Validation Results for CCDA

Generated Tue May 26 18:37:46 UTC 2026, FHIR version 5.0.0 for hl7.cda.us.ccda#5.0.0 (canonical = http://hl7.org/cda/us/ccda (history)). See Full QA Report & IP

Quality Checks
Publisher Version:IG Publisher Version: v2.2.8
Publication Code:n/a . PackageId = hl7.cda.us.ccda, Canonical = http://hl7.org/cda/us/ccda
Realm Check for n/a:
  • n/a
Language Info:This IG has no language information
Publication Request:
package-idhl7.cda.us.ccda
version5.0.0
pathhttp://hl7.org/cda/us/ccda/
Pub-Modemilestone
statustrial-use
Release-LabelSTU5 Ballot 1
Sequence (Group)CCDA 5.0 (current: 'CCDA 4.0', others = 'CCDA 2.1','CCDA 3.0','CCDA 5.0')
descThis is the published version of C-CDA 5.0. This release enables exchange of USCDI v6.
RelatedIgs(None Found)
  • Proposed path for this milestone publication should usually be canonical with either sequence or version appended
  • Dependency on hl7.cda.uv.core is to the current version - not allowed
  • Dependency on hl7.fhir.us.core is to the current version - not allowed
Supressed Messages:169 Suppressed Issues
Dependency Checks:
PackageVersionFHIRCanonicalWeb BaseComment
.. hl7.cda.us.ccda5.0.0R5http://hl7.org/cda/us/ccda
... hl7.terminology.r57.1.0 MR5http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0
.... hl7.fhir.uv.extensions.r55.2.0 OR5http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0Latest Release is 5.3.0
... hl7.fhir.uv.extensions.r55.3.0 MR5http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0
.... hl7.terminology.r57.1.0 MR5http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0 (as above)
... hl7.cda.uv.corecurrent VR5http://hl7.org/cda/stds/corehttps://build.fhir.org/ig/HL7/CDA-core-sd/Cannot be published with a dependency on a current build version
.... hl7.fhir.uv.extensions.r55.2.0 OR5http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above). Latest Release is 5.3.0
.... hl7.terminology.r55.2.0 OR5http://terminology.hl7.orghttp://terminology.hl7.org/5.2.0Latest Release is 7.1.0
... hl7.fhir.us.corecurrent VR4http://hl7.org/fhir/us/corehttps://build.fhir.org/ig/HL7/US-Core/FHIR Version Mismatch
.... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0FHIR Version Mismatch
..... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0FHIR Version Mismatch. Latest Release is 5.3.0
.... hl7.fhir.uv.smart-app-launch2.2.0 MR4http://hl7.org/fhir/smart-app-launchhttp://hl7.org/fhir/smart-app-launch/STU2.2FHIR Version Mismatch
..... hl7.fhir.uv.extensions5.1.0-snapshot1 OR5http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.1.0-snapshot1Latest Release is 5.3.0
...... hl7.terminology.r55.3.0 OR5http://terminology.hl7.orghttp://terminology.hl7.org/5.3.0Latest Release is 7.1.0
..... hl7.terminology5.5.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/5.5.0FHIR Version Mismatch. Latest Release is 7.1.0
...... hl7.fhir.uv.extensions.r41.0.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/1.0.0FHIR Version Mismatch. Latest Release is 5.3.0
.... hl7.fhir.uv.sdc4.0.0 MR4http://hl7.org/fhir/uv/sdchttp://hl7.org/fhir/uv/sdc/STU4FHIR Version Mismatch
..... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0FHIR Version Mismatch (as above)
..... hl7.fhir.uv.xver-r5.r40.1.0 UR4http://hl7.org/fhir/uv/xverhttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0FHIR Version Mismatch
...... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0FHIR Version Mismatch (as above)
...... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0FHIR Version Mismatch (as above). Latest Release is 5.3.0
..... hl7.fhir.uv.tools.r41.1.2 MR4http://hl7.org/fhir/toolshttp://hl7.org/fhir/tools/1.1.2FHIR Version Mismatch
...... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0FHIR Version Mismatch (as above)
...... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0FHIR Version Mismatch (as above). Latest Release is 5.3.0
..... hl7.fhir.r4.examples4.0.1 OR4http://hl7.org/fhirhttp://hl7.org/fhir/R4FHIR Version Mismatch. Latest Release is 5.0.0
..... hl7.fhir.uv.extensions.r45.3.0-ballot-tc1 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0-ballot-tc1FHIR Version Mismatch. Latest Release is 5.3.0
...... hl7.terminology.r46.5.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/6.5.0FHIR Version Mismatch. Latest Release is 7.1.0
....... hl7.fhir.uv.extensions.r45.2.0 OR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0FHIR Version Mismatch (as above). Latest Release is 5.3.0
.... us.cdc.phinvads0.12.0 MR4http://fhir.org/packages/us.cdc.phinvadshttp://fhir.org/packages/us.cdc.phinvadsFHIR Version Mismatch (as above)
.... hl7.fhir.uv.extensions.r45.3.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.3.0FHIR Version Mismatch
..... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0FHIR Version Mismatch (as above)
.... hl7.fhir.uv.xver-r5.r40.1.0 UR4http://hl7.org/fhir/uv/xverhttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0FHIR Version Mismatch (as above)
... hl7.fhir.uv.tools.r51.1.2 MR5http://hl7.org/fhir/toolshttp://hl7.org/fhir/tools/1.1.2Internal Dependency
Templates: hl7.cda.template#1.0.0 -> hl7.base.template#1.0.0 -> fhir.base.template#1.0.0
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:
Modifier Extensions:(none)
Previous Version Comparison: Comparison with version 4.0.0
IPA Comparison: n/a
IPS Comparison: n/a
Validation Flags: On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary: errors = 38, warn = 1, info = 57, broken links = 0, pinned = n/a.
FilenameErrorsWarningsHints
Build Errors010
/scratch/repo/input/examples/admission-medication-example100
/scratch/repo/input/examples/basic-industry-observation-example100
/scratch/repo/input/examples/basic-occupation-observation-example100
/scratch/repo/input/examples/care-team-member-schedule-observation-example100
/scratch/repo/input/examples/care-team-organizer-example100
/scratch/repo/input/examples/comment-activity-example100
/scratch/repo/input/examples/discharge-medication-example100
/scratch/repo/input/examples/functional-status-organizer-example100
/scratch/repo/input/examples/implantable-device-status-observation-example100
/scratch/repo/input/examples/latex-safety-observation-example100
/scratch/repo/input/examples/medication-activity-example100
/scratch/repo/input/examples/medication-free-text-sig-example100
/scratch/repo/input/examples/mental-status-section-example100
/scratch/repo/input/examples/mri-safety-observation-example100
/scratch/repo/input/examples/no-known-medications-example101
/scratch/repo/input/examples/planned-medication-activity-example100
/scratch/repo/input/examples/self-care-activities-adl-and-iadl-example101
/scratch/repo/input/examples/smoking-status-coded-example100
/scratch/repo/input/examples/smoking-status-quantity-example100
/scratch/repo/input/examples/tribal-affiliation-example100
/scratch/repo/input/examples/us-realm-address-example100
/scratch/repo/input/examples/us-realm-date-and-time-example100
/scratch/repo/input/examples/us-realm-date-and-time-ivl-example100
/scratch/repo/input/hl7.cda.us.ccda1500

n/a Show Validation Information

warningThe jira specification file appears to be out of date with the versions, artifacts and pages currently defined in the IG. A proposed revised file to be reviewed and, if appropriate, submitted as a pull request against the XML folder in https://github.com/HL7/JIRA-Spec-Artifacts. To see the differences, perform a file compare on 'template/jira-current.xml' (a normalized view of what is in Github) and 'template/jira-new.xml' (reflects current IG content)

input/examples/admission-medication-example.xml Show Validation Information (1)

PathSeverityMessageValidating
act (l1/c114)errorSlice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Medication Activity

input/examples/basic-industry-observation-example.xml Show Validation Information (2)

PathSeverityMessageValidating
observation (l1/c152)errorSlice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicIndustryObservation|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Basic Industry Observation

input/examples/basic-occupation-observation-example.xml Show Validation Information (2)

PathSeverityMessageValidating
observation (l1/c152)errorSlice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicOccupationObservation|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Basic Occupation Observation

input/examples/care-team-member-schedule-observation-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.text (l6/c8)errorObservation.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamMemberScheduleObservation|5.0.0)

Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist. Validation_VAL_Profile_Minimum
Care Team Member Schedule Observation

input/examples/care-team-organizer-example.xml Show Validation Information (1)

PathSeverityMessageValidating
organizer.code.originalText (l8/c17)errorOrganizer.code.originalText.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamOrganizer|5.0.0)

Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist. Validation_VAL_Profile_Minimum
Care Team Member Act

input/examples/comment-activity-example.xml Show Validation Information (1)

PathSeverityMessageValidating
act.text (l6/c9)errorAct.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CommentActivity|5.0.0)

Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist. Validation_VAL_Profile_Minimum
Comment Activity

input/examples/discharge-medication-example.xml Show Validation Information (1)

PathSeverityMessageValidating
act (l1/c114)errorSlice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Medication Activity

input/examples/functional-status-organizer-example.xml Show Validation Information (1)

PathSeverityMessageValidating
organizer (l1/c154)errorSlice 'Organizer.component:selfCare': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusOrganizer|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-05 - VSAC Value set definition has a modifier exception that is unknown Validation_VAL_Profile_Minimum_SLICE
Self-Care Activities (ADL and IADL)

input/examples/implantable-device-status-observation-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.value[0].code (l7/c55)errorThe value provided ('C45329') was not found in the value set 'Implantable Device Status' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C45329' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606')

Editor's Comment: v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system (from server, see log, or see the servers logic) Terminology_TX_NoValid_16
Implantable Device Status Observation

input/examples/latex-safety-observation-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.value[0].code (l9/c94)errorThe value provided ('C106038') was not found in the value set 'Device Latex Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C106038' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606')

Editor's Comment: v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system (from server, see log, or see the servers logic) Terminology_TX_NoValid_16
Latex Safety Observation

input/examples/medication-activity-example.xml Show Validation Information (1)

PathSeverityMessageValidating
substanceAdministration (l1/c136)errorSlice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Medication Adherence

input/examples/medication-free-text-sig-example.xml Show Validation Information (1)

PathSeverityMessageValidating
substanceAdministration.text (l8/c9)errorSubstanceAdministration.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationFreeTextSig|5.0.0)

Editor's Comment: v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist. Validation_VAL_Profile_Minimum
Medication Free Text Sig

input/examples/mental-status-section-example.xml Show Validation Information (1)

PathSeverityMessageValidating
section.text (l6/c9)errorElements of type caption must be in a table, not a li at text/ul/li/caption

Editor's Comment: v5-07 - Publisher code that converts CDA text style tags to HTML tags is not handing captions in lists properly XHTML_XHTML_OUT_OF_PLACE
--

input/examples/mri-safety-observation-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.value[0].code (l7/c92)errorThe value provided ('C113844') was not found in the value set 'Device Magnetic resonance (MR) Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C113844' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606')

Editor's Comment: v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system (from server, see log, or see the servers logic) Terminology_TX_NoValid_16
MRI Safety Observation

input/examples/no-known-medications-example.xml Show Validation Information (1)

PathSeverityMessageValidating
substanceAdministration (l1/c155)errorSlice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Medication Activity
substanceAdministration​.consumable​.manufacturedProduct​.manufacturedMaterial​.code​.translation[0] (l16​/c139)informationNone of the codings provided are in the value set 'Clinical Substance' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#410942007) (from server, see log, or see the servers logic) Terminology_TX_NoValid_3_CCMedication Activity

input/examples/planned-medication-activity-example.xml Show Validation Information (1)

PathSeverityMessageValidating
substanceAdministration (l1/c136)errorSlice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Planned Medication Activity

input/examples/self-care-activities-adl-and-iadl-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.value[0] (l13/c132)errorCannot process resource http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.46|20240606 at "exclude[0].filter" due to the presence of the modifier extension vsacOpModifier (from https://tx.fhir.org/r5, see log) Self-Care Activities (ADL and IADL)
observation.value[0] (l13/c132)informationNone of the codings provided are in the value set 'Ability' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.46|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#371153006) (from server, see log) Terminology_TX_NoValid_3_CCSelf-Care Activities (ADL and IADL)

input/examples/smoking-status-coded-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.value[0] (l16/c130)errorThis element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0 and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_NotSlice
Smoking Status

input/examples/smoking-status-quantity-example.xml Show Validation Information (1)

PathSeverityMessageValidating
observation.value[0] (l11/c41)errorThis element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0 and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_NotSlice
Smoking Status

input/examples/tribal-affiliation-example.xml Show Validation Information (2)

PathSeverityMessageValidating
observation (l1/c152)errorSlice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/TribalAffiliationObservation|5.0.0). Note that other slices are allowed in addition to this required slice

Editor's Comment: v5-04 - Validator unable to determine that specific datatypes are present Validation_VAL_Profile_Minimum_SLICE
Tribal Affiliation Observation

input/examples/us-realm-address-example.xml Show Validation Information (0)

PathSeverityMessageValidating
addr (l1/c39)fatalThe QName 'urn:hl7-org:v3::addr' does not match the expected QName 'urn:hl7-org:v3::AD'

Editor's Comment: 24 ERROR - our examples use an element that makes sense but does not match the actual datatype name
--

input/examples/us-realm-date-and-time-example.xml Show Validation Information (0)

PathSeverityMessageValidating
time (l3/c48)fatalThe QName 'urn:hl7-org:v3::time' does not match the expected QName 'urn:hl7-org:v3::TS'

Editor's Comment: 24 ERROR - our examples use an element that makes sense but does not match the actual datatype name
--

input/examples/us-realm-date-and-time-ivl-example.xml Show Validation Information (0)

PathSeverityMessageValidating
effectiveTime (l2/c39)fatalThe QName 'urn:hl7-org:v3::effectiveTime' does not match the expected QName 'urn:hl7-org:v3::IVL_TS'

Editor's Comment: 24 ERROR - our examples use an element that makes sense but does not match the actual datatype name
--

input/hl7.cda.us.ccda.xml Show Validation Information (1)

PathSeverityMessageValidating
ImplementationGuide​.definition​.resource[258]​.reference (l1​/c132060)errorUnable to resolve resource with reference 'Binary/care-plan-complete-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[272]​.reference (l1​/c142032)errorUnable to resolve resource with reference 'Binary/ccd-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[276]​.reference (l1​/c144956)errorUnable to resolve resource with reference 'Binary/consultation-note-complete-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[291]​.reference (l1​/c155620)errorUnable to resolve resource with reference 'Binary/discharge-summary-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[322]​.reference (l1​/c177498)errorUnable to resolve resource with reference 'Binary/history-and-physical-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[374]​.reference (l1​/c214553)errorUnable to resolve resource with reference 'Binary/operative-note-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[388]​.reference (l1​/c224875)errorUnable to resolve resource with reference 'Binary/patient-generated-document-informationrecipient'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[419]​.reference (l1​/c246890)errorUnable to resolve resource with reference 'Binary/procedure-note-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[434]​.reference (l1​/c257588)errorUnable to resolve resource with reference 'Binary/progress-note-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[444]​.reference (l1​/c264684)errorUnable to resolve resource with reference 'Binary/referral-note-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[473]​.reference (l1​/c285095)errorUnable to resolve resource with reference 'Binary/transfer-summary-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[481]​.reference (l1​/c290759)errorUnable to resolve resource with reference 'Binary/us-realm-header-race-translation-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.resource[482]​.reference (l1​/c291511)errorUnable to resolve resource with reference 'Binary/us-realm-header-example'

Editor's Comment: 25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference Reference_REF_CantResolve
ImplementationGuide
ImplementationGuide​.definition​.parameter[6]​.code​.code (l1​/c298760)errorUnknown code 'value-set-limit' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '1.1.2'

Editor's Comment: 01 CDA Schematron generation parameters that are noted as unknown by the IG publisher Unknown_Code_in_Version
ImplementationGuide
ImplementationGuide​.definition​.parameter[7]​.code​.code (l1​/c298876)errorUnknown code 'parent-template-id' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '1.1.2'

Editor's Comment: 01 CDA Schematron generation parameters that are noted as unknown by the IG publisher Unknown_Code_in_Version
ImplementationGuide

Suppressed Messages (Warnings, hints, broken links)

01 CDA Schematron generation parameters that are noted as unknown by the IG publisher

02 Deliberate decision around fixed/pattern which results in warnings

03 IG Publisher issue - Grahame to fix: https://chat.fhir.org/#narrow/stream/198221-cda.2Fpublish/topic/Invariant.20expression.20error

04 Inherent collections where collection is limited to a single value so the warning is fine

05 Deprecated value set that is used by CDA and inherited by C-CDA

06 xsi:type information - firing on templates with constrained type, but still required in CDA

08 Each slice is optional, so the maximum still applies

11 These are template IDs that are embedded in other templates and are not an individual template. The validator can not find these templates and warns us about them.

12 Our examples may not enforce the text references

13 Our examples will not always contain an author

14 Multiple template IDs are required so the validator throws a warning on the slices

15 In the example the OID matches two different code systems - nothing we can do about this in the guide itself.

16 Assigned Author slices that are detected multiple times

17 An extra element not specified by the template

18 Note Activity is not a defined slice in the template but can be included

19 Goal Observation is not a defined slice in the template but can be included

20 Template requires a inactive/retired code

21 Unknown code systems used in examples

22 Different example code systems that have no codes so can not be validated

23 SHOULD constraints that we are intentionally not including

24 ERROR - our examples use an element that makes sense but does not match the actual datatype name

25 ERROR the full document examples are there and do get validated but the validator is unable to resolve reference

27 Duplicate anchor ids produced by publisher - see if this can be fixed in a future release of the template

28 Experimental value sets in THO

29 - Retired profiles that are still being used

30 This is a guide that uses FHIR v5 that references guides that are FHIR v4

31 Multiple version matches for values sets - should choose specific version

v4-01 - referencing an example external document or direct link that doesn't exist

v4-02 - We know that Languages is a proper subset of all-languages

v4-03 - Either we have an error for a reference that doesn't resolve or we have an error that the reference does not exist.

v5-03 - Codes from NCI Thesaurus that are not in the code system fragment on tx.fhir.org but have been verified to be in the code system

v5-04 - Validator unable to determine that specific datatypes are present

v5-05 - VSAC Value set definition has a modifier exception that is unknown

v5-06 - Note Activity does have a matching text.reference target

v5-07 - Publisher code that converts CDA text style tags to HTML tags is not handing captions in lists properly

v5-11 - guide parameter extension that the publisher uses

v5-12 - Reference to retired value sets that are still used in C-CDA

v5-13 - Two additional bindings and we are using one of them

Errors sorted by type


Reference_REF_CantResolve

input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/care-plan-complete-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/ccd-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/consultation-note-complete-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/discharge-summary-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/history-and-physical-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/operative-note-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/patient-generated-document-informationrecipient'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/procedure-note-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/progress-note-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/referral-note-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/transfer-summary-header-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/us-realm-header-race-translation-example'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnable to resolve resource with reference 'Binary/us-realm-header-example'ImplementationGuide

Terminology_TX_NoValid_16

input/examples/implantable-device-status-observation-example.xmlThe value provided ('C45329') was not found in the value set 'Implantable Device Status' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C45329' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.48|20240606')Implantable Device Status Observation
input/examples/latex-safety-observation-example.xmlThe value provided ('C106038') was not found in the value set 'Device Latex Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C106038' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.47|20240606')Latex Safety Observation
input/examples/mri-safety-observation-example.xmlThe value provided ('C113844') was not found in the value set 'Device Magnetic resonance (MR) Safety' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606), and a code is required from this value set (error message = The provided code 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C113844' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.46|20240606')MRI Safety Observation

Terminology_TX_NoValid_18

input/examples/average-bp-example.xmlThe value provided ('96608-5') was not found in the value set 'Vital Sign Result Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62|20251202), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '96608-5' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62|20251202'; The provided code '#96608-5' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62|20251202')Average Blood Pressure Organizer
input/examples/average-bp-example.xmlThe value provided ('96609-3') was not found in the value set 'Vital Sign Result Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62|20251202), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '96609-3' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62|20251202'; The provided code '#96609-3' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.62|20251202')Average Blood Pressure Organizer
input/examples/care-plan-complete-example.xmlThe value provided ('ONESELF') was not found in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code 'ONESELF' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606'; The provided code '#ONESELF' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606')US Realm Patient Name (PTN.US.FIELDED)
input/examples/care-plan-complete-example.xmlThe value provided ('163W00000X') was not found in the value set 'Personal And Legal Relationship Role Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '163W00000X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204'; The provided code '#163W00000X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204')US Realm Patient Name (PTN.US.FIELDED)
input/examples/care-plan-complete-example.xmlThe value provided ('SELF') was not found in the value set 'Personal And Legal Relationship Role Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code 'SELF' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204'; The provided code '#SELF' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204')US Realm Patient Name (PTN.US.FIELDED)
input/examples/discharge-summary-header-example.xmlThe value provided ('200000000X') was not found in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '200000000X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606'; The provided code '#200000000X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606')US Realm Patient Name (PTN.US.FIELDED)
input/examples/discharge-summary-header-example.xmlThe value provided ('PP') was not found in the value set 'Care Team Member Function' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code 'PP' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605'; The provided code '#PP' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605')US Realm Patient Name (PTN.US.FIELDED)
input/examples/discharge-summary-header-example.xmlThe value provided ('PP') was not found in the value set 'Care Team Member Function' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code 'PP' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605'; The provided code '#PP' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605')US Realm Patient Name (PTN.US.FIELDED)
input/examples/history-and-physical-header-example.xmlThe value provided ('200000000X') was not found in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '200000000X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606'; The provided code '#200000000X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606')US Realm Patient Name (PTN.US.FIELDED)
input/examples/operative-note-header-example.xmlThe value provided ('200000000X') was not found in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '200000000X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606'; The provided code '#200000000X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606')US Realm Patient Name (PTN.US.FIELDED)
input/examples/patient-generated-document-informationrecipient.xmlThe value provided ('207QA0505X') was not found in the value set 'Personal And Legal Relationship Role Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '207QA0505X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204'; The provided code '#207QA0505X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204')US Realm Header for Patient Generated Document
input/examples/patient-generated-document-informationrecipient.xmlThe value provided ('207QA0505X') was not found in the value set 'Personal And Legal Relationship Role Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '207QA0505X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204'; The provided code '#207QA0505X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.12.1|20251204')US Realm Patient Name (PTN.US.FIELDED)
input/examples/progress-note-header-example.xmlThe value provided ('200000000X') was not found in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code '200000000X' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606'; The provided code '#200000000X' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606')US Realm Patient Name (PTN.US.FIELDED)
input/examples/progress-note-header-example.xmlThe value provided ('PP') was not found in the value set 'Care Team Member Function' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code 'PP' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605'; The provided code '#PP' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30|20240605')US Realm Patient Name (PTN.US.FIELDED)
input/examples/sex-observation-nullflavor-example.xmlThe value provided ('asked-declined') was not found in the value set 'Federal Administrative Sex' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121|20250228), and a code is recommended to come from this value set (error message = The System URI could not be determined for the code 'asked-declined' in the ValueSet 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121|20250228'; The provided code '#asked-declined' was not found in the value set 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.121|20250228')Sex Observation

Terminology_TX_NoValid_3_CC

input/examples/allergy-intolerance-observation-drugclass-example.xmlNone of the codings provided are in the value set 'Common substances for allergy and intolerance documentation including refutations' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1186.8|20240625), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#764146007)Criticality Observation
input/examples/allergy-intolerance-observation-drugclass-example.xmlNone of the codings provided are in the value set 'Substance Reactant for Intolerance' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.1|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#764146007)Criticality Observation
input/examples/assessment-and-plan-section-example.xmlNone of the codings provided are in the value set 'Social Determinants of Health Service Requests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.790|20260101) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/assessment-and-plan-section-example.xmlNone of the codings provided are in the value set 'Common LOINC Lab Codes' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.17|20260403) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/assessment-and-plan-section-example.xmlNone of the codings provided are in the value set 'Radiology Procedures (LOINC)' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.18|20241009) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/assessment-and-plan-section-example.xmlNone of the codings provided are in the value set 'Clinical Tests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.19|20260415) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/consultation-note-complete-example.xmlNone of the codings provided are in the value set 'Act Encounter Codes' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5|20231012), and a coding is recommended to come from this value set (codes = http://www.ama-assn.org/go/cpt#99213)US Realm Patient Name (PTN.US.FIELDED)
input/examples/discharge-summary-header-example.xmlNone of the codings provided are in the value set 'USEncounterDischargeDisposition' (http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition|5.0.0), and a coding is recommended to come from this value set (codes = urn:oid:2.16.840.1.113883.12.112#01)US Realm Patient Name (PTN.US.FIELDED)
input/examples/history-and-physical-header-example.xmlNone of the codings provided are in the value set 'Act Encounter Codes' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5|20231012), and a coding is recommended to come from this value set (codes = http://www.ama-assn.org/go/cpt#99213)US Realm Patient Name (PTN.US.FIELDED)
input/examples/indication-example.xmlNone of the codings provided are in the value set 'Problem Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1|20250428), and a coding is recommended to come from this value set (codes = http://terminology.hl7.org/CodeSystem/v3-ActCode#ASSERTION)Entry (CDA Class)
input/examples/intervention-act-moodcodeint-example.xmlNone of the codings provided are in the value set 'Social Determinants of Health Procedures' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.789|20260101) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#371907003)StructuredBody (CDA Class)
input/examples/longitudinal-care-wound-observation-example.xmlNone of the codings provided are in the value set 'Problem Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1|20250428), and a coding is recommended to come from this value set (codes = http://terminology.hl7.org/CodeSystem/v3-ActCode#ASSERTION)Longitudinal Care Wound Observation
input/examples/no-known-medications-example.xmlNone of the codings provided are in the value set 'Clinical Substance' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.2|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#410942007)Medication Activity
input/examples/note-activity-as-standalone-entry-example.xmlNone of the codings provided are in the value set 'US Core Procedure Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|9.0.0), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#103716009)US Realm Patient Name (PTN.US.FIELDED)
input/examples/note-activity-as-standalone-entry-example.xmlNone of the codings provided are in the value set 'Social Determinants of Health Procedures' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.789|20260101) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#103716009)US Realm Patient Name (PTN.US.FIELDED)
input/examples/note-activity-as-standalone-entry-example.xmlNone of the codings provided are in the value set 'US Core Clinical Note Type' (http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type|9.0.0) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#34109-9)US Realm Patient Name (PTN.US.FIELDED)
input/examples/number-of-pressure-ulcers-observation-example.xmlNone of the codings provided are in the value set 'Pressure Ulcer Stage' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.35|20230715), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#421927004)Number of Pressure Ulcers Observation
input/examples/nutritional-status-observation-example.xmlNone of the codings provided are in the value set 'Nutritional Status' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2.7|20260313), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#248324001)Nutrition Assessment
input/examples/planned-procedure-example.xmlNone of the codings provided are in the value set 'Social Determinants of Health Service Requests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.790|20260101) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/planned-procedure-example.xmlNone of the codings provided are in the value set 'Common LOINC Lab Codes' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.17|20260403) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/planned-procedure-example.xmlNone of the codings provided are in the value set 'Radiology Procedures (LOINC)' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.18|20241009) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/planned-procedure-example.xmlNone of the codings provided are in the value set 'Clinical Tests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.19|20260415) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#73761001)Planned Procedure
input/examples/policy-activity-example.xmlNone of the codings provided are in the value set 'Payer Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591|20250419), and a coding is recommended to come from this value set (codes = urn:oid:2.16.840.1.113883.6.255.1336#12)Policy Activity
input/examples/procedure-activity-procedure-example.xmlNone of the codings provided are in the value set 'US Core Procedure Codes' (http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|9.0.0), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#103716009)Procedure Activity Procedure
input/examples/procedure-activity-procedure-example.xmlNone of the codings provided are in the value set 'Social Determinants of Health Procedures' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.789|20260101) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://snomed.info/sct#103716009)Procedure Activity Procedure
input/examples/procedure-note-header-example.xmlNone of the codings provided are in the value set 'Act Encounter Codes' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5|20231012), and a coding is recommended to come from this value set (codes = http://www.ama-assn.org/go/cpt#99213)US Realm Patient Name (PTN.US.FIELDED)
input/examples/progress-note-header-example.xmlNone of the codings provided are in the value set 'Act Encounter Codes' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.5|20231012), and a coding is recommended to come from this value set (codes = http://www.ama-assn.org/go/cpt#99213)US Realm Patient Name (PTN.US.FIELDED)
input/examples/progress-note-header-example.xmlNone of the codings provided are in the value set 'US Core Clinical Note Type' (http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-note-type|9.0.0) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#34109-9)US Realm Patient Name (PTN.US.FIELDED)
input/examples/provenance-author-participation-example.xmlNone of the codings provided are in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://terminology.hl7.org/CodeSystem/v3-RoleCode#ONESELF)StructuredBody (CDA Class)
input/examples/reaction-observation-example.xmlNone of the codings provided are in the value set 'Severity' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.6.8|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#371924009)Severity Observation
input/examples/result-observation-example.xmlNone of the codings provided are in the value set 'Radiology Procedures (LOINC)' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.18|20241009) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#20570-8)Result Observation
input/examples/result-observation-example.xmlNone of the codings provided are in the value set 'Clinical Tests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.19|20260415) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#20570-8)Result Observation
input/examples/result-organizer-example.xmlNone of the codings provided are in the value set 'Radiology Procedures (LOINC)' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.18|20241009) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#57021-8)Specimen Condition Observation
input/examples/result-organizer-example.xmlNone of the codings provided are in the value set 'Clinical Tests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.19|20260415) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#57021-8)Specimen Condition Observation
input/examples/result-organizer-example.xmlNone of the codings provided are in the value set 'Specimen type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#57259009)Specimen Condition Observation
input/examples/result-organizer-example.xmlNone of the codings provided are in the value set 'Radiology Procedures (LOINC)' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.18|20241009) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#20570-8)Specimen Condition Observation
input/examples/result-organizer-example.xmlNone of the codings provided are in the value set 'Clinical Tests' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.19|20260415) specified in an additional binding, and a coding is recommended to come from this value set (codes = http://loinc.org#20570-8)Specimen Condition Observation
input/examples/risk-concern-act-example.xmlNone of the codings provided are in the value set 'Problem Type' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1|20250428), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#80943009)Problem Concern Act
input/examples/self-care-activities-adl-and-iadl-example.xmlNone of the codings provided are in the value set 'Ability' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.46|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#371153006)Self-Care Activities (ADL and IADL)
input/examples/service-delivery-location-example.xmlNone of the codings provided are in the value set 'CMS Place of Service Codes (POS)' (http://terminology.hl7.org/ValueSet/CMSPlaceOfServiceCodes|1.0.0) specified in an additional binding, and a coding is recommended to come from this value set (codes = https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html#1160-1)Service Delivery Location
input/examples/severity-observation-example.xmlNone of the codings provided are in the value set 'Severity' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.3221.6.8|20240606), and a coding is recommended to come from this value set (codes = http://snomed.info/sct#371924009)Severity Observation
input/examples/transfer-summary-header-example.xmlNone of the codings provided are in the value set 'Healthcare Provider Taxonomy' (http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066|20240606), and a coding is recommended to come from this value set (codes = http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction#PCP)US Realm Patient Name (PTN.US.FIELDED)

Unknown_Code_in_Version

input/hl7.cda.us.ccda.xmlUnknown code 'value-set-limit' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '1.1.2'ImplementationGuide
input/hl7.cda.us.ccda.xmlUnknown code 'parent-template-id' in the CodeSystem 'http://hl7.org/fhir/tools/CodeSystem/ig-parameters' version '1.1.2'ImplementationGuide

Validation_VAL_Profile_Minimum

input/examples/care-team-member-schedule-observation-example.xmlObservation.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamMemberScheduleObservation|5.0.0)Care Team Member Schedule Observation
input/examples/care-team-organizer-example.xmlOrganizer.code.originalText.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CareTeamOrganizer|5.0.0)Care Team Member Act
input/examples/comment-activity-example.xmlAct.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/CommentActivity|5.0.0)Comment Activity
input/examples/medication-free-text-sig-example.xmlSubstanceAdministration.text.reference: minimum required = 1, but only found 0 (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationFreeTextSig|5.0.0)Medication Free Text Sig

Validation_VAL_Profile_Minimum_SLICE

input/examples/admission-medication-example.xmlSlice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/AdmissionMedication|5.0.0). Note that other slices are allowed in addition to this required sliceMedication Activity
input/examples/basic-industry-observation-example.xmlSlice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicIndustryObservation|5.0.0). Note that other slices are allowed in addition to this required sliceBasic Industry Observation
input/examples/basic-occupation-observation-example.xmlSlice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/BasicOccupationObservation|5.0.0). Note that other slices are allowed in addition to this required sliceBasic Occupation Observation
input/examples/discharge-medication-example.xmlSlice 'Act.entryRelationship:medicationActivity': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/DischargeMedication|5.0.0). Note that other slices are allowed in addition to this required sliceMedication Activity
input/examples/functional-status-organizer-example.xmlSlice 'Organizer.component:selfCare': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/FunctionalStatusOrganizer|5.0.0). Note that other slices are allowed in addition to this required sliceSelf-Care Activities (ADL and IADL)
input/examples/medication-activity-example.xmlSlice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0). Note that other slices are allowed in addition to this required sliceMedication Adherence
input/examples/no-known-medications-example.xmlSlice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/MedicationActivity|5.0.0). Note that other slices are allowed in addition to this required sliceMedication Activity
input/examples/planned-medication-activity-example.xmlSlice 'SubstanceAdministration.effectiveTime:duration': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/PlannedMedicationActivity|5.0.0). Note that other slices are allowed in addition to this required slicePlanned Medication Activity
input/examples/tribal-affiliation-example.xmlSlice 'Observation.value:coded': a matching slice is required, but not found (from http://hl7.org/cda/us/ccda/StructureDefinition/TribalAffiliationObservation|5.0.0). Note that other slices are allowed in addition to this required sliceTribal Affiliation Observation

Validation_VAL_Profile_NotSlice

input/examples/smoking-status-coded-example.xmlThis element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0 and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))Smoking Status
input/examples/smoking-status-quantity-example.xmlThis element does not match any known slice defined in the profile http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus|5.0.0 and slicing is CLOSED: observation.value[0]: Does not match slice 'packYears' (discriminator: ($this is CDA.REAL)), observation.value[0]: Does not match slice 'coded' (discriminator: ($this is CDA.CD))Smoking Status

XHTML_XHTML_OUT_OF_PLACE

input/examples/mental-status-section-example.xmlElements of type caption must be in a table, not a li at text/ul/li/caption--