Validation Results for CH_EMS

Generated Mon Sep 01 13:56:31 UTC 2025, FHIR version 4.0.1 for ch.fhir.ig.ch-ems#2.1.0-ci-build (canonical = http://fhir.ch/ig/ch-ems (history)). See Full QA Report & IP

Quality Checks
Publisher Version:	IG Publisher Version: v2.0.16
Publication Code:	n/a . PackageId = ch.fhir.ig.ch-ems, Canonical = http://fhir.ch/ig/ch-ems
Realm Check for n/a:	n/a
Language Info:	Stated Languages: n/a. IG Resource Lang: n/a. 4 of 219 (1%) of resources have a language. Population Policy: NONE
Publication Request:	package-id ch.fhir.ig.ch-ems path http://fhir.ch/ig/ch-ems/2.1.0 Pub-Mode milestone status trial-use Release-Label ci-build Sequence (Group) STU (current: 'STU', others = n/a) desc IVR STU changes changelog.html RelatedIgs (None Found) Publication Request is for v'2.1.0' but package version is v2.1.0-ci-build This release is labelled as a milestone, so should not have a patch version (2.1.0-ci-build)
Supressed Messages:	27 Suppressed Issues
Dependency Checks:	Package Version FHIR Canonical Web Base Comment ch.fhir.ig.ch-ems 2.1.0-ci-build R4 http://fhir.ch/ig/ch-ems hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 ch.fhir.ig.ch-core 6.0.0-ballot M R4 http://fhir.ch/ig/ch-core http://fhir.ch/ig/ch-core/6.0.0-ballot hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) ch.fhir.ig.ch-term 3.2.0 M R4 http://fhir.ch/ig/ch-term http://fhir.ch/ig/ch-term/3.2.0 Matched to latest patch release (3.2.x->3.2.0) hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) ihe.formatcode.fhir 1.3.0 O R4 https://profiles.ihe.net/fhir/ihe.formatcode.fhir https://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.3.0 Latest Release is 1.4.0 hl7.terminology.r4 5.5.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/5.5.0 Latest Release is 6.5.0 hl7.fhir.uv.extensions.r4 5.1.0 O R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.1.0 Latest Release is 5.2.0 hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 Latest Release is 6.5.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.terminology.r4 6.3.0 O R4 http://terminology.hl7.org http://terminology.hl7.org/6.3.0 (as above). Latest Release is 6.5.0 ch.fhir.ig.ch-term 3.2.0 M R4 http://fhir.ch/ig/ch-term http://fhir.ch/ig/ch-term/3.2.0 Matched to latest patch release (3.2.x->3.2.0) (as above) hl7.terminology.r4 6.5.0 M R4 http://terminology.hl7.org http://terminology.hl7.org/6.5.0 hl7.fhir.uv.extensions.r4 5.2.0 M R4 http://hl7.org/fhir/extensions http://hl7.org/fhir/extensions/5.2.0 (as above) hl7.fhir.uv.tools.r4 0.7.1 O R4 http://hl7.org/fhir/tools http://hl7.org/fhir/tools/0.7.1 Internal Dependency. Latest Release is 0.8.0 Templates: ch.fhir.ig.template#current -> fhir.base.template#current
Related IGs:	n/a
Dependent IGs:	no references
Global Profiles:	(none declared)
Terminology Server(s):	http://tx.fhir.org/r4, https://tx.fhir.ch/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:	Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:	(none)
Draft Dependencies:	hl7.fhir.r4.core#4.0.1: GuideParameterCode (15 uses), AllergyIntoleranceType (7 uses), CompositionAttestationMode (8 uses), AllergyIntolerance (2 uses), CommonLanguages (47 uses), AllergyIntoleranceClinicalStatusCodes (1 uses), AllergyIntoleranceVerificationStatusCodes (1 uses), AllergyIntoleranceType (3 uses), AllergyIntoleranceCategory (1 uses), AllergyIntoleranceCriticality (1 uses), AllergyIntoleranceSeverity (1 uses), SNOMEDCTRouteCodes (1 uses), CompositionStatus (1 uses), FHIRDocumentTypeCodes (1 uses), Device (73 uses), CompositionAttestationMode (1 uses), DocumentRelationshipType (1 uses), Composition (55 uses), DocumentSectionCodes (24 uses), ListMode (24 uses), ListOrderCodes (24 uses), ListEmptyReasons (24 uses), Practitioner (52 uses), PractitionerRole (52 uses), RelatedPerson (52 uses), Organization (64 uses), FinancialResourceStatusCodes (1 uses), SubscriberRelationshipCodes (1 uses), CoverageCopayTypeCodes (1 uses), ExampleCoverageFinancialExceptionCodes (1 uses), Contract (1 uses), DeviceDefinition (1 uses), UDIEntryType (1 uses), FHIRDeviceStatus (1 uses), FHIRDeviceStatusReason (1 uses), DeviceNameType (1 uses), DeviceType (1 uses), Location (11 uses), EncounterStatus (2 uses), EncounterType (1 uses), EpisodeOfCare (1 uses), Appointment (1 uses), Condition (18 uses), Procedure (40 uses), ImmunizationRecommendation (22 uses), DiagnosisRole (1 uses), Account (1 uses), Diet (1 uses), SpecialCourtesy (1 uses), SpecialArrangements (1 uses), EncounterLocationStatus (1 uses), LocationType (1 uses), LocationStatus (2 uses), LocationMode (2 uses), Endpoint (4 uses), SNOMEDCTMedicationCodes (1 uses), Medication Status Codes (1 uses), MedicationAdministration (31 uses), MedicationAdministration Status Codes (1 uses), SNOMEDCTReasonMedicationNotGivenCodes (1 uses), MedicationAdministration Category Codes (1 uses), MedicationAdministration Performer Function Codes (1 uses), ReasonMedicationGivenCodes (1 uses), DiagnosticReport (17 uses), MedicationRequest (23 uses), SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (2 uses), Provenance (2 uses), CarePlan (30 uses), ServiceRequest (31 uses), MedicationDispense (22 uses), MedicationStatement (22 uses), Medication Status Codes (1 uses), SNOMEDCTDrugTherapyStatusCodes (1 uses), Medication usage category codes (1 uses), Condition/Problem/DiagnosisCodes (8 uses), SNOMEDCTAdditionalDosageInstructions (1 uses), SNOMEDCTMedicationAsNeededReasonCodes (2 uses), DoseAndRateType (1 uses), DeviceRequest (21 uses), NutritionOrder (21 uses), Immunization (21 uses), ImagingStudy (42 uses), ObservationCategoryCodes (21 uses), LOINCCodes (46 uses), CareTeam (21 uses), SNOMEDCTBodyStructures (31 uses), ObservationMethods (19 uses), Specimen (22 uses), DeviceMetric (21 uses), ObservationReferenceRangeMeaningCodes (21 uses), ObservationReferenceRangeAppliesToCodes (21 uses), QuestionnaireResponse (42 uses), MolecularSequence (42 uses), DocumentReference (35 uses), Media (21 uses), observation-bp (1 uses), observation-heartrate (1 uses), ContactEntityType (1 uses), HealthcareService (2 uses), PlanDefinition (8 uses), ActivityDefinition (8 uses), Measure (7 uses), Questionnaire (7 uses), EventStatus (7 uses), ProcedureCategoryCodes(SNOMEDCT) (7 uses), ProcedurePerformerRoleCodes (7 uses), ProcedureReasonCodes (8 uses), ProcedureOutcomeCodes(SNOMEDCT) (7 uses), ProcedureFollowUpCodes(SNOMEDCT) (7 uses), ProcedureDeviceActionCodes (7 uses), Medication (7 uses), Substance (7 uses), FHIRDeviceTypes (6 uses), ProcedureCodes(SNOMEDCT) (2 uses), RequestStatus (1 uses), RequestIntent (1 uses), RequestPriority (1 uses), ServiceRequestOrderDetailsCodes (1 uses), ParticipantRoles (1 uses) hl7.fhir.uv.extensions.r4#5.2.0: ItemWeight (42 uses), SDImposeProfile (2 uses)
Modifier Extensions:	(none)
Previous Version Comparison:	Comparison with version 1.9.0
IPA Comparison:	n/a
IPS Comparison:	n/a
Validation Flags:	On: autoLoad, displayWarnings; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent
Narratives Suppressed	Bundle/1-Einsatzprotokoll, Bundle/1b-Einsatzprotokoll, Bundle/2-Einsatzprotokoll, Bundle/2b-Einsatzprotokoll, Composition/1-Einsatzprotokoll-Composition, Composition/1b-Einsatzprotokoll-Composition, Composition/2-Einsatzprotokoll-Composition, Composition/2b-Einsatzprotokoll-Composition, Coverage/1-CoverageThomasMueller, Encounter/1-Einsatz, Encounter/2-Einsatz, Encounter/EncounterExample, Location/1-Einsatzort, Location/1-Rettungswagen, Location/1-Zielort, Location/2-Einsatzort, Location/LocationAmbulance, Observation/1-Alarm, Observation/1-Anamnese, Observation/1-ArrivalAtTarget, Observation/1-ArrivalOnScene, Observation/1-ArrivalPatient, Observation/1-Blutdruck, Observation/1-DepartureFromScene, Observation/1-Diagnose, Observation/1-Disposition, Observation/1-GCSBefund, Observation/1-GCSUebergabe, Observation/1-NACAUebergabe, Observation/1-Rollout, Observation/1-Symptome, Observation/1-ZustandUebergabe, Observation/1b-DepartureFromTarget, Observation/1b-OperationalReadiness, Observation/2-AVPUBefund, Observation/2-AirwaysBefund, Observation/2-Alarm, Observation/2-ArrivalAtTarget, Observation/2-ArrivalOnScene, Observation/2-ArrivalPatient, Observation/2-DepartureFromScene, Observation/2-Diagnose, Observation/2-Disposition, Observation/2-GCSBefund, Observation/2-GCSUebergabe, Observation/2-NACAUebergabe, Observation/2-Rollout, Observation/2-ZustandUebergabe, Observation/2b-DepartureFromTarget, Observation/2b-OperationalReadiness, Observation/CardiacArrestBefund, Observation/ObservationBloodPressure, Observation/ObservationBloodPressure12080, Observation/ObservationBreathingDyspnea, Observation/ObservationDeathManner, Observation/ObservationHeartRateBradycardia, Observation/ObservationHeartRateTachycardia, Observation/ObservationPupilShapeRound, Observation/ObservationPupilSizeNormal, Observation/ObservationSecondDegreeBurn, Observation/ObservationSecondDegreeFrostbite, Observation/StatusPrioUebergabe, Observation/StrokeBefund, Organization/1-InformationRecipientUSZ, Organization/1-Rettungsdienst, Organization/1-TeamRettungsdienst, Patient/1-ThomasMueller, Patient/2-PatientUnbekannt, Patient/PatientExample, Practitioner/1-InformationRecipientSpitalarzt, Practitioner/1-NotarztPierreUrgentiste, Practitioner/1-SaniPetraMuster, Practitioner/1-TeamMemberHansTransportsanitaeter, Practitioner/1-TeamMemberPetraMuster, Practitioner/1-TeamMemberPierreUrgentiste, Practitioner/SaniInAusbildung, PractitionerRole/1-NotarztPierreUrgentiste-PR, PractitionerRole/1-SaniPetraMuster-PR, Procedure/1-Transport, Procedure/ProcedureAirwaysIntubation, Procedure/ProcedureBreathingVentilated, Procedure/ProcedurePrecautionsInfectionMask, Procedure/ProcedureTransportation, Procedure/ProcedureWoundTreatment, Procedure/Vorbehandlung, ServiceRequest/1-AufbietendeOrganisation, ServiceRequest/2-AufbietendeOrganisation
Summary:	errors = 24, warn = 1, info = 48, broken links = 0, pinned = 6 (when multiples). Show Message Ids

n/a Show Validation Information

fsh-generated/resources/ConceptMap-EmsAdministrative2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsAnamnesis2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsAnnotation2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsDiagnosis2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsEventOfDeath2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsFindings2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsHandover2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsMission2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsPatient2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsPretreatment2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsProcedures2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ConceptMap-EmsTransport2Fhir.json Show Validation Information (1)

Path	Severity	Message
ConceptMap.source	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS
ConceptMap.target	error	Reference must be to a ValueSet, but found a StructureDefinition instead Editor's Comment: Usage in logical model CONCEPTMAP_VS_NOT_A_VS

fsh-generated/resources/ImplementationGuide-ch.fhir.ig.ch-ems.json Show Validation Information (1)

Suppressed Messages (Warnings, hints, broken links)

Base profile (Observation/Procedure)

• The Implementation Guide contains no examples for this profile (0 uses)
• The Implementation Guide contains no explicitly linked examples for this profile (3 uses)

Caused through underlying profiles

• The extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|% (1 uses)
• The extension http://hl7.org/fhir/StructureDefinition/regex|% (1 uses)
• The repeating element has a pattern. The pattern will apply to all the repeats (this has not been clear to all users) (6 uses)

Information about pinned versions

• Pinned the version% (6 uses)

No suitable code / only text provided

• No code provided, and a code should be provided from the value set 'IVR Symptom' (http://fhir.ch/ig/ch-ems/ValueSet/IVR-VS-symptom|% (1 uses)
• None of the codings provided are in the value set 'IdentifierType' (http://hl7.org/fhir/ValueSet/identifier-type|% (14 uses)
• None of the codings provided are in the value set 'Observation Interpretation Codes' (http://hl7.org/fhir/ValueSet/observation-interpretation|% (3 uses)
• None of the codings provided are in the value set 'Patient Contact Relationship ' (http://hl7.org/fhir/ValueSet/patient-contactrelationship|% (3 uses)

Non-EPR conform examples

• WARNING: Bundle/2-Einsatzprotokoll: Bundle.entry[0].resource: Constraint failed: ch-ems-epr-composition: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-composition) (1 uses)
• WARNING: Bundle/2-Einsatzprotokoll: Bundle.entry[2].resource/*Patient/2-PatientUnbekannt*/: Constraint failed: ch-ems-epr-patient: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient) (1 uses)
• WARNING: Bundle/2-Einsatzprotokoll: Bundle: Constraint failed: ch-ems-epr-document: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-document) (1 uses)
• WARNING: Bundle/2b-Einsatzprotokoll: Bundle.entry[0].resource: Constraint failed: ch-ems-epr-composition: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-composition) (1 uses)
• WARNING: Bundle/2b-Einsatzprotokoll: Bundle.entry[2].resource/*Patient/2-PatientUnbekannt*/: Constraint failed: ch-ems-epr-patient: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient) (1 uses)
• WARNING: Bundle/2b-Einsatzprotokoll: Bundle: Constraint failed: ch-ems-epr-document: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-document) (1 uses)
• WARNING: Patient/2-PatientUnbekannt: Patient: Constraint failed: ch-ems-epr-patient: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-patient) (1 uses)
• WARNING: Practitioner/SaniInAusbildung: Practitioner: Constraint failed: ch-ems-epr-practitioner: 'Warning that the resource is not conform to the CH Core EPR restrictions' (defined in http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-practitioner) (1 uses)

Not following best practice recommendation for that use case

• Best Practice Recommendation: In general, all observations should have a performer (160 uses)
• Best Practice Recommendation: In general, all observations should have an effective[x] () (113 uses)
• Constraint failed: dom-6: 'A resource should have narrative for robust management' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation) (223 uses)
• UCUM Codes that contain human readable annotations like {score} 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 (20 uses)

Reference to draft CodeSystem

• Reference to draft CodeSystem% (313 uses)

TODO before publication, see also https://github.com/hl7ch/ch-core/issues/354

• The extension http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding|% (1 uses)

The following code systems are external and not supported by terminology server

• A definition for CodeSystem 'http://fhir.de/CodeSystem/dimdi/icd-10-gm' could not be found, so the code cannot be validated (10 uses)
• A definition for CodeSystem 'urn:oid:2.51.1.1' could not be found, so the code cannot be validated (7 uses)

Usage in logical model

• Reference must be to a ValueSet, but found a StructureDefinition instead (24 uses)

Errors sorted by type

CONCEPTMAP_VS_NOT_A_VS

IG_DEPENDENCY_VERSION_WARNING_OLD

NO_VALID_DISPLAY_FOUND_LANG_NONE