.0.0-ballot is retired (1 uses)

Reference to draft codesystem is the codesystem US Core uses as an example in their profiles

• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/organization-type|0.1.0 (3 uses)
• Reference to draft CodeSystem http://terminology.hl7.org/CodeSystem/v2-0360|2.7|0360 (7 uses)

SNOMED version is specified in exp-params. Noted publisher issue to be fixed - https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/different.20potential.20matches.20for.20SCT.20url/near/430754062

• There are multiple different potential matches for the url 'http://snomed.info/sct'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer. Using version 'null', found versions: 3.2.1, {{unversioned}} (432 uses)

SUPPRESS US CORE COMPLIANCE WARNINGS. For STU4, exceptions to US Core parent profiles was approved by Cross-Group Projects Work Group on 03/21/2024. See https://jira.hl7.org/browse/FHIR-44928

• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ALL-risk-assessment').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-risk-assessment').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cll-binet-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cll-rai-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-deauville-scale').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report').baseDefinition: US FHIR Usage rules require that all profiles on DiagnosticReport derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-gynecologic-tumor-figo-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-history-of-metastatic-cancer').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen').baseDefinition: US FHIR Usage rules require that all profiles on Specimen derive from the core US profile. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-karnofsky-performance-status').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-lansky-play-performance-status').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-lymphoma-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-melanoma-breslow-depth-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-melanoma-clark-level').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-myeloma-iss-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-myeloma-riss-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-neuroblastoma-inrgss-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-neuroblastoma-inss-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-prostate-gleason-grade-group').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-rhabdomyosarcoma-clinical-group-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-rhabdomyosarcoma-risk-assessment').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-category').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)
• WARNING: StructureDefinition.where(url = 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-wilms-tumor-stage').baseDefinition: US FHIR Usage rules require that all profiles on Observation derive from one of the base US profiles. See https://confluence.hl7.org/display/CGP/US+Core+Variance+Request+Process (1 uses)

TG263 is a proprietary codesystem used in Radiotherapy. The whole point of conceptmaps is to make it easy to transition to the ValueSets used in this IG. The codesystem identifers TRX, IJE and MRE are not proper codesystem URIs. Work is underway to define proper URIs that will be included in future versions of this IG.

• INFORMATION: ConceptMap/TG263CM: ConceptMap: The concept map has too many codes to validate (673) (1 uses)
• WARNING: ConceptMap/TG263CM: ConceptMap.group[0].source: The Source Code System TG263 is not fully defined and populated, and no sourceScope is specified, so the source code checking will not be performed (1 uses)

These are due to the fact that the HGVS terminology is not supported. These information messages sometimes show 0 use, but when I remove them here, they appear again.

• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[16].resource/*Observation/gx-genomic-diagnostic-implication-polrmt*/.derivedFrom[0]: Details for Observation/gx-genomic-variant-somatic-polrmt matching against profile http://hl7.org/fhir/StructureDefinition/Observation|4.0.1 (0 uses)
• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[16].resource/*Observation/gx-genomic-diagnostic-implication-polrmt*/.derivedFrom[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)
• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[1].resource/*DiagnosticReport/gx-genomics-report-adam-anyperson*/.result[7]: Details for Observation/gx-genomic-variant-somatic-polrmt matching against profile http://hl7.org/fhir/StructureDefinition/Observation|4.0.1 (0 uses)
• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[1].resource/*DiagnosticReport/gx-genomics-report-adam-anyperson*/.result[7]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)
• INFORMATION: DiagnosticReport/gx-genomics-report-adam-anyperson: DiagnosticReport.result[7]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)
• INFORMATION: Observation/gx-genomic-diagnostic-implication-polrmt: Observation.derivedFrom[0]: This element does not match any known slice defined in the profile http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnostic-implication|2.0.0 (this may not be a problem, but you should check that it's not intended to match a slice) (0 uses)

This is a SNOMED limitation. These are the intended codes for this VS. Nothing we can change.

• INFORMATION: ValueSet/mcode-radiotherapy-treatment-location-vs: ValueSet.compose.include[0]: This SNOMED-CT based include has some concepts with semantic tags (FSN terms) and some without (preferred terms) - check that this is what is intended (examples for FSN: [Aortic structure (body structure), Ascending aorta structure (body structure), Branch of brachiocephalic artery (body structure), Carotid artery structure (body structure), Structure of celiac artery (body structure)] and examples for no FSN: [Tumor bed (morphologic abnormality), Scar (morphologic abnormality), Vaginal cuff (morphologic abnormality)]) (1 uses)

This is a publisher induced issue. The extension in question is introduced by the publisher, not sushi. See https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/New.20ConceptMap.20Warning.20--.20induced.20by.20IG.20Publisher

• 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) (673 uses)

This is a temporary codesystem for codes not yet published in SNOMEDCT

• INFORMATION: CodeSystem/snomed-requested-cs: 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)

This is intentional. These are instances of resources from other IGs (US Core, Genomics IG) that are relevant to care of a cancer patient.

• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[1].resource/*DiagnosticReport/gx-genomics-report-adam-anyperson*/.result[13]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/gx-genomic-bundle-adam-anyperson: Bundle.entry[1].resource/*DiagnosticReport/gx-genomics-report-adam-anyperson*/.result[14]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[27]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[30]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[31]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[38]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: Bundle/mcode-patient-bundle-jenny-m: Bundle.entry[39]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/gx-genomics-report-adam-anyperson: DiagnosticReport.result[13]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)
• INFORMATION: DiagnosticReport/gx-genomics-report-adam-anyperson: DiagnosticReport.result[14]: This element does not match any known slice defined in the profile http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report|4.0.0-ballot (this may not be a problem, but you should check that it's not intended to match a slice) (1 uses)

UNSUPPORTED TERMINOLOGY

• A definition for CodeSystem 'http://www.genenames.org' could not be found, so the code cannot be validated (47 uses)
• A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/clinvar' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/gtr' could not be found, so the code cannot be validated (3 uses)
• A definition for CodeSystem 'http://www.ncbi.nlm.nih.gov/refseq' could not be found, so the code cannot be validated (6 uses)
• A definition for CodeSystem 'http://www.sequenceontology.org/' could not be found, so the code cannot be validated (23 uses)
• A definition for CodeSystem 'https://www.gensop.com' could not be found, so the code cannot be validated (2 uses)
• A definition for CodeSystem 'https://www.ncbi.nlm.nih.gov/gene' could not be found, so the code cannot be validated (22 uses)
• Error from http://tx.fhir.org/r4: Unable to provide support for code system http://cancerstaging.org (4 uses)
• The definition for the Code System with URI 'urn:oid:2.16.840.1.113883.6.238' doesnt provide any codes so the code cannot be validated (14 uses)

Use of UCUM inherited from Genomics IG (nothing we can do about it)

• UCUM Codes that contain human readable annotations like {Base} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation (1 uses)
• WARNING: Observation/gx-genomic-tmb: Observation.value.ofType(Quantity): UCUM Codes that contain human readable annotations like {Base} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation (1 uses)

Value Set Too Large to Validate

• The value set expansion is too large, and only a subset has been displayed (4 uses)
• The value set include has too many codes to validate (1,045), so each individual code has not been checked (1 uses)

Errors sorted by type

Terminology_TX_NoValid_16

Terminology_TX_NoValid_1_CC